Jobs: utilization review nurse

Job Description About CarolinaEast Health System 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...

Job Description About 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...

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...

Job OverviewNurse First is seeking a skilled travel nurse to join our team in providing high-quality patient care as a Utilization Review RN. This 13-week assignment offers the opportunity to work with a dynamic and supportive team, contributing to the well-being of patients in Medford, Oregon.Salary and BenefitsWe offer a competitive pay package based on...

The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate admission status and documents all information that relates to insurance reimbursement in appropriate reviews. The UR Nurse utilizes Nurse, Healthcare, Case Manager, Medical, Physician, Management

**Job Title:** Utilization Review NurseBlue Shield of California is seeking an experienced Utilization Review Nurse to join our team. In this role, you will be responsible for reviewing medical documents and applying clinical criteria to determine the most appropriate level of care.**Responsibilities:Conduct comprehensive reviews of medical documents to...

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/ Quality Assurance Senior Coordinator. The successful candidate will: Complete and send initial cli Nurse, Medical Director, Healthcare, Education, Clinical, Management

We invite applications from qualified Nursing Utilization Reviewers to join our team at Grand View Hospital. As a key member of our clinical team, you will play a crucial role in ensuring high-quality patient care while optimizing resource utilization.In this role, you will review inpatient medical records, evaluate clinical data, and provide recommendations...

FUTURECARE HEALTH AND MANAGEMENT CORP IS SEEKING A UTILIZATION REVIEW NURSE TO JOIN OUR TEAMJob SummaryThis role is responsible for reviewing and utilizing medical information to ensure accurate reimbursement for residents in our long-term care facilities.Responsibilities:Review and utilize medical information to ensure accurate reimbursementCommunicate...

Job DescriptionAbout CarolinaEast Medical CenterCarolinaEast 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...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...

Utilization Review Nurse Are you a LPN or an RN licensed in Washington, D.C. with Utilization Review experience? We are hiring for a Fully Remote Utilization Review Nurse to work with a leading healthcare organization in the DMV Details are outlined below, interviews are actively going on, apply today Overview Ensure that patients receive the right care at...

Utilization Review Nurse Are you a LPN or an RN licensed in Washington, D.C. with Utilization Review experience? We are hiring for a Fully Remote Utilization Review Nurse to work with a leading healthcare organization in the DMV Details are outlined below, interviews are actively going on, apply today Overview Ensure that patients receive the right care at...

Utilization Review Nurse Are you a LPN or an RN with Utilization Review experience? We are hiring for a Utilization Review Nurse in Washington, D.C This is a great opportuntiy to work with a leading healthcare organization in the DMV Details are outlined below, interviews are actively going on, apply today Overview Day to day Health plan experience...

Job OverviewNurse First is seeking a travel nurse RN for a healthcare professional position in Oregon.Job SummaryWe are looking for an experienced RN to fill a 13-week utilization review position. The ideal candidate will have a strong background in healthcare and excellent communication skills.ResponsibilitiesReview patient cases to ensure accurate and...

Overview: UF Health Leesburg Hospital has been serving the health care needs of our community for 58 years. The hospital offers advanced cardiac care including one of the largest cardiothoracic surgery programs in the state. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating...

Remote Utilization Review Position in New MexicoWe are seeking an experienced Utilization Review Nurse to join our team at the University of New Mexico - Hospitals. As a key member of our healthcare team, you will be responsible for managing the course of treatment, collaborating with providers and nurses, and ensuring the best quality outcomes for...

Nurse First Travel Agency Job OpportunityWe are seeking a dedicated and compassionate nurse to join our team as a travel nurse RN for utilization review in Medford, Oregon. As a valued member of our team, you will have the opportunity to work in a dynamic and rewarding environment while exploring the beauty of this Pacific Northwest city.Job...

ResponsibilitiesAs a Clinical Reimbursement Review Nurse, you will play a vital role in the care continuum. Your key responsibilities will include:Data collection and entry into the utilization software.Reviewing electronic health records and relevant documentation to ensure accuracy and completeness.Identifying active diagnosis codes and relevant...

JOB SUMMARY Under the direction and supervision of the Director of Health Information Management, the Utilization Management Coordinator is responsible for providing utilization services to meet the needs of patients and hospital staff and for performing related duties; and for participating in a utilization management program in compliance with federal and...