• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... UTILIZATION REVIEW NURSE SUPERVISOR...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
    The County of Los Angeles (12/25/25)
    - Related Jobs
  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (El Paso, TX)
    …satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
    Veterans Affairs, Veterans Health Administration (01/06/26)
    - Related Jobs
  • Utilization Review

    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 ... Zip Code 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality,… more
    New York State Civil Service (12/25/25)
    - Related Jobs
  • RN Admissions Coordinator

    PeaceHealth (Eugene, OR)
    **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric Mental Health Nursing… more
    PeaceHealth (12/05/25)
    - Related Jobs
  • Utilization Review Nurse

    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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (12/27/25)
    - Related Jobs
  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah, or obtain one...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
    University of Utah Health (01/06/26)
    - Related Jobs
  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt… more
    Saint Francis Health System (12/31/25)
    - Related Jobs
  • LVN Care Coordinator - Utilization

    Sharp HealthCare (San Diego, CA)
    …1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program. + California Licensed Vocational Nurse...patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient… more
    Sharp HealthCare (12/14/25)
    - Related Jobs
  • Utilization Management Registered…

    Katmai (Fort Carson, CO)
    **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... Operations Manual (TOM) access to care standards for appropriate utilization of services. Perform utilization management/ review...within the last four (4) years as a registered nurse in utilization management. + One (1)… more
    Katmai (11/26/25)
    - Related Jobs
  • Nurse Clinical Care Coordinator

    UPMC (Pittsburgh, PA)
    UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position. Monday-Thursday 8:00am-5:00pm This position travels to ... patients' homes in Allegheny County. The Nurse Clinical Care Coordinator is responsible for...assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social… more
    UPMC (12/31/25)
    - Related Jobs