• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator, CCS.** -OR- OPTION II: ... Two (2) years of experience as a registered nurse , of which one year must...involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN more
    The County of Los Angeles (05/22/25)
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  • 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)
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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 (03/30/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Buffalo, NY)
    … experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a license and ... nursing experience, one of which must have included utilization review and/or discharge planningORCandidates within State Service can be considered… more
    New York State Civil Service (05/01/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Bronx, NY)
    … experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a license and ... to individual diagnosed with mental illness. Candidates from outside or within State Service can apply.As a Utilization Review Coordinator, your duties… more
    New York State Civil Service (04/05/25)
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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...our team of talented professionals who provide health care services to our Military Service Members and… more
    Matrix Providers (04/29/25)
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  • Case Manager Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case ... Clinic inpatient admissions. Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case… more
    Beth Israel Lahey Health (05/11/25)
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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 ... **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 (05/06/25)
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  • Utilization Review Nurse

    Martin's Point Health Care (Portland, ME)
    …certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as is responsible for ensuring the ... for retrospective authorization requests as well as claims disputes.The Utilization Review Nurse will use...Nurse ​ Education/Experience: + Unrestricted state license as a Registered Nurse BSN required + 3+ years… more
    Martin's Point Health Care (05/21/25)
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  • Utilization Review Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge… more
    Houston Methodist (05/15/25)
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