Average salary: $75,400 /yearly
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$80 - $95 per hour
...Immediate need for a talented Hospital RN – Care Coordination & Utilization Review . This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are...SuggestedContract workLocal areaImmediate startPyramid Consulting, Inc
San Jose, CA3 days ago$75 - $85 per hour
...Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite) . Please review the job description below and contact me ASAP if you are interested....SuggestedContract workLocal areaImmediate startShift workPyramid Consulting, Inc
Santa Clara County, CA4 days ago$75 - $90 per hour
...Immediate need for a talented RN – Case Manager/ Utilization Review. This is a 03+ months contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if you are interested....SuggestedContract workLocal areaImmediate startWeekend workPyramid Consulting, Inc
Santa Clara, CA3 days ago$40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time,... ...nursing or related field. Licensure: Active, unrestricted RN license to practice within the applicable U.S. state(s) or territory...SuggestedRemote jobFull timeMonday to Friday$67.6k - $101.4k
...efficient manner. Assists leader in the review, implementation, and compliance of Avera... ...to proper management as necessary. Utilizes order sets to timely order lab work. Monitors... ...Work Experience: ~ Registered Nurse (RN) - Board of Nursing An active license in...SuggestedFull timeContract workPart timeWork experience placementRelocation packageShift workNight shiftWeekend workAvera Health
Chancellor, SD22 hours ago$54.86k - $71.25k
...individuality is noticed and valued every day. Summary The Utilization Review Registered Nurse is responsible for reviewing medical services... ...internal partners Active, unrestricted Registered Nurse (RN) license in Missouri Multistate licensure as applicable...SuggestedMinimum wageFull timeCurrently hiringLocal areaWork from homeFlexible hours$62.7k - $100.4k
...of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical... ...Completion of an accredited registered nursing (RN) degree program required Three (3)... ...or home health experience preferred Utilization Management/Utilization Review experience...SuggestedHourly payFull timeWork at officeRemote work- ...coordinated and compassionate care. As an RN Resource you have the opportunity to... ...unit also incorporates a program that utilizes the electronic surveillance partnership in... ..., cultural and discharge planning needs. Reviews patient history and physical with patient...SuggestedFull timeTemporary workInterim roleRemote workShift workWeekend work
Banner Health
Gilbert, AZ8 days ago $38.91 - $60.31 per hour
...Building AMC, CO, Aurora Department: UCH Utilization Management Work Schedule: Full Time, 8... ...and compliance. Responsibilities: Reviews admissions and service requests within... ...~ State licensure as a Registered Nurse (RN). ~3 years of relevant experience....SuggestedFull timeTemporary workLocal areaRemote workFlexible hoursShift workUCHealth
Parker, CO22 hours ago- ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...an accredited Registered Nursing Program; RN preferred. 2. Minimum of five years in...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
- ...you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Utilization Review Nurse Manager (USRN) to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Roles and Responsibilities...SuggestedWork experience placementWork at officeRemote workFlexible hoursNight shift
$91.98k - $120.63k
...Job Description Hi, we're Oscar. We're hiring a Supervisor, Utilization Review Nurse (Vendor Management) to join our team. Oscar is the first... ...organization ~ Active, unrestricted Registered Nurse (RN) licensure from the United States and in the state of hire, OR...SuggestedFull timeRemote workWork from homeHome office$38.91 - $60.31 per hour
...~ State licensure as a Registered Nurse (RN). ~6 months of OR nursing (RN) experience... ...of scope practice in direct patient care utilizing the nursing process Values a... ...experience, skills and cost of living. Market reviews: All UCHealth positions are reviewed annually...SuggestedTemporary workReliefLocal areaRemote workFlexible hoursShift work- ...experienced professional Registered Nurse (RN) responsible for excellence in the... ...nursing process as a problem solving model; utilizing their knowledge and experience to anticipate... ...for a specific patient population. # Reviews all orders on patients and communicates changes...SuggestedHourly payFull timeShift workNight shift
Martin Luther King, Jr. Community Hospital
Pico Rivera, CA22 hours ago $128.66k - $154.7k
...Nurse Manager Case Management and Utilization Review opportunity at an award winning hospital in Southern Arizona, lead bold improvements in access... ...will lead a friendly, diverse, and high-performing team of RN Case Managers, UM Reviewers, and Social Work professionals;...SuggestedFull timeWork from homeRelocation package$152.58k - $175.96k
...Lead change, elevate outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital in the Bay Area—where your strategic vision transforms care coordination into measurable results and career-defining impact....Full timeRemote workWeekend work- ...integrates evidence-based nursing practice utilizing the nursing process. Benefit for... ...the field, routinely exchange ideas, and review current topics within the industry. Having... ...field preferred. Current South Carolina RN (or qualifying state) license. Previous...Local areaRelocation package
Aiken Regional Medical Centers
Aiken, SC27 days ago - ...the Hemodialysis Treatment Sheet. Laboratory-related: Reviews, transcribes, and enters physician lab orders accurately into... ...for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures...Full timeTemporary workReliefImmediate startFlexible hoursShift work
$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are... ...or certification (e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in utilization review or a related field...Full timeWork at officeRemote workFlexible hours- ...Job Description Job Description Position Overview: We are seeking a detail-oriented Utilization Review Specialist with a background in behavioral health to audit clinical documentation prior to billing submission. This role plays a critical part in ensuring that...Full timePart timeRemote work
- ...the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the... ...Participate in denial management, appeals, and peer-to-peer review processes Requirements ~ High School Diploma ~2+ years...Full timeLocal areaRemote work
- ...Role: We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team . This role involves conducting pre- and post-payment... ...(i.e. medical-surgical, rehabilitation, SNF, etc..) Utilization/Medical Review Quality Assurance Skills &...Remote jobFull timeFor contractorsWork at officeWork from homeHome officeMonday to Friday
- ...in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at... ...health or chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies:...Full timePart timeRemote workWeekend work
$38.46 - $43.27 per hour
...Description Job Description As the Clinical Reviewer, you will be responsible for the review... ...not limited to: Performing case reviews utilizing regulatory guidelines criteria and... ...Registered Nurse, required (open to any RN state license). Graduate of a School of...Hourly payFull timeFor contractorsWork at officeRemote work1 day per week$32.13 - $48.2 per hour
...accountability for assigned patients. Utilize best practices and evidence-based interventions... ...Expectations: Registered Nurse (RN): Holds full accountability for independent... ...reports and documentation with RN review as appropriate. Remote Type Salary...Remote workRelocation packageShift workHebrew SeniorLife
Dedham, MA3 days ago$32.13 - $48.2 per hour
...accountability for assigned patients. Utilize best practices and evidence-based interventions... ...Expectations: Registered Nurse (RN): Holds full accountability for independent... ...reports and documentation with RN review as appropriate. Remote Type Salary...Daily paidFull timeRemote workRelocation packageShift workHebrew SeniorLife
Roslindale, MA3 days ago$24.5 - $48.5 per hour
...environment. ~ Opportunity to change the lives of your patients. ~1 RN for 7-8 patient ratio ~ Flexible scheduling program ~... ...objectives. What you will do Provides patient care by reviewing physician prescriptions; communicating the nursing care plan and...Full timePart timeWork experience placementRelocation packageFlexible hoursShift workNight shiftAfternoon shiftAvera Health
Humboldt, SD4 days ago- ...experienced professional Registered Nurse (RN) responsible for excellence in the... ...nursing process as a problem solving model; utilizing their knowledge and experience to anticipate... ...for a specific patient population. Reviews all orders on patients and communicates changes...Hourly payFull timeShift workNight shift
Martin Luther King, Jr. Community Hospital
Pasadena, CA22 hours ago $32.5 - $48.5 per hour
...care objectives. What you will do Provides patient care by reviewing physician prescriptions; communicating the nursing care plan and... .../Certification, or Work Experience: ~ Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon...Full timePart timeWork experience placementShift workNight shiftWeekend work1 day per weekWeekday work- ...5 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia...Contract work
