Search Results: 35,560 vacancies

 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment...  ...we provide. RECRUITMENT and LICENSURE REQUIREMENTS: Registered Nurse: must have a current license in Pennsylvania from the... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
3 days ago
 ...Job Description GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 04/29/2024 ~ Duration: 8... 
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Shift work

GHR Healthcare

Sellersville, PA
18 days ago
 ...sick and injured; educate physicians, nurses and other health care providers; and improve...  ...ability to pay for health care. The Utilization Review Nurse will be responsible for...  ...Graduate of professional nursing program. Registered Nurse with current license to practice... 
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St. Luke's University Health Network

Bethlehem, PA
5 hours agonew
Overview Utilization Review Nurse Berkshire Hathaway GUARD Insurance Companies, an A+ Superior rated Insurance company is seeking a Utilization...  ...~ Active Licensed Practical Nurse and/or Registered Nurse License ~1+ years of utilization review experience... 
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Holiday work
Night shift
Weekend work

Berkshire Hathaway GUARD Insurance Company

Wilkes Barre, PA
1 day ago
 ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN licenses are accepted for this position) Location - Greater Philadelphia...  ...to perform the professional and technical skills of a Registered Nurse Minimum 2 years of direct patient care... 
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Immediate start

Elite

Bridgeport, PA
a month ago
 ...Network ** **Job Description :**** **GENERAL OVERVIEW:** This position is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades, entry into the system including reg, insurance verification... 
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Remote job
Local area

Highmarkhealth

Pennsylvania
2 days ago
 ...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care...  ...of a patient's ability to pay for health care. The Utilization Review Assistant is responsible for taking the data provided to their... 
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St. Luke's University Health Network

Bethlehem, PA
5 hours agonew
 ...characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:  The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives.... 
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Full time
Work experience placement

Prime Healthcare

Bristol, PA
1 day ago
 ...Position Summary: The Utilization Management (UM) Reviewer, in collaboration with other internal and external offices, payors, and providers and staff, is responsible for the coordinates Utilization Management (UM) processes and requirements for prior authorization... 
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Immediate start

Guthrie Health

Sayre, PA
3 days ago
 ...options and visitors. Visit us online at: The Utilization Reviewer evaluates patient medical records to determine severity of...  ...,, social work, counseling, or other related field and or Registered Nurse or  Licensed Practical Nurse with experience in inpatient/... 
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Local area

Shift Day

Chester, PA
more than 2 months ago
 ...Responsibilities Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA.  This is a Monday-Friday full-time position offering full-time benefits and competitive pay. The... 
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Full time
Local area
Currently hiring
Monday to Friday

Shift Day

Doylestown, PA
a month ago
 ...level of care prior to hospitalization utilizing medical necessity criteria and third party...  ...of care management, utilization review changes, authorization changes, contract...  ...for currently employed UR's) 2-3 years nursing experience with 1 year in Utilization Management... 
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Full time
Contract work
Local area
Immediate start

Allegheny Health Network

Pennsylvania
21 days ago
 ...Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability to customize... 
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For contractors
Remote job
Monday to Friday

Dane Street, LLC

Pennsylvania
2 days ago
 ...business needs, flexibility is required. Job Summary: The Utilization Management Nurse role is to ensure health care services provided to...  ...cost efficiency, and within compliance. By continuously reviewing and auditing participant treatment files, the Utilization... 
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Holiday work
Full time
Temporary work
Local area
Relocation
Flexible hours
Monday to Friday

LIFE-NWPA

Erie, PA
12 days ago
 ...Registered Nurse Company: Oak Street Health Title: Center Nurse Location: 2301 N 29th Street...  ...achieving desired patient outcomes by utilizing standards, guidelines and pathways for...  ...authorizations. * Conduct thorough and accurate reviews of patient medications and update as... 
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Immediate start

Oak Street Health Inc

Philadelphia, PA
3 days ago
 ...Registered Nurse (RN), Hospice By applying to this position, you can explore Full Time Registered...  ...Care Interdisciplinary Group (IDG), utilizing resources to address the physical,...  ...Apply today! Your application will then be reviewed by a Recruiter and you'll be contacted... 
Full time
Part time

Main Line Health, Inc

Drexel Hill, PA
3 days ago
 ...Medical Center is seeking a full-time Registered Nurse for our Medical/Surgical Unit.  The Staff...  ...Supervisor. The Staff Nurse will utilize the nursing process to coordinate total...  ...patient's response to care and regularly reviews and updates to reflect changing needs.... 
Hourly pay
Full time
Local area
Relocation bonus
Shift work

Conemaugh Nason Medical Center

Roaring Spring, PA
1 day ago
 ...Description Job Description Clinical Nurse Review Coordinator This position is remote....  ...and expert opinions in a full range of utilization review services for both medical/...  ...detail Education & Background Current Registered Nurse (RN) license A minimum of five... 
Full time
Remote job
Relocation package
Shift work
Day shift
Saturday
Monday to Friday

National Medical Reviews

Warminster, PA
a month ago
 ...Special Duty RN is under the direction of the Nurse Manager and in collaboration with the...  ...total quality care.   Monitors utilization and outcomes. Provides input on budget...  ...requested. Assists with nursing peer review process as needed. Participates in student... 
Holiday work
Full time
Relocation bonus
Shift work
Rotating shift

Conemaugh Miners Medical Center

Hastings, PA
4 days ago
 ...Special Duty RN is under the direction of the Nurse Manager and in collaboration with the...  ...total quality care.   Monitors utilization and outcomes. Provides input on budget...  ...requested. Assists with nursing peer review process as needed. Participates in student... 
Holiday work
Full time
Relocation bonus
Shift work
Rotating shift

Conemaugh Miners Medical Center

Hastings, PA
1 day ago