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Keywords: Clinical Review Nurse – Concurrent Review, Location: USA

Page: 1

Registered Nurse (RN), Case Manager PRN

Registered Nurse (RN), Clinical Case Manager PRN/Days Schedule: Monday-Friday 7:30a-4:00p/8:00a-4:30p... & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines...

Posted Date: 18 Sep 2025

RN Clinical Quality Patient Safety Specialist

to you, we encourage you to apply for our Sr Clinical Quality Specialist opening. Our team will promptly review your application. Highly... Regional Hospital we support our colleagues in their positions. Join our Team as a Sr. Clinical Quality Specialist and access...

Posted Date: 18 Sep 2025

Patient Safety Coordinator Registered Nurse

to you, we encourage you to apply for our Patient Safety Coordinator Registered Nurse opening. Our team will promptly review... Regional Hospital we support our colleagues in their positions. Join our Team as a Patient Safety Coordinator Registered Nurse...

Posted Date: 07 Aug 2025

Clinical Review Nurse - Concurrent Review

as needed to discuss member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans... services and concurrent review findings Assists with providing education to providers on utilization processes to ensure high...

Company: Centene
Location: USA
Posted Date: 17 Oct 2025
Salary: $26.5 - 47.59 per hour

Clinical Review Nurse Concurrent Review

Position Title: Clinical Review Nurse - Concurrent Review Location: Remote Duration: 12 Months Schedule: Monday... through Friday, 9:30 AM to 6:00 PM CST Position Summary Performs concurrent reviews, including determining member...

Company: Pacer Group
Location: USA
Posted Date: 16 Oct 2025

RN Utilization Management Concurrent Review

for both the patient and the organization. Provides concurrent medical necessity reviews for all patients hospitalized within the... a thorough medical record review and knowledge of federal and evidence-based guidelines, including CMS Conditions...

Posted Date: 06 Sep 2025

UM Outpatient Clinical Review Nurse

position to all audiences Performs other duties as assigned Position: UM Outpatient Clinical Review Nurse /Utilization... level of care, using applicable coverage documents and clinical guidelines Collects, documents, and maintains review...

Location: Springfield, MA
Posted Date: 11 Oct 2025

Utilization Review Nurse (PRN)

status Enter clinical review information into system for transmission to insurance companies for authorization Review...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review...

Company: Netsmart
Location: USA
Posted Date: 17 Oct 2025

Utilization Review Nurse - Full-Time

status Enter clinical review information into system for transmission to insurance companies for authorization Review...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review...

Company: Netsmart
Location: USA
Posted Date: 17 Oct 2025

Registered Nurse Utilization Review, Case Management, FT, 8A-4\:30P

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial.... Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently. Strong analytical...

Company: Baptist Health
Location: South Miami, FL
Posted Date: 16 Oct 2025
Salary: $73860.8 - 98234.86 per year

Behavioral Health Utilization Review Nurse

Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... in clinical and utilization review processes. Current unrestricted Florida RN or LPN License. Minimum one year of utilization...

Company: Actalent
Location: Sunrise, FL
Posted Date: 10 Oct 2025
Salary: $35 - 38 per hour

Professional Review Nurse (Part time to Full time)

Description : The Professional Review Nurse provides analysis of medical services to determine appropriateness... & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical...

Company: CorVel
Posted Date: 08 Oct 2025
Salary: $51807 - 83551 per year

Utilization Review Nurse

RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...

Company: VillageCare
Location: New York City, NY
Posted Date: 04 Oct 2025
Salary: $95000 - 105000 per year

RN, Registered Nurse- Manager, Utilization Review Operations

/Certifications: Active license as a Registered Nurse in the state of Ohio Minimum of 5 years of experience in clinical leadership...-certification, concurrent review, and/or appeals) Experience utilizing standardized algorithms, policies and bulletins to guide...

Company: Quantum Health
Location: Dublin, OH
Posted Date: 04 Oct 2025

Utilization Review Nurse

RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...

Company: VillageCare
Location: New York City, NY
Posted Date: 02 Oct 2025

Utilization Review Nurse (RN)- FT Nights

for Health and Dependent Care JOB SUMMARY: The Utilization Review (UR) Registered Nurse independently facilitates clinical...Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES...

Posted Date: 21 Sep 2025

Registered Nurse - Utilization Review RN (Full Time)

to support the level of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan...: Required Licensure as a Registered Nurse (RN), Massachusetts Three years of recent clinical or utilization management experience...

Posted Date: 10 Sep 2025

Utilization Review Nurse - $5,000 Sign-on Bonus

is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization... Clinical review with payors. Document in the electronic system daily in real time. Admission audit. Ensures that CON’s/RON...

Posted Date: 10 Sep 2025

Utilization Review Nurse - $5,000 Sign-on Bonus

is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization... Clinical review with payors. Document in the electronic system daily in real time. Admission audit. Ensures that CON’s/RON...

Posted Date: 10 Sep 2025

Utilization Review Nurse

. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior.... In addition, the UR nurse is responsible for completing inpatient level of care reviews, post-acute care initial and concurrent...

Company: CDPHP
Location: Latham, NY
Posted Date: 07 Sep 2025