- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs + And more **Description** The ** Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough medical ... inpatient, and extended recovery admissions as required based on Emory Healthcare's Utilization Management Plan and the UR Department processes. 4. Ensures… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Sanford Health (Bemidji, MN)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- HonorHealth (AZ)
- …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of ... in an acute care setting. Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Nuvance Health (Danbury, CT)
- …(2nd week) ; rotate one weekend per month Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary ... of care and providing timely and accurate clinical information to payors. Utilization management provides clinically based first level medical necessity reviews… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST - 60043220 Date: Jul 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 857220 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60043220 Pay Plan: Career...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING - ALL SHIFTS) Date: Jul 29, 2025 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (Clearwater, FL)
- 68064198 - REGISTERED NURSE SPECIALIST Date: Jul 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68064198 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
- Rush University Medical Center (Chicago, IL)
- …an integrated role of practice, education, administration and research. The Clinical Nurse Specialist exemplifies the Rush mission, vision, and values and ... veteran status, and other legally protected characteristics. **Position** Clinical Nurse Specialist , Neuro & Surgical IMCUs **Location** US:IL:Chicago… more
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