Utilization Review Nurse

Job OverviewTemple University Hospital seeks a skilled Nurse Utilization Review Specialist to join our team. This role is responsible for ensuring the efficient handling of complex authorization issues in the Pre-certification Department.Key ResponsibilitiesServing as the primary clinical resource for precertification/authorization issues, ensuring timely...

Job SummaryWe are seeking an experienced Utilization Review RN to fill a travel nursing position in Philadelphia, Pennsylvania. This 13-week assignment offers a competitive salary and a comprehensive benefits package.Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeks$1400-$2400 per weekShift: 8 hours, daysEmployment Type: TravelThe ideal candidate...

We are seeking a skilled Travel Nurse Case Manager for our Utilization Review team in Oakland, California.About the JobThis is a 13-week assignment with 36 hours per week, working 8-hour shifts. You will be responsible for utilizing your clinical expertise to review and manage patient cases, ensuring efficient use of healthcare...

We are seeking a skilled travel nurse RN to join our team as a Case Manager for Utilization Review. This is a fantastic opportunity to work with a leading healthcare provider in Philadelphia, Pennsylvania.The successful candidate will be responsible for managing the utilization review process, ensuring that patients receive the necessary care and services to...

Temple University Hospital Job Description About the RoleWe are seeking a skilled Medical Case Manager to join our team at Temple University Hospital. This individual will be responsible for handling complex authorization issues and ensuring that precertification/authorization requirements are met.ResponsibilitiesThe successful candidate will serve as the...

Medical Solutions Job OpportunityWe are seeking a skilled travel nurse RN Case Manager for a utilization review position in Oakland, California.About the RoleType: Travel NursingDuraction: 13 weeksHours per week: 36 hoursShift: 8 hours, daysBenefitsCompetitive salary: $96.16/hour, estimated annual salary: $198,560/yearDay One medical, dental, and vision with...

Job SummaryMuller, Inc. is seeking an experienced Dry Utility Estimator to join our civil construction team. This role involves providing high-quality estimates for dry utility projects while maintaining excellent customer relationships.Key Responsibilities:• Review plans and details to ensure accurate costing and proposal submissions• Provide...

HEDIS Review Specialists are in high demand to support our clients with their healthcare data needs.Insight Global is currently seeking a Healthcare Data Analyst for a remote contract position working in PA or NJ.This role requires previous experience in HEDIS review and quality checking of FDC/HEDIS nurses.Territories Available:PA NORTH: Montgomery & Bucks...

Job Summary:We are seeking a highly skilled Clinical Review Specialist to join our team at Nextus Billing Solutions. This is an excellent opportunity for a detail-oriented professional with experience in healthcare operations to utilize their skills and knowledge to drive success.About the Role:The Clinical Review Specialist will play a crucial role in...

About the JobThis is a Contract-to-Hire position with a leading healthcare organization. As a Clinical Utilization Auditor, you will play a critical role in ensuring compliance with regulations and accrediting agencies.The ideal candidate will have strong analytical skills, excellent communication skills, and the ability to work independently. Key...

Job Summary: We are seeking a skilled RN with experience in utilization management and case management to join our team as an RN Case Manager Utilization Management. This Contract to Hire position offers a challenging opportunity to work with insurance professionals and clinicians.Responsibilities:Collaborate with healthcare teams: Collaborate with...

Job OverviewOpen Systems Technologies is a leading staffing firm seeking a skilled RN Utilization Management Auditor to join our team. As a key member of our team, you will play a critical role in ensuring compliance with federal and state laws, accreditation standards, and company policies.Your responsibilities will include performing audits, conducting...

Leidos is a trusted and technology-focused solutions provider in the power delivery industry. Our team is seeking an experienced Senior Distribution Engineer to join our Power Delivery Services Team.About UsWe pride ourselves on being a leader in providing reliable power and telecommunication expertise to utilities and mobile operators. With over 50...

About the JobWe are currently looking for a talented RN Utilization Manager to work as an insurance professional at Open Systems Technologies. The ideal candidate will have experience in utilization management, case management, and managed care, as well as an unrestricted RN license to practice in NJ or PA.The responsibilities of this role include:Conducting...

About UsCommunity Behavioral Health is a leading provider of behavioral health services in Philadelphia. Our mission is to provide high-quality, accessible care to our members and promote overall well-being.As a Clinical Care Manager, you will be an integral part of our team, working closely with members, providers, and other stakeholders to deliver...

Job OverviewWe are seeking a highly skilled Clinical Utilization Management Specialist to join our team at Open Systems Technologies. This is a contract to hire position that requires the candidate to have experience in managed care, audit and oversight, and case management.">The ideal candidate must have an unrestricted RN license to practice in NJ or PA....

We are seeking a seasoned Construction Water Utilities Inspector Senior to join our team at Armand Corporation. Based in Philadelphia, PA, this full-time position involves inspecting water and sewer lines to ensure compliance with municipal requirements, specifications, and contracts.The ideal candidate will have at least 3 years of experience in...

Job Overview:Liberty Healthcare Corporation is seeking a qualified Registered Nurse to fill the position of RN Consultant. As an RN Consultant, you will provide technical assistance to Service Coordinators who conduct assessments using the interRAI-HC tool. This hybrid position requires approximately 50% travel to various locations throughout the region and...

Temple University Hospital is seeking a skilled Nursing Authorization Specialist to join our team.About the RoleThis position plays a vital role in ensuring efficient and effective authorization processes for patients undergoing treatment at Temple University Hospital. As a key member of the Pre-Certification Department, you will serve as the primary...

At Travel Nurse Across America, we are seeking a highly skilled Radiology Technologist to join our team for a 13-week travel assignment in Philadelphia, Pennsylvania. This is an excellent opportunity for experienced professionals to work on high-paying assignments in exciting locations across the country.About the JobThe successful candidate will be...