- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print...over the nursing staff engaged in utilization review activities at Los Angeles General Medical ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 - $177,314.88 Annually… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...this position is able to cover a multitude of utilization review functions through point of entry,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …professional development specialist to develop standard work and expectations for the utilization review process, including timely medical necessity ... and facilitates meetings with payers, as appropriate * May participate in the Utilization Review Committee to present medical necessity data and outcomes and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... medical record review for medical ...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- Prime Healthcare (North Las Vegas, NV)
- …and more. For more information, please visitwww.northvistahospital.com. Responsibilities The Utilization review tech essentially works to coordinate the ... diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology... utilization review and appeals process as part of the denial… more
- Prime Healthcare (North Las Vegas, NV)
- …and more. For more information, please visitwww.northvistahospital.com. Responsibilities The Utilization review tech essentially works to coordinate the ... diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology... utilization review and appeals process as part of the denial… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The ** Utilization Review (UR) Specialist** is a Registered Nurse responsible ... for conducting thorough medical necessity reviews to assist with determining appropriate patient...experience or a minimum of two years of previous utilization review experience. + Licensure - Must… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization ... for the Enterprise. The individual works in partnership with the Medical staff, Contracting, OPOE, Compliance, and Revenue Cycle leaders to ensure application… more
- Baptist Memorial (Meridian, MS)
- …RN Utilization Review Weekender Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of ... Overview RN Utilization Review Weekender Job Code: 22818...and appropriate care. Areas of work include status management, medical necessity reviews, verification of authorization, resource utilization… more
- Trinity Health (Des Moines, IA)
- …(IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Utilization Review RN! Responsible for the review of inpatient and outpatient ... discharge. + Carries out hospital programs and principles of utilization review in compliance with hospital policies...for clarification of the change. + Documents in the Medical Record Utilization Management forms accurately to… more