- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR team members in ... providing all identified utilization review functions for the organization to...organization to ensure cost effective care delivery. The UR LPN is responsible for completing utilization reviews,… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/ LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management -...RN Utilization Review - Case Management - 2506004107 Description :...healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make… more
- WestCare Foundation (Henderson, NV)
- … or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or ... substance use disorder Experience and Competencies: + Proven experience in conceptualizing a case and creating a clinical impression to present to all involved and approved parties, including managed care representatives + Knowledge of CPT, ICD 9 & ICD 10… more
- Access Dubuque (Dubuque, IA)
- …reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will ... The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …years of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred. Extensive knowledge and understanding of ... to assure hospitalizations meet payor requirements. Maintains records of review information and outcomes for billing purposes and for...the presence of history and Physical Exam. Must be licensed in the State of Alabama, or MSL, as… more
- Access Dubuque (Dubuque, IA)
- Licensed Practical Nurse ( LPN ) **Sunnycrest Manor** 3 Positions ID: 84992 Posted On 12/13/2025 **Job Overview** Sunnycrest Manor is accepting ... approved by the Iowa Board of Nursing and is licensed practical nurse as issued...Job TH Ad 0 TH Comments **Similar Jobs** Registered Nurse (RN) Sunnycrest Manor Orthopaedic CMA/ LPN /RN -… more
- Banner Health (Scottsdale, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of ... staff to create a great patient experience. As an ** LPN ** on our team, we offer a customer-focused and...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Greeley, CO)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of ... Banner North Colorado Medical Center is looking for an LPN to join the Medical Oncology Telemetry team. This...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Worland, WY)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of ... treatments. This role is best suited for an experienced nurse or an eager nurse wanting to...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform ... guidelines. In this role, you will provide support and review of medical claims and utilization practices....as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license… more