Jobs: utilization review nurse


  • Medford, Oregon, United States Nurse First Full time

    Job Title: Travel Nurse RN Utilization ReviewNurse First is seeking a skilled travel nurse RN Utilization Review to join our team.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNEmployment Type: TravelAs a travel nurse RN Utilization Review, you will be responsible for reviewing patient care and ensuring that it meets the highest...


  • New Bern, United States CarolinaEast Health System Full time

    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...


  • 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, Maryland, United States LifeBridge Health Full time

    Job SummaryLifeBridge Health is seeking a skilled Utilization Review Nurse to conduct concurrent and retrospective chart reviews for clinical, financial, and resource utilization information. The ideal candidate will provide intervention and coordination to decrease avoidable delays and denial of payment.Key ResponsibilitiesReview medical records by applying...


  • Dibble, United States Norman Regional Health System Full time

    The Utilization Review team is seeking a highly skilled Registered Nurse to ensure compliance with review processes for determining appropriateness of admission at our healthcare facility. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care Management/Coordination Resource...


  • Houston, Texas, United States Care Full time

    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...


  • Houston, Texas, United States Care Full time

    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...


  • Everett, WA , USA, United States Providence Full time

    About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Providence Regional Medical Center Everett. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough reviews of patient care plans to ensure that they are...


  • Newcastle, United States Norman Regional Health System Full time

    Utilization Review Nurse Conduct utilization review and management Provide advocacy and education Manage clinical analysis and data Coordinate clinical care management Manage resources and prevent denials Assist with establishing and reviewing departmental metrics Knowledge of medical necessity guidelines for hospitalization status preferred Qualifications:...


  • Raleigh, North Carolina, United States Alliant Health Solutions Full time

    Job Summary:Alliant Health Solutions 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 quality and effectiveness of our healthcare services.Key Responsibilities:Conduct medical reviews of requests for Emergency Medicaid Services to ensure compliance with federal...


  • Washington, Washington, D.C., United States MedStar Medical Group Full time

    Job Summary:MedStar Medical Group is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate and cost-effective care.Key Responsibilities:Conduct thorough admission, concurrent, and retrospective case reviews to identify opportunities for...


  • Medford, Oregon, United States Nurse First Full time

    Nurse First is seeking a travel nurse RN Utilization Review professional for a travel nursing assignment in a dynamic healthcare setting.Job DetailsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelNurse First offers a competitive pay package based on 8 hour shifts and 40 hours per week,...


  • San Francisco, California, United States MarinHealth Medical Center Full time

    About MarinHealth Medical CenterMarinHealth Medical Center is a leading healthcare provider in the North Bay area, offering a comprehensive range of services to meet the diverse needs of our community. We are seeking a highly skilled Utilization Review Nurse to join our team of dedicated healthcare professionals.Job Summary:The Utilization Review Nurse will...


  • Baltimore, Maryland, United States LifeBridge Health Full time

    Utilization Review and Case Management RN OpportunityAbout the RoleAs a Utilization Review and Case Management RN at LifeBridge Health, you will play a critical role in ensuring the efficient use of healthcare resources while providing high-quality patient care. Your expertise will be essential in conducting concurrent and retrospective chart reviews to...


  • Baltimore, Maryland, United States LifeBridge Health Full time

    Utilization Review and Case Management RN OpportunityAt LifeBridge Health, we are seeking a skilled Utilization Review and Case Management RN to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective delivery of patient care.Key Responsibilities:Conduct concurrent and retrospective chart...


  • Rockford, Illinois, United States Hines & Associates Inc Full time

    About UsHines & Associates Inc. is a nationwide leader in personalized managed healthcare, dedicated to delivering comprehensive services with excellence and cost containment.Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will utilize your clinical knowledge and communication skills to...


  • Carmichael, California, United States Unavailable Full time

    Job Title: Utilization Review RNAt Dignity Health Mercy San Juan Medical Center, 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 our patients receive the highest quality care while also optimizing resource utilization.Responsibilities:Conduct admission and continued...


  • Billings, Montana, United States Billings Clinic Full time

    Job SummaryWe are seeking a skilled Utilization Review RN to join our team at Billings Clinic. As a Utilization Review RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities:Conduct initial, concurrent, and retrospective chart reviews to identify opportunities...


  • Everett, WA , USA, United States Providence Full time

    About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Providence Regional Medical Center Everett. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough reviews of patient care delivery to identify...


  • Baltimore, Maryland, United States LifeBridge Health Full time

    Utilization Review and Case Management RN OpportunityLocation: Baltimore, MDEmployer: LifeBridge HealthJob Type: Part-time, WeekendsShift: Day shift, 9:00am-5:30pmExperience: Utilization Review and Discharge PlanningRequirements:Bachelor of Science in NursingStrong critical thinking skillsAbility to perform clinical/chart reviewMaryland Registered Nurse...