Utilization Review Nurse

Job Title: Utilization Review RNAt Care, we are seeking a skilled Utilization Review RN to join our team. As a Utilization Review RN, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Job Summary:The Utilization Review RN is responsible for conducting thorough reviews of patient...

Job Title: Utilization Review RNJob Summary:The Utilization Review RN is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient medical records, evaluating the appropriateness of care, and communicating with payors and healthcare teams.Key Responsibilities:Conduct thorough reviews of...

Job Title: Utilization Review RNJob Summary:We are seeking a skilled Utilization Review RN to join our team at St. Joseph Medical Center. As a Utilization Review RN, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key Responsibilities:Conduct thorough reviews of patient...

Job Title: Utilization Review RNAt St. Joseph Medical Center, we are seeking a highly skilled and dedicated Utilization Review RN to join our team. As a Utilization Review RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary hospital stays.Job Summary:The Utilization Review RN is...

Job Title: Utilization Review NurseJob Summary:Nexus Health Systems Ltd is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Key Responsibilities:Maintain patient confidentiality and adhere to...

Job Title: Utilization Review RNJob Summary:The Utilization Review RN is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient records, collaborating with healthcare teams, and communicating with payors to ensure compliance with approved treatment plans.Key Responsibilities:Conduct...

Job Title: Utilization Review NurseJob Summary:Nexus Health Systems Ltd is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Key Responsibilities:Maintain patient confidentiality and adhere to...

Job Title: Utilization Review NurseNexus Health Systems is seeking a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Responsibilities:Maintain patient confidentiality and adhere to all company...

Job Title: Utilization Management Review NurseAbout the Role:Astrana Health is seeking an experienced Utilization Review Nurse to work remotely from Texas. This position requires a strong understanding of state and federal regulations and accreditation standards. The ideal candidate will have excellent interpersonal skills and the ability to collaborate with...

Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are building a comprehensive database of opportunities in these fields. By applying, you ensure our recruiters can efficiently match you with...

Job Title: Utilization Review NurseAt Elite Services, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the medical necessity of treatment for Workers' Compensation requests.Job Purpose:The primary purpose of this role is to review Workers Compensation requests...

Job Title: Utilization Review NurseAt Elite Services, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Key Responsibilities:Perform thorough evaluations of medical...

Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. This role is responsible for assessing inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with state and federal regulations and guidelines.Key ResponsibilitiesAnalyze...

Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. This role involves working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key ResponsibilitiesAssess inpatient...

Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. In this role, you will work collaboratively with multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...

Job SummaryWe are seeking a highly skilled RN Clinical Reviewer to join our team at Texas Orthopedic Hospital. As a key member of our quality improvement team, you will play a vital role in ensuring that we provide the highest level of care to our patients.ResponsibilitiesPromote a culture of quality and safety within the hospitalFacilitate the growth of...

Job Title: Bilingual Client Relations SpecialistDenovo Review is seeking a highly skilled Bilingual Client Relations Specialist to join our team in Houston, TX. As a key member of our client relations team, you will be responsible for creating exceptional customer experiences while executing administrative duties with precision and attention to detail.Key...

Job SummaryWe are seeking a skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. As a key member of our organization, you will play a vital role in supporting utilization management processes for our health plan members.Key ResponsibilitiesDevelop and implement a coordinated approach to training new staff and...

Job SummaryWe are seeking a skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. In this role, you will play a critical part in supporting utilization management processes for our health plan members.Key ResponsibilitiesDevelop and implement training programs for new and existing staff to ensure a coordinated...

Job SummaryWe are seeking a highly skilled RN Clinical Reviewer to join our team at Texas Orthopedic Hospital. As a key member of our quality improvement team, you will play a vital role in ensuring that we provide the highest level of care to our patients.ResponsibilitiesPromote a culture of excellence and quality within the hospital, ensuring that all...