Sorry, an error occurred and the server can not process your request at the moment. Try again in a few minutes.
We've noticed that you can increase your chances of finding a suitable job by 85% if you enter a desired city in the "location" box.

Rn utilization review jobs

389 992 jobs

Get new jobs by email
new

RN-Utilization Review (S)

SSM Health

 ...PRIMARY RESPONSIBILITIES Coordinates and/or manages medical management review cases identified for utilization management, including review and interpretation of medical records and clinical updates, according to standards used to determine medical necessity, appropriateness... 
Saint Charles, MO
2 days ago
new

RN Case Manager- Utilization Review

Centura Health

 ...maintain and build on positive outcomes. Utilizes clinical expertise, discretion, and independent...  ...in Nursing required; BSN preferred RN License in Applicable State of Employment...  ...candidates with experience including Utilization Review, ensuring patients are in correct status,... 
Colorado Springs, CO
4 days ago
new

Behavioral Health Utilization Management Review

Amerihealth

 ...completing Behavioral Health medical necessity reviews. Your career starts now. We’re...  ...that treatment delivered is appropriately utilized and meets the Member’s needs in the least...  .../ Experience: Registered Nurse (RN) graduate from an accredited institution... 
Newark, DE
5 days ago
new

Utilization Review RN

Medical Professionals

Would you like to work with a Utilization Management Team whose goal is to provide quality, patient...  ...South Houston area. We are seeking an RN or LVN Case Manager who is highly-...  ...with other members of the team to plan and review level of care, length of stay and general... 
Webster, TX
3 days ago
new

Utilization Review RN

The Judge Group

 ...Location: Berwyn, PA Salary: Competitive Description: The Judge Group is currently seeking a  Utilization Review Registered Nurse in the Berwyn, PA area. This position will be in support of a dedicated healthcare professional staff with one of our top hospital... 
Berwyn, PA
3 days ago
new

Utilization Review Manager - RN

A-Line Staffing Solutions

 ...REQUIREMENTS ~3 to 5 years prior acute nursing with critical care experience. ~2 to 4 years managed care/HMO experience in utilization review, case management or discharge planning. ~2 to 3 years management experience in utilization review, case management or... 
Commerce, CA
4 days ago
new

RN - Utilization Review (UR)

CorTech LLC

Occupational Health nurse position*** Must have previous 3-5 yrs OCH, employee Health or Infection control experience,. Active RN license, BLS. Position is Mon- Friday. Shift 8:00 am - 4:30 pm includes a 30 min break Department Infection Prevention
Georgia
6 days ago

Utilization Review Nurse (RN)

Lowell General Hospital

 ...guidelines and criteria. Ensures appropriate utilization of hospital resources. Works with other...  ...1 year of hire. Registration and current RN licensure in the state of MA in good...  ...managed care, and other 3rd party payor review requirements desirable. SKILLS/ABILITIES:... 
Medford, MA
9 days ago

Utilization Reviewer RN

St. Luke's Health System

Overview St. Luke's Health System in Boise is seeking an Utilization Reviewer to join our Utilization Review team. The Utilization Reviewer - RN is responsible for evaluating medical necessity for patient hospitalization and acting as an internal resource for patient... 
Boise, ID
22 days ago
new

Case Manager RN - Utilization Review

Innova People

Job Description Care Manager RN for Utilization ReviewLocation: Napa, CASchedule: Full-time - 80 biweekly hoursShift: 8-hour EveningsFUNCTION:The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning,... 
Napa, CA
3 days ago
new

Utilization Review Coordinator

Maria Parham Health

Maria Parham Health Monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital...  ...Certifications: Basic Life Support (BLS) Required Skills Licenses: RN Equal opportunity and affirmative action employers and... 
Louisburg, NC
3 days ago
new

Utilization Review Supervisor

Recovery Centers of America

 ...Position Overview : Coordinates utilization of patient care and ensures all personnel...  ...Additionally, the UR Supervisor is responsible for reviewing medical records and communicating...  ...Level Independently Licensed Clinician/LPN/RN with related experience Excellent... 
Danvers, MA
2 days ago
new

Utilization Review Specialist

RiverWoods Behavioral Health System

 ...professional clinical staff. Conduct reviews in accordance with certification requirements...  ...and narrative information to report on utilization, non-certified days (including identified...  .../SKILL REQUIREMENTS: Licensed LPN or RN, or Associate's Degree, Bachelor's Degree... 
Riverdale, GA
2 days ago
new

Utilization Review Nurse

Centurion

 ...Department of Correction .   We are currently seeking a Per Diem Utilization Review Nurse to join our Tennessee Regional Office located in...  ...can offer both. Qualifications Tennessee  RN license or ability to obtain license Utilization management... 
Nashville, TN
5 days ago
new

Utilization Review Nurse

A-Line Staffing Solutions

Utilization Review RN Analyst Eagleville, PA, US Responsibilities include: Reviews admissions to determine medical necessity and appropriateness of treatment. Secures necessary data for extended stay reviews. Presents abstract (via telecon) of clinical course of... 
Eagleville, PA
3 days ago
new

RN, UTILIZATION REVIEW

Delray Medical Center

 ...optimal health, access to care and appropriate utilization of resources, balanced with the patientï¿...  ...and submission for Physician Advisor review Securing and documenting authorization...  ...Required: Active and valid RN license. Preferred: Accredited Case Manager... 
Delray Beach, FL
3 days ago
new

Utilization Review Denial Nurse (LPN/RN)

University of Maryland Medical System Health Plans

 ...Job Description   The Utilization Review Denial Nurse will support the clinical review operations needed to assist its membership. This position...  ...Education, Experience and Qualifications: · RN or LPN preferred · Required to have education, training or professional... 
Timonium, MD
19 days ago
new

Utilization Review Specialist

TLC Recovery Center of South Florid

 ...We're looking for experienced clinicians to join our Utilization Management/Clinical Review team . As a Utilization/Clinical Review Nurse, you will...  ...qualifications include: Licensure: Active, unrestricted RN or LVN (BSN preferred) license Experience of at least... 
Fort Lauderdale, FL
22 days ago
new

IN - Utilization Review RN

Tact Medical Staffing

 ...Job Description IN - Utilization Review RN Case Manager Start Date: 7/13/2020 Shift: M-F 8-4: 30PM, no weekends Shift Length: 20 Hours Assignment Length: 6 weeks Certifications: BLS/BCLS Benefits: TACT Medical Staffing... 
Muncie, IN
12 hours ago
new

RN Utilization Review

SCL Health

 ...You bring your body, mind, heart and spirit to your work as a Utilization Review Registered Nurse. Your compassion is tangible: patients feel...  ...is to learn. Your day. As a Utilization Review RN you need to know how to: Use nationally recognized review... 
Denver, CO
6 days ago