• CDI Concurrent Review and Query…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At HCA Healthcare, you come first. HCA Healthcare ... a difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you...acute care facility required Licenses, Certifications, & Training: + Registered Nurse - Currently licensed as a… more
    HCA Healthcare (10/25/25)
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  • Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... through point of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the...and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/02/25)
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  • RN Utilization Specialist/ Review

    YesCare Corp (Brentwood, TN)
    …+ Assist in completion of special projects on an as needed basis. **Key Qualifications:** + Registered Nurse ( RN ) active license + No less than 5 years' ... + Assist in the control of utilization of resources, pre-occurrence monitoring, concurrent monitoring, intervention and retrospective review . + Track, trend and… more
    YesCare Corp (10/30/25)
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  • Nurse Manager RN Woman Services

    HCA Healthcare (Tomball, TX)
    …**What qualifications you will need:** + Bachelor of Science in Nursing/ BSN required + Registered Nurse from Texas Nursing Board + Masters of Science in Nursing ... colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access...RN Women's Services opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (10/13/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …**Weekend Requirement:** Occasional + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient...years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
    BayCare Health System (10/10/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
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  • RN Utilization Review Specialist Per…

    HonorHealth (AZ)
    …because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care ... Degree in Nursing from an accredited NLN/CCNE institution RequiredExperience3 years Registered Nurse in an acute care setting. Required1 year… more
    HonorHealth (11/04/25)
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  • RN Utilization Review Part- time…

    Providence (Mission Hills, CA)
    …must empower them. **Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2 years - Experience working ... **Description** ** RN Utilization Review at Providence Holy...hospitals are four times designated. Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical… more
    Providence (11/04/25)
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  • Utilization Review Nurse

    CDPHP (Latham, NY)
    …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
    CDPHP (09/23/25)
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  • Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …+ Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience ... the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria… more
    UNC Health Care (11/20/25)
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