• Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    Nurse issued by the State of Minnesota. **Title:** * Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* ... *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse more
    Minnesota Visiting Nurse Agency (10/02/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff more
    The County of Los Angeles (10/06/25)
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  • 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 ... medical direction, administrative and technical supervision over the nursing staff engaged in utilization review ...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (09/27/25)
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  • Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... acute care indicators and criteria as approved by medical staff , payer guidelines, CMS, and other state agencies. In...this position is able to cover a multitude of utilization review functions through point of entry,… more
    Houston Methodist (11/02/25)
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  • Utilization Review Nurse

    Emory Healthcare/Emory University (Decatur, GA)
    …development _,_ and leadership programs + And more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor (Registered Nurse / ... be responsible for training, mentoring, and coaching for the Utilization Review Department and must be an...department. This will consist of regular audits of each staff member which will assist with identification in knowledge… more
    Emory Healthcare/Emory University (11/13/25)
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  • RN Utilization Specialist/ Review

    YesCare Corp (Brentwood, TN)
    …standards of best practice. + Facilitate quality health care intervention recommendations. + Review and assess over/under utilization issues. + Track, trend and ... community standards, regionally based as indicated. + Communicate and guide staff and physicians regarding utilization management program development,… more
    YesCare Corp (10/30/25)
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  • 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** + ... excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
    University of Utah Health (10/02/25)
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  • Utilization Review Nurse

    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 is responsible for ensuring the receipt ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...at the appropriate place and time + Mentors new staff as assigned. + Maintains quality audit scores within… more
    Martin's Point Health Care (11/15/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? ... Data gathering requires navigation through multiple system applications. + Staff may be required to contact the providers of...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… more
    US Tech Solutions (10/17/25)
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  • Utilization Review Nurse

    Dignity Health (Sacramento, CA)
    **Job Summary and Responsibilities** The ** Utilization Review RN** is responsible for the review of medical records for appropriate admission status and ... + Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted… more
    Dignity Health (11/16/25)
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