• Utilization Review Nurse Supervisor…

    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 (08/18/25)
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  • Utilization Review Nurse Supervisor…

    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
    The County of Los Angeles (06/28/25)
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  • Utilization Review Nurse - Remote

    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
    Martin's Point Health Care (08/22/25)
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  • Utilization Review Nurse , Evening…

    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
    Houston Methodist (08/29/25)
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  • Clinical Review Nurse Care Manager

    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
    Children's Mercy Kansas City (08/08/25)
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  • Utilization Review Nurse I

    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 (08/02/25)
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  • Quality Review Nurse RN PRN…

    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
    AdventHealth (08/27/25)
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  • Sr Utiliz. Review Spclst Nurse

    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
    Houston Methodist (08/26/25)
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  • Utilization Review Registered

    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
    Emory Healthcare/Emory University (08/30/25)
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  • Registered Nurse Utilization…

    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
    LifePoint Health (08/09/25)
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