- The County of Los Angeles (Los Angeles, CA)
- …or squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...? In the County of Los Angeles, a Utilization Review Nurse is an RN … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- Houston Methodist (Sugar Land, TX)
- …the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and concurrent ... medical record review for medical necessity and level of care using...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Emory Healthcare/Emory University (Decatur, GA)
- …more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor ( Registered Nurse / RN )** . This individual will be responsible ... for training, mentoring, and coaching for the Utilization Review Department and must be an expert in the...well as manage an active UR assignment/caseload. The UR RN Preceptor: + Will be regarded as a clinical… more
- Children's Mercy Kansas City (Kansas City, MO)
- …EMR and use software program are all preferred. + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise,...+ One of the following: Licensed RN - Kansas, Registered Nurse … more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review ... the TRICARE beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary prior authorization requests for medical… more
- Centene Corporation (Sacramento, CA)
- …offering competitive benefits including a fresh perspective on workplace flexibility. **Concurrent Review Nurse - Remote (California Market | Health Net)** ... Centene is seeking a **Remote Concurrent Review Nurse ** to support our **Health Net...AM - 5:00 PM PST + **Licensure:** Active California RN license required + **Ideal Experience:** Minimum of 2… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse (Prior Authorization)!** **Ready to take your nursing career ... leader in managed care** **What we're looking for:** + ** RN or LPN with a compact license** + **Experience...with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive… more
- CDPHP (Albany, 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