• 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 ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...the County of Los Angeles, a Utilization Review Nurse is an RN ...Los Angeles, a Utilization Review Nurse is an RN that has Case… more
    The County of Los Angeles (12/25/25)
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  • 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 (12/27/25)
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  • Director Centralized Utilization…

    Houston Methodist (Katy, TX)
    …nationally recognized medical necessity review guidelines **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - ... At Houston Methodist, the Director Centralized Utilization Review (UR) position is responsible for strategic, administrative, and operational leadership for the … more
    Houston Methodist (01/16/26)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Syracuse, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health ... Code 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
    New York State Civil Service (12/25/25)
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  • Manager Utilization Review

    Community Health Systems (Franklin, TN)
    **Job Summary** The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical ... regulatory standards, and enhancing the overall utilization review process to optimize patient care...+ 3-5 years work experience in healthcare as a nurse required + 1-3 years work experience in Care… more
    Community Health Systems (01/14/26)
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  • Staff Nurse - Utilization…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating ... nursing*( RN ) experience or * 2 years of recent* utilization review , utilization management*nursing experience.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Centralized Utilization Review…

    Houston Methodist (Katy, TX)
    …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure ... At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible...or CMGT-BC-ANCC or COHN-ABOHN or COHN/CM-ABOHN or CPHRM-AHA-CC or RN -BC-ANCC **SKILLS AND ABILITIES** + Demonstrates the skills and… more
    Houston Methodist (01/16/26)
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  • Nurse Manager - Utilization…

    Huron Consulting Group (Chicago, IL)
    …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
    Huron Consulting Group (11/27/25)
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  • Clinical Utilization Review…

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
    Community Health Systems (01/13/26)
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  • Utilization Review RN…

    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...the patient/family, physicians, and the interdisciplinary team, the UR RN ensures the care delivery systems at SPH are… more
    St. Peters Health (12/11/25)
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