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  • $52.26 - $81.13 per hour

     ...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing... 
    Suggested
    Minimum wage
    Full time
    Local area
    Shift work

    Providence Health and Services

    Bellevue, WA
    3 days ago
  • $38.16 - $59.15 per hour

     ...determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: RN Utilization Review Location: Naperville, IL Full Time: 40 hours/week Hours: Monday-Friday, 8:00a-4:30p, rotating every 6-8 weekend... 
    Suggested
    Hourly pay
    Full time
    Part time
    For contractors
    Monday to Friday

    Endeavor Health

    Naperville, IL
    10 hours agonew
  • Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...
    Suggested
    Work experience placement

    Memorial Healthcare System

    Hollywood, FL
    1 day ago
  •  ...Job Description Job Description Description: The Utilization Review (UR) Specialist is responsible for managing the authorization process between HCANA facilities and third-party payers. This role ensures that all services provided—from detox to residential and intensive... 
    Suggested
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Health Care Alliance NA

    Asheville, NC
    6 days ago
  •  ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is...  ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant... 
    Suggested
    Full time
    Local area

    The Valley Health System

    Las Vegas, NV
    10 hours agonew
  • $250k

     ...system situated north of Philadelphia, Pennsylvania, in search of a Family Medicine physician to join our team in a non-clinical utilization review role. Opportunity Highlights ~ Work schedule is Monday to Friday during daytime hours, with the possibility of partial... 
    Suggested
    Remote work
    Monday to Friday

    Enterprise Medical Services

    Philadelphia, PA
    6 days ago
  •  ...competitive compensation and benefits package, along with a 401k match and tuition reimbursement program. Summary: The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and... 
    Suggested
    Monday to Friday

    RHI Rehab

    Indianapolis, IN
    18 days ago
  •  ...Job Description Job Description Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts, determining whether care provided is... 
    Suggested
    Work at office
    Shift work
    Weekend work

    Global Force USA

    Las Vegas, NV
    2 days ago
  • $72.23 - $99.98 per hour

     ...RN Case Manager assists patients in the utilization of appropriate health care services....  ...required to know and understand will be reviewed and evaluated during job specific/department...  ...s services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-... 
    Suggested
    Daily paid
    Minimum wage
    Local area
    Shift work

    Providence

    Napa, CA
    22 hours ago
  •  ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities... 
    Suggested
    Temporary work
    Currently hiring
    Flexible hours

    Avenues Recovery

    Lakewood, NJ
    3 days ago
  • $20 - $30 per hour

     ...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of...  ...care. Join us in making a lasting impact! Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle... 
    Suggested
    Full time
    Part time
    Remote work

    Guidelight Health

    Boston, MA
    15 days ago
  • $30.64 - $45.8 per hour

     ...Job Description Job Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length... 
    Suggested
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Healthcare Corporation

    Rancho Cucamonga, CA
    6 days ago
  •  ...Employer", may be the place for you! POSITION SUMMARY The Pediatric Review Nurse, as a member of a professional multi-disciplinary team...  ...by Alliant Health Solutions in the Medical Management and Utilization Review Contract (MMURS). The Pediatric Review Nurse reviews... 
    Suggested
    Contract work

    Alliant Health Solutions, Inc.

    Atlanta, GA
    13 days ago
  • $35 - $50 per hour

     ...Job Title : Nurse Chart Reviewer Location : West Hills/Canoga Park 91305 (This role is HYBRID not remote) Overview: The Retro...  ...(LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims... 
    Suggested
    Contract work
    Temporary work
    Canoga Park, CA
    6 days ago
  • $32.95 per hour

     ...USD $32.95/Hr. Max USD $52.73/Hr. Overview Shift: 12pm - 12am or 8:00-4:30pm Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital... 
    Suggested
    Shift work

    Memorial Health

    Springfield, IL
    6 days ago
  •  ...Primary Stroke Center Level III Neonatal Intensive Care Pediatric Intensive Care The most advanced cancer heart and vascular orthopedic...  ...ongoing pre-certification concurrent and retrospective reviews on the Tallahassee Memorial Behavioral Health Center (TMBHC) inpatient... 
    Full time
    Second job
    Work at office

    Tallahassee Memorial HealthCare

    Tallahassee, FL
    8 days ago
  • $65 per hour

     ...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment...  ...recertification prior to employment. Experience: Must have Pediatric experience. Minimum of 1.5 years of recent experience (... 
    Hourly pay
    Full time
    Private practice
    Monday to Friday
    Day shift

    GreenLife Healthcare Staffing

    Syracuse, NY
    2 days ago
  • $40 - $63 per hour

     ...Job Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer... 
    Full time
    Work at office
    Shift work
    Weekend work

    Access Healthcare Staffing & Recruitment

    Las Vegas, NV
    29 days ago
  • $48k - $50k

     ...Job Description Job Description UTILIZATION REVIEW SPECIALIST LEAD HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization... 
    Full time
    Local area
    Immediate start
    Remote work
    Monday to Friday

    Umpqua Health

    Roseburg, OR
    2 days ago
  •  ...Review service plan requests from case managers, daily a. Ensure plans are detailed and comprehensive i. Communicate with case managers, in writing and by telephone, to obtain information, provide technical assistance, and resolve service plan/ client issues... 
    Full time
    Immediate start

    APN Software Services Inc

    Hamilton, MT
    13 days ago
  • $75k - $95k

     ...Utilization Review Manager Reports to: CEO Job Category: Salaried Exempt Full-Time Starting Salary: $75000-$95000/year (DOE) Job Site: Remote (must reside in Colorado) Job Summary: The Utilization Review Manager is responsible for overseeing utilization... 
    Hourly pay
    Full time
    Remote work

    NRT |Foundry Treatment Center

    Broomfield, CO
    13 days ago
  • $50.84k

     ...Work hours prescribed and any additional hours deemed necessary for the responsibilities assigned. # Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services. # Provide financial case management support in... 
    Daily paid
    Shift work
    Day shift

    Rosecrance Inc.

    Rockford, IL
    7 days ago
  •  ...To monitor adherence to the hospital’s utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an array... 
    Work experience placement
    Work at office

    El Paso Childrens Hospital Corporation

    El Paso, TX
    15 days ago
  •  ...Job Description Job Description A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team! Utilization Review Registered Nurse Opportunity: Full-time, permanent position Schedule: Monday-Friday,... 
    Permanent employment
    Full time
    Monday to Friday

    Ironside Human Resources

    Kearney, NE
    25 days ago
  •  ...Description Join our dedicated team at Injury Management Organization, Inc. as a Full-Time Registered Nurse specializing in Utilization Review! Located in Plano, TX, this hybrid position offers an exciting opportunity for RNs with a background in Workers' Compensation... 
    Full time
    Flexible hours

    Injury Management Organization, Inc

    Plano, TX
    11 days ago
  • $900 per month

    Case Manager Utilization Review Case Management Position type: Full Time Pay/Salary: Open Shift: 1st Hammond-Henry Hospital, located in Geneseo, Illinios, is a critical access hospital with Family Medicine and Urgent Care Clinics proudly serving our communities... 
    Full time
    Temporary work
    Shift work

    Hammond-Henry Hospital

    Geneseo, IL
    1 day ago
  • $21 - $26 per hour

     ...ensuring clients receive timely and medically necessary care. Position Overview: We are seeking a detail-oriented, proactive  Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP,... 
    Hourly pay
    Full time

    Your Behavioral Health

    Torrance, CA
    6 days ago
  • $211.2k - $277.2k

     ...Job Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.... 
    Full time
    Local area
    Remote work
    Work from home
    Home office
    Weekend work

    Oscar Health

    Miami, FL
    27 days ago
  • $72.42k - $83.92k

     ...The Utilization Review Nurse assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; analysis; and outcomes reporting. Utilizes standards of care, evidence based practices, Medicare and Medicaid... 
    Temporary work
    Work at office
    Immediate start
    Rotating shift

    Nascentia Health

    Syracuse, NY
    8 days ago
  • $2,200 - $2,400 per week

     ...resources. Conducts appropriate concurrent and retrospective reviews on referred care to patients to determine the appropriateness...  ....   EXPERIENCE REQUIREMENTS ~1 year case management or utilization review    CERTIFICATION REQUIREMENTS   ACLS BLS... 

    NurseStar Medical Partners

    Dilkon, AZ
    2 days ago