• Utilization Review Nurse…

    The County of Los Angeles (Los Angeles, CA)
    …Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience ... the requirements and guidelines for an effective and timely utilization review system . + Confers...the County of Los Angeles, a Utilization Review Nurse is an RN … more
    The County of Los Angeles (05/22/25)
    - Related Jobs

  • 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 (06/28/25)
    - Related Jobs

  • Utilization Review Registered…

    Emory Healthcare/Emory University (Atlanta, GA)
    …_development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible ... for training, mentoring, and coaching for the Utilization Review Department. The UR ...and authorization, compliance and regulatory standards, and case management systems . + The UR RN Preceptor understands… more
    Emory Healthcare/Emory University (07/19/25)
    - Related Jobs

  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    …Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
    Commonwealth Care Alliance (06/27/25)
    - 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 + Full Time - ... 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 (07/15/25)
    - Related Jobs

  • Utilization Review Nurse…

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (07/12/25)
    - Related Jobs

  • Utilization Review Services…

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a Utilization Review Services Registered Nurse ? At Parallon, you come first. HCA Healthcare has ... We are looking for a dedicated Utilization Review Services Registered Nurse like...+ Demonstrate knowledge and effective use of multiple applications, systems , and resources + Example, but not limited to:… more
    HCA Healthcare (07/20/25)
    - Related Jobs

  • RN Registered Nurse…

    Ascension Health (Wichita, KS)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (07/16/25)
    - Related Jobs

  • Utilization Review RN

    Catholic Health Initiatives (Omaha, NE)
    … Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive ... Commonspirit Health Facility Are you a skilled and experienced Utilization Review Specialist looking for a rewarding...creating a more just, equitable, and innovative healthcare delivery system . **Pay Range** $33.51 - $48.58 /hour We are… more
    Catholic Health Initiatives (06/21/25)
    - Related Jobs

  • Utilization Review Intake RN…

    AdventHealth (Glendale Heights, IL)
    …60139 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,...capacity to prioritize multiple tasks and role components. + Registered Nurse ( RN ) Required +… more
    AdventHealth (06/13/25)
    - Related Jobs