- 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 (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 necessity and level of care using...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… 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
- AdventHealth (Orlando, FL)
- **Quality Review Nurse RN PRN...Care experience + OASIS experience + PDGM experience + Registered Nurse State Licensure and/or Compact State ... Licensure In Florida **Preferred qualifications:** + Bachelor's degree + Care Management, Case Management other applicable certifications. + OASIS certification within 180 Days This facility is an equal opportunity employer and complies with federal, state and… more
- Houston Methodist (Houston, TX)
- …Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for promoting the achievement of optimal ... expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …And more **Description** The **Utilization Review (UR) Specialist** is a Registered Nurse responsible for conducting thorough medical necessity reviews to ... or a minimum of two years of previous utilization review experience. + Must have a valid, active unencumbered... experience. + Must have a valid, active unencumbered Registered Nurse license approved by the Georgia… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
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