Search Results: 1,324,305 vacancies

 ...Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour...  ...utilization management and/or discharge   planning/home care in a high volume, acute care hospital... 
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Hourly pay
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Albany Medical Center

Albany, NY
1 day ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment...  ...all payers and all levels of care as required by the payer. Work with physician advisor to better manage denials and... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
5 days ago
 ...Registered Nurse RN - Utilization Review Details * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension...  .... Credentialed from State Board of Nursing or current home state license for multi-state license recognition "Compact... 
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Temporary work
Relief
Local area

Sacred Heart Hospital

Pensacola, FL
1 day ago
 ...Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management...  ...standards. • While performing utilization review identifies areas for clinical documentation... 
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Shift work

Albany Medical Center

Albany, NY
4 days ago
 ...POSITION SUMMARY The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding... 
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The University of Vermont Health Network

Colchester, VT
3 days ago
 ...Description Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems...  ...May provide oversight to the work of the team members. Continuously...  ...sitting and computer work. WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and... 
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Temporary work
Remote job
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Dane Street, LLC

West Palm Beach, FL
14 days ago
 ...Utilization Review RN - As Needed - Days Under general supervision, utilize clinical knowledge...  ..., cost-effective patient outcomes. Works collaboratively with interdisciplinary...  ...guidelines. Education: Bachelor of Science in Nursing (BSN) OR Advanced Practitioner... 
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Local area

Greater Baltimore Medical Center

Towson, MD
18 hours ago
 ...UTILIZATION REVIEW NURSE (RN) Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Other...  ...professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field... 
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Permanent employment
Full time
Day shift

LifeBridge Health

Randallstown, MD
4 days ago
 ...We are seeking an experienced Utilization Management RN to join our esteemed...  ...and only, Dallas, TX! This Nurse should have a minimum of 5...  ...years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual or Milliman in... 
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For contractors
Flexible hours

Adecco Staffing, USA

Dallas, TX
2 days ago
 ...Job Description Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The...  ...offered. Must be familiar and functional with google and multiple EMRs and able to work on your own and with a team.... 
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Full time

Goat Solutions Llc

Davie, FL
24 days ago
 ...UTILIZATION REVIEW NURSE (RN) - PRN Baltimore, MD SINAI HOSPITAL UTILIZATION REVIEW PRN - As Needed - 8:00am-4:30pm RN Other 8241...  ...professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field... 
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Permanent employment
Relief

LifeBridge Health

Baltimore, MD
6 days ago
Candidate criteria: Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand... 
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Holiday work
Permanent employment
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday

Ambe Healthcare Staffing

Secaucus, NJ
25 days ago
 ...bonuses, overtime, shift differential, etc.)**** Utilization Reviewer Pathway Family Services, LLC. provides resources for youth...  ...services. Qualifications: Bachelor's degree in nursing, social work, psychology, or a related field. A minimum of three... 
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Hourly pay
Local area
Flexible hours
Shift work

Pathway Family Services LLC

Topeka, KS
4 days ago
 ...general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity...  ...statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the... 
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Temporary work

Huntsville Memorial Hospital

Huntsville, TX
18 days ago
 ...only. Current RN Compact license required Summary: The RN Utilization Review II is responsible for determining the clinical...  ...approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the health care... 
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Permanent employment
Temporary work
Local area

TalentBurst, Inc.

Irving, TX
21 days ago
About the job Utilization Review Specialist About Us Congress Billing is a sophisticated...  ...and provide a positive and fulfilling work environment. Requirements To be...  ...university in social work, mental health, nursing, or related degree Required.... 
Full time
Remote job

Staffosaurus

Delray Beach, FL
3 days ago
Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining...  ...for services. The RN Utilization Review Nurse collaborates as necessary with other...  ...of regulatory requirements relative to work process in order to ensure compliance, i... 
Permanent employment
Immediate start

Impresiv Health

Irving, TX
15 days ago
Overview: Utilization Review Supervisor Pay: $27 - $30 per hour The Utilization Review Supervisor will oversee a Utilization...  ...to respective payors. The role will include duties such as working closely with the various organizational department heads.... 
Hourly pay
Holiday work

Embark Behavioral Health

Bakersfield, CA
1 day ago
 ...Anticipated End Date: 2024-05-03 Position Title: Manager I, Utilization Review Management Job Description: Manager I, Utilization...  ...compliance with departmental policies and procedures. Works in conjunction with other UM staff to improve service quality... 
Holiday work
Temporary work
Local area
Remote job
Day shift
Monday to Friday

Elevance Health

Winston Salem, NC
15 hours ago
 ...Empowering Lives. Restoring Families . Responsibilities: The Utilization Review Specialist is responsible for managing an active caseload of...  .... Qualifications: At least two (2) years of work experience in the behavioral health field. Active license... 
Work experience placement
Local area
Flexible hours

Newport Healthcare

Irvine, CA
4 days ago