Jobs: utilization review nurse jobs


  • 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...


  • 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...

  • Utilization Review Nurse

    Found in: Jooble US O C2 - 1 week ago


    Meadowbrook, PA, 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...

  • Utilization Review Nurse

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


    Moscow, United States Gritman Medical Center Full time

    Job Summary: At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that's close to home for the members of our community, We are seeking a Staff RN to join our Utilization Review/Case Management team. The Utilization Review Nurse (UR) has skills in areas of Utilization Management (UM), medical...

  • Utilization Review Nurse

    Found in: Resume Library US A2 - 1 week ago


    Jacksonville, Illinois, United States Memorial Health Full time

    Overview: As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

  • Utilization Review Nurse

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


    Jacksonville, United States Memorial Health University Medical Center Full time

    Overview: As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

  • Utilization Review Nurse

    Found in: Resume Library US A2 - 7 days ago


    Huntsville, Texas, United States Huntsville Memorial Hospital Full time

    Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and...


  • Huntsville, United States Huntsville Memorial Hospital Full time

    Job DescriptionJob DescriptionUnder general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the...

  • Registered Nurse RN

    7 days ago


    Pensacola, United States Sacred Heart Hospital Full time

    Registered Nurse RN - Utilization ReviewDetails * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • Registered Nurse RN

    7 days ago


    Pensacola, FL, United States Sacred Heart Hospital Full time

    Registered Nurse RN - Utilization ReviewDetails * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • Registered Nurse RN

    Found in: Jooble US O C2 - 6 days ago


    Pensacola, FL, United States Sacred Heart Hospital Full time

    Registered Nurse RN - Utilization Review Details * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • Registered Nurse RN

    7 days ago


    Pensacola, United States Sacred Heart Hospital Full time

    Registered Nurse RN - Utilization ReviewDetails * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • RN-Utilization Review

    4 hours ago


    Baltimore, United States Saint Agnes Hospital Full time

    RN-Utilization ReviewDetails * Sign-on bonus: $3,500 * Department: Case Management * Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation * Hospital: Ascension St. Agnes * Location: Baltimore, MD Seeking experienced Utilization Review nurse. Will consider training an RN with 3+ years of recent acute care...


  • Chicago, United States Acadia Healthcare Inc Full time

    Utilization Review SpecialistESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. *...

  • Utilization Review Nurse

    Found in: Resume Library US A2 - 1 day ago


    Springfield, Illinois, United States Memorial Health Full time

    Overview: Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation...


  • Kirkland, United States Long Tail Health Solutions Inc Full time

    Job DescriptionJob DescriptionJob SummaryWe are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle...

  • Utilization Review RN

    Found in: Careerbuilder One Red US C2 - 5 days ago


    Boston, MA, United States Beth Israel Deaconess Medical Center Full time

    When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Type:Regular Scheduled Hours:40 Work Shift:Day (United States of America) Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on...


  • Boston, United States Beth Israel Deaconess Medical Center Full time

    When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the...

  • Utilization Review RN

    Found in: Careerbuilder One Red US C2 - 4 days ago


    Boston, MA, United States Beth Israel Deaconess Medical Center Full time

    When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the...