- Penn Medicine (Plainsboro, NJ)
- …discharge planning and communicates plan clearly to patient, family and Utilization Review Nurse , Financial Counselor and outpatient treatment providers ... + Communicate effectively the essential clinical features of each case with utilization reviewers and monitors patient attendance in scheduled program and length of… more
- Ochsner Health (New Orleans, LA)
- …3 years of hospital-based experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered nurse license ... a patient's hospitalization, which includes a review of the appropriate utilization of resources, balanced with the patient's right to self-determination. Reviews… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care ... nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and… more
- Corning Incorporated (Phoenix, AZ)
- …service and time management skills. + Great computer skills and EMR utilization **Desired Qualifications:** + Certified Occupational Health Nurse (COHN | ... Occupational Health Nurse **Date:** Dec 11, 2025 **Location:** Phoenix, AZ,...safer, and smarter transportation **Position Description** The Occupational Registered Nurse assesses and treats Corning employees for work-related illnesses… more
- Trinity Health (Silver Spring, MD)
- …protocols. + Demonstrate a high level of patient satisfaction and effective resource utilization . + Collaborate with certified nurse midwives, nurse ... of eligibility and demonstrate a commitment to high-quality care, effective resource utilization , and a high level of patient satisfaction. The physician must hold… more
- Fallon Health (Worcester, MA)
- … Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. * One ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests (prior-authorizations),… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite. ... position: *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all ... efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, all… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health Care, ... 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital ... services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities,… more