Jobs: utilization nurse

  • Registered Nurse Utilization Review/ Risk Management

    Found in: Lensa US P 2 C2 - 6 days ago


    Chippewa Bay, United States Nurse Job Board Full time

    Full-Time Utilization Review/Risk Management Registered Nurse needed at a great hospital in beautiful northern New York SIGN ON BONUS POSITION TITLE: Quality Specialist DEPARTMENT: Quality Management REPORTS TO: Director of Quality Management Job purpose: Provides Utilization Review and approval during the admission process and provides clinical...


  • Chippewa Bay, United States Nurse Job Board Full time

    Full-Time Utilization Review/Risk Management Registered Nurse needed at a great hospital in beautiful northern New York SIGN ON BONUS POSITION TITLE: Quality Specialist DEPARTMENT: Quality Management REPORTS TO: Director of Quality Management Job purpose: Provides Utilization Review and approval during the admission process and provides clinical...


  • Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...


  • Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...


  • united states Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...


  • Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...

  • Utilization Review Nurse

    Found in: Lensa US P 2 C2 - 7 days ago


    Jenkintown, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care as...


  • Houston, United States Actalent Full time

    Utilization Review NurseDescription: MUST have valid CA RN license MUST RESIDE in OR, NV, WY, CO, TX, ND, MN, WI, IL, IN, AL, VT, NH, PA, VA, NC, GA, FL, OH Can sit out of any of these states This position facilitates utilization management (UM) processes to support that the right care is provided at the right place and at the right time. To accomplish...

  • Utilization Review Nurse

    Found in: Lensa US P 2 C2 - 6 days ago


    New Bern, United States CarolinaEast Health System Full time

    Job DescriptionAbout CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...


  • Baltimore, United States University of Maryland Medical System Full time

    Company DescriptionWe’re making Maryland strongerWith roots that go as far back as 1895, the UM Rehab & Ortho Institute continues to be a pioneer in orthopedics and neurological disorders. From bones to brains, our cutting-edge hospital heals even the most serious of injuries, specializing in everything from total joint replacement to spinal cord...

  • Registered Nurse

    1 day ago


    Jacksonville, United States Saint Vincent's Medical Center Riverside Full time

    Registered Nurse - Utilization ReviewDetails * Department: Utilization Management * Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm * Hospital: Ascension St. Vincent's Riverside * Location: Jacksonville, FL Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match...

  • Registered Nurse

    1 day ago


    Jacksonville, FL, United States Saint Vincent's Medical Center Riverside Full time

    Registered Nurse - Utilization ReviewDetails * Department: Utilization Management * Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm * Hospital: Ascension St. Vincent's Riverside * Location: Jacksonville, FL Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match...

  • Registered Nurse

    4 days ago


    Jacksonville, United States Saint Vincent's Medical Center Riverside Full time

    Registered Nurse - Utilization ReviewDetails * Department: Utilization Management * Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm * Hospital: Ascension St. Vincent's Riverside * Location: Jacksonville, FL Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match...

  • Utilization Management Nurse

    Found in: Lensa US P 2 C2 - 6 days ago


    Miami, United States SOLIS Health Plans Full time

    Job Description Job Description **Position is fully onsite Mon-Friday, Bilingual in Spanish is required** Location: 9250 NW 36th St, Miami, FL 33178 Location: Doral, Fl (Onsite) About Us: At Solis Health Plans, we are not just another Medicare Advantage company; we are a community of passionate professionals dedicated to enhancing the well-being of the...


  • Idaho Falls, United States Mountain View Hospital Llc Full time

    Mountain View Hospital is looking for a Case Manager/Utilization Review to join our teamJOB SUMMARY:Performs utilization review activities in accordance with all state and federal mandated regulations in order to evaluate the necessity, appropriateness and efficiency of medical services provided. Maintains compliancy with regulation changes affecting...

  • Utilization Management Nurse

    Found in: Lensa US P 2 C2 - 5 days ago


    Miami, United States CareerBuilder Full time

    Job Description Job Description **Position is fully onsite Mon-Friday, Bilingual in Spanish is required** Location: 9250 NW 36th St, Miami, FL 33178 Location: Doral, Fl (Onsite) About Us: At Solis Health Plans, we are not just another Medicare Advantage company; we are a community of passionate professionals dedicated to enhancing the well-being of the...

  • Utilization Review Nurse

    Found in: Lensa US P 2 C2 - 5 days ago


    New Orleans, United States AbsoluteCARE Inc Full time

    Description AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. We use population health management tools to employ a holistic approach to caring for...


  • Detroit, United States LanceSoft Inc Full time

    Job Description:This position will be remote role for Nurses in MichiganShould have a valid MI RN LicenseShould Have utilization management experience.Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.The candidate should be well versed in coordination of care activities along with...

  • Utilization Review Nurse

    Found in: Lensa US P 2 C2 - 6 days ago


    Miami, United States CareerBuilder Full time

    City/State Doral, FL Overview Work Shift First (Days) (United States of America) AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Utilization Review Nurse Coordinator Miami, Florida. This is a hybrid position, 2 days in office and 3 days remote. Scope of position : The Utilization Review Nurse provides Member medical utilization...

  • Utilization Review Nurse

    Found in: Talent US C2 - 6 days ago


    New Brunswick, United States Saint Peter’s Healthcare System Full time

    Utilization Review Nurse Clinical Document-Coding Mgmt Saint Peter's is the 5th hospital worldwide to earn Magnet status SIX times in a row. Our team of award-winning nurses is growing, and we are looking for talented, compassionate RNs to join our team. The Utilization Review Nurse will: • Identifies appropriate medical information necessary to...