Utilization Review Nurse

Department: Medical ManagementJob Title: RN Utilization ManagementReports to: Director, Medical Risk ManagementPosition Overview: This job description provides an overview of the role's general nature and responsibilities. It does not encompass a comprehensive list of all duties, responsibilities, and skills required for individuals in this classification....

UC Medical Center is hiring a Registered Nurse (RN) for our Utilization Review department for the first shift. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide...

Clinical Review Nurse I - Medicare Part A & B National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position and preferred candidates reside within 50...

Title: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Utilization Management Representative I will be responsible for coordinating cases for precertification and prior authorization review. How you will make an...

About the RoleThe Civil Engineer (Water/Utility) will play a crucial role in the planning and execution of municipal water/utility engineering and design projects. Focused on collaborative management, community-oriented design, and thoughtful project administration, this mid-size firm provides tremendous stability and career development.About the...

Job DescriptionJob Overview: The Care Management Coordinator is responsible for overseeing the processes and documentation that occur as evidence based practice is applied at the bedside. Directs and or completes all functions of the government and commercial utilization management process. Assesses and coordinates implementation of the discharge plan....

Dr. Dean Kereiakes, Chairman of The Heart and Vascular Institute, is seeking an experienced, motivated, and dedicated RN who is committed to the mission of The Christ Hospital Health Network, to join his high-performing team. This role offers the ideal candidate an opportunity to work in collaboration with Dr Kereiakes, forming lasting relationships with...

Job OverviewThis position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position collaborates with physicians and other healthcare team members in meeting the patient's needs. This role may delegate certain aspects of care to those under their direct supervision, within the scope of nursing...

Job Description This is a part-time day shift position, 11am to 3pm, Monday-Friday The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and...

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts...

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts...

Job Description Dr. Dean Kereiakes, Chairman of The Heart and Vascular Institute, is seeking an experienced, motivated, and dedicated RN who is committed to the mission of The Christ Hospital Health Network, to join his high-performing team. This role offers the ideal candidate an opportunity to work in collaboration with Dr Kereiakes, forming lasting...

Job Description Eligible candidates may qualify for a hiring bonus. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient...

Job Description We are in the search of an experienced Registered Nurses to join our Perioperative Shared Resource Pool at The Christ Hospital Health Network, comprised of Liberty, Redbank and Main. This role is perfect for nurses who thrive in diverse clinical environments and are adaptable to changing assignments. The Christ Hospital Health Network...

Job Title: Registered Nurse, RN OR, F, Sat, Sun 7pAbout Us: At Cincinnati Children's, we strive to make children's health better. Our approach is holistic, both in caring for patients and their families, and in advancing science and discovery.Responsibilities:Compliance and Regulatory Affairs: Maintain a working understanding of regulatory requirements and...

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts...

Job Description Eligible candidates may qualify for a hiring bonus up to $30,000. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and...

Job Description Eligible candidates may qualify for a hiring bonus. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient...

Job Description Eligible candidates may qualify for a hiring bonus. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient...

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts...