Average salary: $117,559 /yearly
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- ...Job Description Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required.Collaborates with the physician, nurse case manager...Suggested2 days per week1 day per week
Vivo HealthStaff
Daly City, CA23 days ago - ...Utilization Management Case Manager Santa Barbara Cottage Hospital seeks a Utilization Management Case Manager for their Care Management department responsible for the utilization management, quality assurance, and discharge planning activities for assigned services...SuggestedWork experience placement
- ...Utilization Review Nurse To conduct utilization review for all inpatients based on collaboratively developed standards for level of care and quality assurance; to assess patients for admission and/or upon admission to the inpatient unit, and to assure appropriate precertifications...Suggested
- ...Utilization Review Clinician Clarity Clinic is an interdisciplinary private practice bringing together Psychiatrists, Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists. Our mission is to guide the whole person toward clarity and mental wellness...SuggestedFixed term contractPrivate practice
- ...Utilization Management Nurse Responsible for review of all inpatient and outpatient admissions to the hospital for appropriateness and manages all access points for admission to the hospital including but not limited to Emergency Department admissions, direct admissions...SuggestedWork at office
- ...Utilization Review RN Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon...SuggestedFull timePart timeLocal areaDay shift
- Registered Nurse - Utilization Review Shift: 5 Day Shifts X 8 Hrs Start Date: 09/07/2026 End Date: 12/05/2026 Duration: 13 Week(s) Location: Fort Myers, FL TALENTSuggestedShift workDay shift
- ...RN - Utilization Review Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a travel healthcare professional, you will have the opportunity to work in diverse healthcare settings, providing essential medical...SuggestedHourly pay
- The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining...Suggested
- Job Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing healthcare delivery by ensuring medical necessity and appropriate patient status throughout the hospitalization journey. You will serve as a clinical expert, collaborating...Suggested
- ...74-6926 Job Description Day to Day Responsibilities: Conducts utilization management activities in accordance with Utilization Management... ...and procedures. Responds to calls, conducts certification reviews, facilitates the discharge planning and referral process and coordinates...SuggestedHourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
- ## Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted on: Posted Todayjob requisition id: JR114100## # About AcrisureA global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right...SuggestedWork at officeImmediate startRemote workFlexible hours2 days per week
- ...specializes in examining medical records and developing concise and pertinent clinical reviews to support authorization obtainment, avoid payment denial, and optimize reimbursement. The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization...SuggestedWork at officeHome officeShift workWeekend work
- Utilization Review Specialist # Utilization Review SpecialistHettinger, ND 58639## OverviewSalary Range$21.35 - $26.33 HourlyLevelExperiencedPosition TypeFull TimeEducation LevelNot Specified## DescriptionWest River Health Services is a mission-driven Critical Access Hospital...Suggested
- ...skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. How You'll Contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine...SuggestedFull timeTemporary workPart timeShift work
- Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay.... ...the conditions of participation as they relate to utilization review and discharge planning and payer regulations. MINIMUM...
- ...Utilization Review Technician II We are seeking a Utilization Review Technician II, sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and...Full timeWork at officeLocal areaShift work
$34.14 - $61.23 per hour
...be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in...- City/StateNorfolk, VAWork ShiftFirst (Days)Overview:Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse.The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions...Temporary workRemote work
$29.48 per hour
...incorporates environmental sustainability aligned with our mission to protect children’s health and patient safety. Job Summary The Utilization Review Representative is responsible for utilization review of all inpatient and outpatient statuses. This individual is also...Work at officeShift work$28.85 - $31.25 per hour
...care and long-term care needs for medical necessity Perform case reviews and complete all required documentation in appropriate... ...72-hours for weekend) Provide outpatient or pharmacy services utilization review Qualifications 3+ years in recent medical/surgical or critical...Private practiceWeekend workWeekday work- ...Utilization Review RN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission...Full timeShift work
- ...patient outcomes. Responsibilities Essential Functions Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review. Communication to third-party payers for initial and concurrent clinical review...Full timeTemporary workWork at officeShift workNight shiftRotating shift
- Job Summary We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective...Work experience placement
- ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,... ...in acute clinical care Experience with medical record review/utilization review/utilization management Additional Information Are you...Contract workPrivate practiceMonday to Friday
- Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The Utilization Reviewer serves as a resource to medical and hospital...Work at officeShift work
- ...at hospitals and physician practices throughout downstate New York. Job Description Reviews and coordinates prospective, concurrent and retrospective activities related to utilization. Monitors documentations for accuracy and clinical compliance. Organizes and coordinates...Night shift
- ...network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately... ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,...Private practiceImmediate start
- ...Employer Program: Nursing Status: Exempt Housing Priority: 3 Covered: Yes POSITION SUMMARY The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and managing risk, coordinates and facilitates with departmental staff on Durable Medical...Contract workWork at office
$30 - $32 per hour
...conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance...Private practiceWeekend workWeekday work
