Registered Nurse RN Medical Care
The University of Texas Southwestern Medical Center
UT Southwestern Medical Center seeks a Registered Nurse for medical necessity Utilization Review in our Dallas facility. The role involves reviewing admissions, using evidence-based criteria, and advising on level of care with physicians and care teams.
The ideal candidate has an active Texas RN license, 5 years of experience including clinical and utilization review, and familiarity with Epic CCM. Join a reputable academic medical center with strong benefits.
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- ...The University of Texas Southwestern Medical Center is seeking an Utilization Review RN to assess medical necessity for acute care services. You will review admissions, coordinate... ...-based guidelines to determine care levels and documentation requirements. With a...SuggestedShift work
- ...a world-renowned medical and research center... ...best possible care, resources, and benefits... ...certification review for medical necessity for acute care... ...staff to recommend level of care to the... ...qualifications, resource utilization, national and... ...unrestricted RN license in the State...SuggestedFull timeReliefWork at officeLocal areaNight shiftWeekend work
- ...Workers’ Compensation utilization review, which includes prospective... ...reviews to determine medical necessity and appropriateness for requested medical care using evidence-based... ...:Conducts first-level prospective, concurrent... ...unrestricted Registered Nurse (RN) or Licensed Practical...SuggestedLong distance
- ...Dallas' Southwestern Medical District that is... ..., patient-centered care in a modern and healing... ...SUMMARY The RN Manager, Behavioral Health Utilization Management works... ...substance use disorder levels of care.... ...levels of care, medical necessity review, payer authorization...SuggestedFull timeWork experience placementWork at officeImmediate startFlexible hours
- UT Southwestern Medical Center in Dallas seeks an experienced Utilization Review RN for weekend PRN shifts. You will conduct medical necessity reviews for acute care services and collaborate with physicians to determine appropriate levels of care. Strong knowledge of evidence...SuggestedReliefShift workWeekend work
- Job Category : Managed Care Requisition Number : RNMAN0359... ...Description Hiring Now for RN Utilization Review Coordinator Department: Case... ...patient status, medical necessity, and compliance with hospital... ...necessity and appropriate level of care throughout the episode...Full timeLocal areaShift work
- ...Tristar-d43fac80 is seeking an experienced RN for utilization review and case management in Irving, Texas. Responsibilities include... ...expedited, and retrospective reviews to determine medical necessity and appropriate care using evidence-based guidelines. You will...
- ...Surgery Partners Brand seeks an RN Utilization Review Coordinator for Methodist Hospital for Surgery in Addison, TX. This full-time, hybrid... ..., concurrent, and post-discharge reviews to ensure medical necessity and payer compliance. The successful candidate will collaborate...Full time
- ...Description Summary: The RN Navigator Home Health Review plays a crucial role in... ...member of the patient’s care team, the RN Navigator... ...(Plan of Care) based on Medical Necessity guidelines and Homebound... ...discharge from service. Utilizes MCG Guidelines for post-acute...Full timeWork at officeMonday to Friday
- ...Order Pharmacies, Medical Billing Centers,... ...Responsibilities: Conducts utilization management... ...certification reviews, facilitates the... ...determine appropriate level of care for utilization... ...for medical necessity (referring cases... ...! Qualifications RN License in NY with...Hourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
$2,093 per week
...Registered Nurse (RN) | Utilization Review Location: Syracuse, NY Agency: Triage Staffing Pay: $2,093 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 1/4/2027 About the Position Travel Nursing...Full timeContract workShift work$2,093 per week
...Registered Nurse (RN) | Utilization Review Location: Syracuse, NY Agency: Triage Staffing Pay: $2,093 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 1/4/2027 About the Position TravelNurseSource...Full timeContract workShift work- UT Southwestern Medical Center is seeking an Utilization Review RN for PRN weekend shifts to conduct medical necessity reviews for acute care. The role relies on evidence-based guidelines to determine appropriate levels of care and to support physicians and care teams in...ReliefShift workWeekend work
- ...Care Management NurseLocation: Parkland Support... ...financial and medical eligibility, medical necessity, and by developing,... ...skill set related to utilization review, care coordination,... ...current, valid RN license or temporary... ...to appropriate next level of care.Communicates...Temporary workMonday to FridayShift work
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (\#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife... ...utilization reviews for appropriate care level/coverage Coordinate discharge planning...Hourly payFull timePrivate practiceMonday to FridayDay shift- Methodist Hospital for Surgery in Addison, TX is seeking an RN Utilization Review Coordinator in the Case Management department. The role... ..., concurrent, and post-discharge reviews to ensure medical necessity and regulatory compliance. You will collaborate with physicians...
- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote... ...Managed Long-Term Care (MLTC). This is a 10... ..., assess medical necessity, ensure appropriate levels of care, and align services... ...conducting utilization reviews within a SNF, health...Full timeRemote workMonday to Friday
$2,093 per week
...Utilization Review RNSyracuse, NY$2093/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days13 Weeks40Short Term Acute Care Hospital502EPICA Day One 401(k) ProgramYou'll receive employer-matching contributions...Weekly pay- ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least...Monday to Friday
- ...RN - Utilization Review Location: Syracuse, NY, 13210, US Start Date: ASAP Type: Contract Shift: 8a-4:30p Job Description Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates...Daily paidContract workLocal areaImmediate startShift work
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Remote jobFull time
- ...Location: Acute Care Hospital Tower *8K New Unit... ...Join our brand-new 56-bed Medical/Surgical Unit opening... ...population with varying acuity levels. With dedicated and... ...Must have 2 years of RN experience Shift:... ...'s response. The RN utilizes knowledge of patient needs...Full timeTemporary workRelocation packageShift workNight shift
- ...Wound Care Utilization Management RN Location: This role enables associates to work... ...care plans with providers. Reviews Home based services for clinical... ...utilizing the members medical records and/or discussion with... ...looking for leaders at all levels of the organization who are...Full timeTemporary workLocal areaRemote workMonday to FridayShift work1 day per week
- ...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 of the treatment plan....Contract workRemote work
- ...RN Float Pool Med/SurgWith over 75 years... ...As a world-renowned medical and research center... ...the best possible care, resources, and benefits... ...care.Float Pool Level 3 RNAs a Float Pool... ...expectations and utilizes these in conjunction... ...participation in care. Reviews plan of care with...Full timeFlexible hoursShift workNight shift
$37 - $39 per hour
...that goes beyond bedside care. Collaborate with... ...being of patients through medical device technology. You... ...pulling pumps as needed. Utilize clinical nursing expertise... ...experience required.RN license required.Excellent... ...will be subject to a review of their driving record...Hourly payExtra incomeFull timePart timeSeasonal workImmediate startWorldwide- ...A Registered Nurse (RN) with 2 years of experience... ...to coordinate patient care delivery, that focuses... ...'s response. The RN utilizes knowledge of patient needs... ...trauma informed medical forensic examination to... ...Participates in SANE Peer Review and quality assurance /...Full timeTemporary workTraineeshipWork at officeNight shift
$1,100 per week
...Registered Nurse - Case Manager/Utilization ReviewVHS is looking for... ...Case Manager/Utilization Review.City: SyracuseState:... ...DepositComprehensive Medical BenefitsRobust Referral Bonus... ...3 years) in an acute care facility of similar size and level as Hospital. Travelers will...Daily paidLocal area- ...are seeking a PRN RN to join our team!... ..., and directs home care services. Successful... ...Responsible for continuous review of all aspects of... ...: appropriate utilization of services; ensuring... ...in the medical record; maintenance... ...Admits to appropriate level of service/ care....Part timeReliefWork at officeLocal area
$41 - $46 per hour
...Registered Nurse (RN) is a vital member... ...compassionate, evidence-based care in alignment with... .... By integrating medical and behavioral... ...readiness for the next level of care. Maintains... ...treatment team to review patient care, needs... ...assistance to Utilization Review in communicating...Full timeReliefShift workNight shiftRotating shiftDay shift
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