• Utilization Review Specialist

    Rochester Regional Health (Rochester, NY)
    …Hire + Tuition & Loan Assistance + Employee Referral Program + Free Parking Job Title: Utilization Review RN Department: Utilization Review Location: ... Time/40 hours Schedule: Days (8am-4:30pm or 8:30am-5pm) SUMMARY: The Utilization Review Specialist actively participates...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (04/26/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician...Advisors. Education: Holds a current Texas license as a Registered Nurse . Training and Experience: Three years… more
    Medical Center Hospital (03/22/25)
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  • Utilization Review Specialist

    Emory Healthcare/Emory University (Duluth, GA)
    …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for conducting ... the attending physician and/or physician advisor. + The UR Specialist will perform utilization review ...with a strong background in healthcare, either as a Registered Nurse ( RN ) or a… more
    Emory Healthcare/Emory University (04/29/25)
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  • RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (03/12/25)
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  • Utilization Review Specialist

    Great River Health (West Burlington, IA)
    …browser Qualifications + 4-6 years clinical experience Required + Previous experience in Utilization Review Preferred + Knowledge of the structure and content of ... maintaining compliance with the CMS Conditions of Participation for Utilization Management.What you will do + Review ...identify and understand the speech of another person. + Registered Nurse Iowa Board of Nursing (IBON)… more
    Great River Health (04/05/25)
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  • Utilization Review Specialist

    Nuvance Health (Danbury, CT)
    …as required. Education: ASSOCIATE'S LVL DGRE Required- Registered Nurse ( RN ) Preferred - Two Years Utilization Review Experience Working Conditions: ... *Description* Summary: The purpose of the Utilization Management Nurse is to support...marked evidence-based criteria (ie, InterQual/MCG). Responsibilities: 1)Ensures that Admission Review using InterQual, or MCG is completed within 24… more
    Nuvance Health (04/19/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current ... group of colleagues. Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for creating positive patient interactions… more
    HCA Healthcare (04/25/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist ? At Parallon, you come first. HCA Healthcare has ... the opportunity to make a difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be a part of our team. **Job… more
    HCA Healthcare (04/25/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Omaha, NE)
    …innovative healthcare delivery system. **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding ... Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive reviews of… more
    Catholic Health Initiatives (04/23/25)
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  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …information, suggests alternatives and assists in ensuring documentation integrity. + Enters utilization review data into database for tracking and trending ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (04/26/25)
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