• Group Utilization Review Director

    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 ... preferred. Multi-site leadership experience preferred. Experience successfully implementing centralized Utilization Review teams for multi-hospital system more
    Tenet Healthcare (04/20/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II...Review organization requirements for an effective and timely utilization review system . + Directs the ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 - $177,314.88… more
    The County of Los Angeles (03/30/25)
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  • 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 ... or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as...systems ) COMPENSATION & BENEFITS FOR THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW :… more
    The Arora Group (02/20/25)
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  • 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 ... 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)
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  • 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)
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  • 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)
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  • 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)
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  • Utilization Review RN Point…

    Trinity Health (Des Moines, IA)
    …Iowa (IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Utilization Review RN ! Responsible for the review of inpatient and ... admitting system . ESSENTIAL FUNCTIONS: + Conducts admission review per the Utilization Management Plan to...SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa.… more
    Trinity Health (04/19/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We ... Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for...+ Demonstrate knowledge and effective use of multiple applications, systems and resources including, but not limited to: Call… more
    HCA Healthcare (04/25/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    …want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist? At Parallon, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be...+ Demonstrate knowledge and effective use of multiple applications, systems and resources including, but not limited to: Call… more
    HCA Healthcare (04/25/25)
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