Search Results: 552,208 vacancies

 ...Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic. -Current Active... 
Remote job
Monday to Friday

Smart IT Frame

Chico, CA
12 hours agonew
Job Description: Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic.... 
Remote job
Holiday work
Shift work
Day shift
Monday to Friday

Becker Health

Chico, CA
1 day ago
Job Description: Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic.... 
Remote job
Monday to Friday

SOS Healthcare Staffing

Chico, CA
1 day ago
 ...Responsibilities: Performs admission, concurrent, and retrospective reviews on all patients. Ensures that status and level of care...  ..., and procedures. Follows Medicare guidelines regarding utilization review. Submits telephonic and/or fax notification/clinical... 
Remote job
Weekly pay
Temporary work
Local area

Enloe Medical Center

Chico, CA
1 day ago
 ...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve... 
Suggested

St. Luke's University Health Network

Bethlehem, PA
12 days ago
 ...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Utilization Review Assistant is responsible for taking the data provided to their department and using it to communicate necessary information... 
Suggested

St. Luke's University Health Network

Bethlehem, PA
15 days ago
 ...Avenue Albany, NY 12208 Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible for Utilization Management, Quality Screening and Delay... 
Suggested
Hourly pay
Shift work

Albany Medical Center

Albany, NY
4 days ago
 ...Utilization Review RN - As Needed - Days Under general supervision, utilize clinical knowledge and critical thinking skills to provide oversight of appropriate admission status and utilization of hospital resources facilitating quality, cost-effective patient outcomes... 
Suggested
Local area

Greater Baltimore Medical Center

Towson, MD
3 days ago
 ...nation's leading healthcare providers. Developing and operating healthcare delivery systems in 41 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 7 Clinical, Specialist, Clinic, Healthcare, Remote, Medical... 
Remote job

CHS - Community Health System, Inc.

Franklin, TN
13 hours agonew
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
Suggested

Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
3 days ago

$38.83 - $57.46 per hour

 ...Proactively manage inpatient and outpatient utilization to assure that medical care is...  ...manage utilization through appropriate review of authorization requests. Job Essentials...  ...Connections Medicare - Select Health Other: Remote work, needs to be able to come into... 
Remote job
Hourly pay
Full time
Local area
Flexible hours
Shift work
Day shift
Monday to Friday

Intermountain Healthcare

Murray, UT
8 hours agonew
 ...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... 
Suggested

The University of Vermont Health Network

Colchester, VT
1 day ago
 ...Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for...  ...based on Departmental standards. • While performing utilization review identifies areas for clinical documentation improvement and contacts... 
Suggested
Shift work

Albany Medical Center

Albany, NY
2 days ago
 ...cancer centers and ambulatory surgery centers. Summary: Utilization management is the analysis of the necessity, appropriateness,...  ...services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to... 
Remote job
Relief

Community Health System

Franklin, TN
3 days ago
 ...Position Purpose: Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services Provides education to...  ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.... 
Remote job
Hourly pay
Holiday work
Flexible hours

Centene

Beaverton, OR
2 days 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... 
Remote job
Local area

Highmarkhealth

Pennsylvania
2 days ago
This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness... 
Remote job
Contract work

HireOps Staffing LLC

Dallas, TX
3 days ago
 ...Job Description Job Description Title: RN - Utilization Review - Remote Location: Chico, CA 95926 Duration: 13 weeks Shift: 8-hour shift, Day shift, Mon-Fri schedule Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and... 
Remote job
Permanent employment
Temporary work
Local area
Shift work
Day shift
Monday to Friday

Explore Tek Staffing Inc

Chico, CA
5 days ago
 ...Job Description Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services...  .... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast-paced, Inc.... 
Remote job
Temporary work
Shift work
Weekend work

Dane Street, LLC

West Palm Beach, FL
17 days ago
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance... 
Permanent employment
Temporary work

Huntsville Memorial Hospital

Huntsville, TX
18 days ago