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

Page: 5

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: 03 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

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

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...

Company: Memorial Health
Location: Springfield, IL
Posted Date: 19 Oct 2025

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

RN Utilization Review Coordinator

Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission... for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday, 8am - 4pm CST Perform concurrent...

Location: Indiana
Posted Date: 24 Oct 2025
Salary: $56971.2 - 84749.6 per year

Behavioral Health Utilization Review RN - Full-Time

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

Company: Netsmart
Location: USA
Posted Date: 22 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: 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: 18 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: 17 Oct 2025

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

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

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