Search Results: 1,225,447 vacancies

 ...RN-Utilization Review Details * Sign-on bonus: $3,500 * Department: Case Management * Schedule: Monday-Friday, standard business hours....  ...knowledge base. Direct patient interaction required. On-site work Benefits Paid time off (PTO) Various health insurance options... 
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Saint Agnes Hospital

Baltimore, MD
5 days ago
 ...8 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
Shift work

Albany Medical Center

Albany, NY
4 days 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
3 days 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
2 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 State... 
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Local area

Sacred Heart Hospital

Pensacola, FL
4 days ago
UR Nurse Registered Nurse A Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication...
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The Tampa General Hospital

Brooksville, Hernando County, FL
5 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
17 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
8 hours ago
 ...Job Description Position Purpose : Works in partnership with physicians, nurse case...  ...appropriateness for the corresponding level of care utilizing evidence-based criteria....  ...Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity... 
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DOCTORS HEALTHCARE PLANS, INC.

Miami, FL
3 days ago
Overview: Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission...  .... Coordinates with the denials team in the appeals process working closely with physicians and service areas. Maintains... 
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Permanent employment
Immediate start

Cone Health

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

Pathway Family Services LLC

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

Huntsville, TX
8 days ago
Overview: Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the...  ...Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required... 
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Permanent employment

Memorial Health

Springfield, IL
14 days ago
Overview: As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient... 
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Permanent employment

Memorial Health

Jacksonville, IL
10 days ago
 ...Belong. Join us at Emory Healthcare's Utilization Team!  Behavioral Health Experience Needed...  ...: JOB DESCRIPTION: The Utilization Review Nurse (UR RN) is responsible for: Conducting...  ...25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of... 
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Emory Healthcare

Decatur, GA
14 days ago
 ...professionally in a supportive highly rewarding work environment and to satisfy your soul in...  ...communities you will feel immediately at home.  Roseburg is located on Interstate 5 in...  ...Days Job Summary: Responsible for the review of medical records for appropriate... 
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Part time
Casual work
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CommonSpirit Health

Roseburg, OR
21 days ago
 ...shift differential, etc.)****     Do you want the ability to work (Hybrid/Remote)? Do you want to be an advocate for children...  ...has the job for you! We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required... 
Hourly pay
Holiday work
Full time
Remote job
Flexible hours
Shift work

Mainstream Nonprofit Solutions Inc.

Dallas, TX
17 days ago
 ...Perinatal Care Hip- and Knee- Replacement. Responsibilities: Utilization Review RN - remote position Position Summary:  The incumbent is...  ...admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second... 
Permanent employment
Remote job
Flexible hours

CommonSpirit Health

Carmichael, CA
12 days ago
 ...UTILIZATION REVIEW NURSE (RN) ~ Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Full-time - Day shift - 8:00am-4:30...  ...professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field... 
Full time
Day shift

LifeBridge Health

Randallstown, MD
4 days ago
 ...Community, BBHH is striving daily to be one of the BEST PLACES TO WORK not just here in Kern County, but throughout the Behavioral...  .... ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical... 
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Full time
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Work experience placement

Bakersfield Behavioral Healthcare Hospital

Bakersfield, CA
7 days ago