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

Page: 4

Utilization Review Case Mgr - Galv. Campus Utilization Mgt (10hr shifts)

a mechanism for the review of quality of care issues arising during concurrent review, identifies area of potential medical... Nursing licensure as a professional registered nurse. Minimum of three years of full time wage earning experience...

Posted Date: 25 Sep 2025

Case Manager, Utilization Review-Case Mgmt-Pool-Days-BHC

and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact... Review experience Credentials: Essential: Basic Life Support Registered Nurse Visit us online at www.BrowardHealth...

Company: Broward Health
Posted Date: 24 Sep 2025

Manager Long Term Services & Support Utilization Management Review

to functions related to medical necessity determinations, concurrent and other clinical and medical management programs... Utilization Management staff. Oversee staff performance with regard to medical necessity determinations, concurrent review...

Location: USA
Posted Date: 21 Sep 2025

Utilization Review LVN

. Position Summary: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services... facility review or in concurrent review. Responsibilities may include: - Manages assigned queues on a daily basis working...

Posted Date: 19 Sep 2025

Utilization Review LVN

: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services. The focus... patient. This position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent...

Posted Date: 17 Sep 2025
Salary: $30.91 - 45.98 per hour

Utilization Review Intake Coordinator - Bilingual Spanish

JOB DESCRIPTION SUMMARY Reports to the Nurse Supervisor and assists in the process of health management and utilization review (UR). The... AND RESPONSIBILITIES Administrative Support • Review all utilization requests and forward, research, and analyze to determine if clinical...

Location: Irvine, CA
Posted Date: 17 Sep 2025
Salary: $20 - 23 per hour

Utilization Review RN

: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical information...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 17 Sep 2025

Utilization Review Manager RN

of Christian Health. Competencies: Directs and coordinates the activities of the UR Nurse and UR Coordinator. Directs clinical... Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations...

Posted Date: 13 Sep 2025
Salary: $110000 per year

Utilization Review RN, Full-Time - Day, Evening, and Weekend Shifts Available

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

Company: Netsmart
Location: USA
Posted Date: 30 Aug 2025

Centralized UR RN - Case Management Utilization Review

relief. Shift Times: 5 day, 8 hour shifts POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity... to insurance reimbursement in appropriate reviews. The UR Nurse utilizes advanced clinical skills to facilitate the provision...

Company: Health First
Location: Melbourne, FL
Posted Date: 14 Aug 2025

Utilization Review Manager

of professional leadership experience (i.e., charge nurse, team leader, preceptor, committee chair, etc.) Five (5) years clinical...SUMMARY: We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full...

Posted Date: 08 Aug 2025

Utilization Review Clinician - Behavioral Health

perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical...

Company: Centene
Location: USA
Posted Date: 27 Jul 2025
Salary: $26.5 - 47.59 per hour

Care Manager Utilization Review

for concurrent denials, including nurse or provider peer to peer. Performs patient care, where competent and assists in coordination... clinical and financial outcomes. Job Duties and Responsibilities Continually assesses the appropriateness and timeliness...

Posted Date: 25 Jul 2025

RN Coordinator-Utilization Review/Full Time/Remote

REQUIRED: Registered Nurse required. Minimum 3-5 years of clinical experience required. Bachelor of Science Nursing required OR four (4... of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill...

Posted Date: 26 Sep 2025

Registered Nurse (RN) Clinical Documentation Spec-Full Time Days

Department: 10169 Advocate South Suburban Hospital - Clinical Documentation Improvement Status: Full time Benefits... coverage as needed. Pay Range $37.50 - $56.25 This role will facilitate the modifications of clinical documentation through...

Location: USA
Posted Date: 04 Oct 2025

Registered Nurse (RN) Clinical Documentation Spec-Full Time Days

This role will facilitate the modifications of clinical documentation through extensive initial and concurrent... interaction with physicians and other members of the healthcare team, to support appropriate documentation of the clinical...

Location: Hazel Crest, IL
Posted Date: 04 Oct 2025

Clinical Documentation Improvement Specialist, Registered Nurse

DRG/CDI Nurse (Clinical Documentation Improvement) 📍 Location: Fully Remote | 🕒 Full-Time | 🏥 Healthcare... About the Role We’re seeking a highly skilled DRG/CDI Nurse to join our team and play a critical role in improving clinical...

Posted Date: 04 Oct 2025
Salary: $95000 - 105000 per year

Clinical Quality Coordinator LPN - Internal Medicine

with the Director of Clinical Operations. Actively participates in concurrent and retrospective case review to assure... a Clinical Quality Coordinator, Licensed Practical Nurse (LPN) to join the Internal Medicine department. The Clinical Quality...

Company: Summit Health
Location: Purchase, NY
Posted Date: 02 Oct 2025
Salary: $33.99 - 42.5 per hour

Clinical Research Nurse

Clinical Research Nurse to join our exceptional team as a full-time Vitalief employee. In this role, you will support a leading... of multiple concurrent clinical research studies, including NIH-sponsored, industry-sponsored, and investigator-initiated trials...

Company: Vitalief
Location: Philadelphia, PA
Posted Date: 19 Sep 2025

Registered Nurse - Clinical Documentation Integrity Specialist

Overview Customer Value Partners is seeking a Registered Nurse Clinical Documentation Integrity Specialist to serve... code sets Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify...

Company: CVP
Location: Memphis, TN
Posted Date: 18 Sep 2025