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Showing 19 results

Virginia Mason Medical CenterNew

Utilization Review Nurse

$52 - $101/hr

Posted 15 hours ago

$52 - $101/hr

Posted 15 hours ago

Where You’ll Work Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and...

Seattle, Washington

Other Remote Ok

SECUR Health PlanNew

Utilization Review Nurse

$73,916 - $110,874/yr

Posted 22 hours ago

$73,916 - $110,874/yr

Posted 22 hours ago

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the SECUR Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing groundbreaking solutions for our clients' unique needs offering a wide variety of compassionate healthcare...

Tampa, Florida

Full Time On Site

CHI St. Vincent Health

Utilization Review Nurse

$33 - $44/hr

Posted 6 days ago

$33 - $44/hr

Posted 6 days ago

Where You’ll Work CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements....

Little Rock, Arkansas

Other On Site

Personify Health

Utilization Review Nurse-LVN/LPN

$25 - $29/hr

Posted 11 days ago

$25 - $29/hr

Posted 11 days ago

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-d...

Location flexible

Full Time Remote Ok

Silver Cross Hospital

Utilization Review Nurse

$35 - $45/hr

Posted 13 days ago

$35 - $45/hr

Posted 13 days ago

Silver cross hospital is an extraordinary place to work. We’re known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It’s the way you want to be treated. Performs medical record review for...

New Lenox, Illinois

Full Time Hybrid

Silver Cross Hospital

Utilization Review Nurse

$35 - $45/hr

Posted 17 days ago

$35 - $45/hr

Posted 17 days ago

New Lenox, Illinois

Part Time On Site

Oscar Health

Utilization Review Nurse

$35 - $46/hr

Posted 17 days ago

$35 - $46/hr

Posted 17 days ago

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diag...

Arizona

Full Time Remote Ok

Gainwell Technologies LLC

Utilization Review Nurse- Remote

$78,000 - $88,000/yr

Posted 18 days ago

$78,000 - $88,000/yr

Posted 18 days ago

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll...

Perry County, Ohio

Full Time Remote Solely

Riverside Healthcare

Utilization review nurse-Ed (Tr/Prn) nights

Compensation not listed

Posted 19 days ago

Compensation not listed

Posted 19 days ago

Overview Riverside Healthcare is seeking a dedicated and experienced Utilization Review Nurse to join our Emergency Department team in Kankakee, Illinois. The Utilization Review Nurse will play a crucial role in ensuring that patients receive appropriate and effective care while optimizing resource utilization. This...

Kankakee, Illinois

Temporary On Site

Riverside Healthcare

Utilization review nurse-Ed (Tr/Prn) days

Compensation not listed

Posted 19 days ago

Compensation not listed

Posted 19 days ago

Kankakee, Illinois

Temporary On Site

Kern Medical

Utilization Review Nurse, RN - Case Management

$43 - $67/hr

Posted 27 days ago

$43 - $67/hr

Posted 27 days ago

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care,...

Bakersfield, California

Full Time On Site

Kaiser Permanente

Utilization Review Nurse I

Compensation not listed

Posted 1 month ago

Compensation not listed

Posted 1 month ago

In addition to the responsibilities listed below, this position is also responsible for leveraging clinical knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, and duration of treatment required for basic reviews, and collabo...

Wailuku, Hawaii

Full Time On Site

Unity Health

Utilization Review Nurse RN or LPN

Compensation not listed

Posted 1 month ago

Compensation not listed

Posted 1 month ago

1. Should have a high level of clinical knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD-CM and CPT coding systems. Skilled in the use of the computer and photocopier. Good people and phone skills required. 2. Training and Experience: Should have past experience wo...

Searcy, Arkansas

Full Time On Site

Methodist Healthcare Ministries of S. Tx

Utilization Review Nurse - RN (WHWC)

$74,246 - $94,664/yr

Posted 2 months ago

$74,246 - $94,664/yr

Posted 2 months ago

Wesley Health & Wellness Center, 1406 Fitch Street, San Antonio, Texas The Utilization Review Nurse (RN) supports care coordination by reviewing clinical documentation, evaluating medical necessity, and facilitating communication between providers and care t...

San Antonio, Texas

Full Time On Site

Access Healthcare Staffing & Recruitment

Utilization Review Nurse

$40 - $63/hr

Posted 2 months ago

$40 - $63/hr

Posted 2 months ago

$40 – $63/hour Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer guidelines. Analyzes medical records to ensure care meets established clinical and regulatory standards. Requireme...

Las Vegas, Nevada

Full Time On Site

Albany Medical Center

Utilization Review Nurse: Emergency Dept

$71,612 - $110,999/yr

Posted 2 months ago

$71,612 - $110,999/yr

Posted 2 months ago

Care Management/Social Work Work Shift: Day (United States of America) $84,783.00 - $131,414.00 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Most qualified candidates will have experience in Emergency/Trauma Care and/or previous Uti...

Albany, New York

Full Time On Site

EL PASO CHILDRENS HOSPITAL CORPORATION

Utilization Review Nurse (55697)

Compensation not listed

Posted 3 months ago

Compensation not listed

Posted 3 months ago

ExperiencedJob Location: San Jacinto Plaza - Sunflower Building - El

El Paso, Texas

Full Time On Site

Neuropsychiatric Hospitals

Utilization Review Nurse - Midwest Remote

Compensation not listed

Posted 4 months ago

Compensation not listed

Posted 4 months ago

About Us Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most....

IndianaGreenwood, Indiana

Full Time Remote Ok

Madea Home Care Services

Utilization Review Nurse(Austin/Richardson TX) (Remote)

$38 - $40/hr

Posted 4 months ago

$38 - $40/hr

Posted 4 months ago

Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties** JOB DESCRIPTION: RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. JOB...

Richardson County, Nebraska

Full Time Remote Solely