• Group Director Utilization Review

    Tenet Healthcare (Detroit, MI)
    …care options May, if licensed RN , oversee work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator. (10% daily, essential) Compliance ... Group Director Utilization Review - 2506000536 Description :...(CPA) preferred, Six Sigma Green Belt preferred · Valid Registered Nurse ( RN ) preferred PHYSICAL… more
    Tenet Healthcare (04/20/25)
    - Related Jobs
  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 -… more
    The County of Los Angeles (03/30/25)
    - Related Jobs
  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Buffalo, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Greater Binghamton Health Center, P26033 Occupational Category ... Street City Buffalo State NY Zip Code 13904 Duties Description As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for… more
    New York State Civil Service (05/01/25)
    - Related Jobs
  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P25595 Occupational ... New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
    New York State Civil Service (04/05/25)
    - Related Jobs
  • Licensed Practical Nurse (LPN)…

    The Arora Group (Bethesda, MD)
    …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
    The Arora Group (02/20/25)
    - Related Jobs
  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …a difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts +… more
    Beth Israel Lahey Health (02/14/25)
    - Related Jobs
  • Utilization Review Nurse

    Matrix Providers (Aurora, CO)
    Utilization Review Nurse ( RN ) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse ( RN...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization more
    Matrix Providers (04/29/25)
    - Related Jobs
  • Case Manager Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review more
    Beth Israel Lahey Health (04/16/25)
    - Related Jobs
  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As Needed / ... **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
    Alameda Health System (04/26/25)
    - Related Jobs
  • Utilization Review Specialist

    Emory Healthcare/Emory University (Duluth, GA)
    …+ This role requires a professional with a strong background in healthcare, either as a Registered Nurse ( RN ) or a Master of Social Work (MSW) with ... _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for...risk. + The UR Specialist will initiate and facilitate RN to RN discussion and/or Physician to… more
    Emory Healthcare/Emory University (04/29/25)
    - Related Jobs