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

Page: 2

2212, UTIL MGMT REVIEW NURSE - ADMIN RN

Min USD $32.95 Max USD $52.73 Overview Shift: 12pm - 12am Performs clinical review of patient records... for all patients. Facilitates physician documentation through concurrent interaction with physicians to support reimbursement...

Posted Date: 18 Oct 2025

Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN

, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...

Posted Date: 27 Sep 2025

Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN

, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...

Posted Date: 27 Sep 2025

Utilization Review Nurse; On-Call, Maui Health

. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations...: Performs daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care...

Location: Wailuku, HI
Posted Date: 04 Oct 2025

Utilization Review Specialist

Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review... as a Registered Nurse OR a current Texas Licensed Vocational Nurse. B. Training and Experience: Three years clinical nursing...

Posted Date: 18 Oct 2025

Utilization Review Specialist

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...

Posted Date: 18 Oct 2025

RN Case Manager - Utilization Review

outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...

Posted Date: 17 Oct 2025

RN Case Manager - Utilization Review

outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...

Posted Date: 17 Oct 2025

Utilization Review Clinician - Behavioral Health

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors... to determine medical appropriateness in accordance with regulatory guidelines and criteria Performs concurrent review...

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

RN Case Manager - Utilization Review

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Lynwood, CA
Posted Date: 17 Oct 2025

Utilization Review Clinician - Behavioral Health

perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...

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

RN Case Manager - Utilization Review

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Lynwood, CA
Posted Date: 17 Oct 2025

Utilization Review Clinician - Behavioral Health

perspective on workplace flexibility. Florida Residency Required Position Purpose: Performs a clinical review and assesses... with regulatory guidelines and criteria Performs concurrent review of behavioral health (BH) inpatient to determine overall health...

Company: Centene
Location: USA
Posted Date: 16 Oct 2025
Salary: $26.5 - 47.59 per hour

RN Utilization Review Specialist

documentation by performing concurrent review of the medical record to ensure medical necessity and appropriateness of hospital..., Certification: One of the following: Current Alabama RN license Current Multi State RN License in accordance with Nurse...

Company: Infirmary Health
Location: Mobile, AL
Posted Date: 15 Oct 2025

RN Utilization Review Specialist

documentation by performing concurrent review of the medical record to ensure medical necessity and appropriateness of hospital..., Certification: One of the following: Current Alabama RN license Current Multi State RN License in accordance with Nurse...

Company: Infirmary Health
Location: Mobile, AL
Posted Date: 11 Oct 2025

Utilization Review Clinician - Behavioral Health

perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health...

Company: Centene
Location: USA
Posted Date: 11 Oct 2025
Salary: $26.5 - 47.59 per hour

Utilization Review Coordinator

Franciscan Health Michigan City Campus 3500 Franciscan Way Michigan City, Indiana 46360 The Utilization Review..., 8am - 4:30 pm, off following week, repeat (48 hours per biweekly pay period) Perform concurrent reviews...

Posted Date: 11 Oct 2025

Utilization Review Clinician - Behavioral Health

perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...

Company: Centene
Location: USA
Posted Date: 11 Oct 2025
Salary: $26.5 - 47.59 per hour

PRN Utilization Review RN - M-F Days

years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience...PRN Utilization Review RN - Monday - Friday Days WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas...

Posted Date: 08 Oct 2025

Behavioral Health Utilization Review RN - Full-Time

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

Company: Netsmart
Location: USA
Posted Date: 04 Oct 2025