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Keywords: Utilization Review Nurse, Location: USA

Page: 3

Utilization Review Nurse- Remote

balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... documentation, accurately documenting findings, and ensuring policy compliance. Your role in our mission Review admissions...

Posted Date: 16 Jul 2025
Salary: $65000 - 78000 per year

RN Utilization Review/Discharge Planning Nurse

. Promotes patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services... in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Sanford Professional Nursing...

Company: Sanford Health
Location: Rapid City, SD
Posted Date: 24 Sep 2025

Utilization Review Analyst - Registered Nurse (Full Time)

management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... (i.e. outliers) to trend, track and educate to improve outcomes. 8. Assists with preparation and presentation of utilization review...

Posted Date: 02 Oct 2025

Utilization Review Analyst - Registered Nurse (Per Diem)

management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these...

Posted Date: 02 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: 26 Sep 2025

Utilization Review Nurse III (FT, Days)

; providing input and participating in the implementation of corrective action plans to address deficiencies in utilization review... application, interpretation, and utilization of member health care benefits, cost of care options, and coverage by members...

Location: Portland, OR
Posted Date: 19 Sep 2025

Utilization Review Analyst - Registered Nurse (Per Diem)

management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... of utilization review monitoring/trending reports for review with physicians and hospital leadership. 9. Educates members of the...

Posted Date: 12 Sep 2025

Utilization Review Analyst - Registered Nurse (Full Time)

care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these...) to trend, track and educate to improve outcomes. 8. Assists with preparation and presentation of utilization review monitoring...

Posted Date: 12 Sep 2025

Nurse Supervisor, Utilization Review Kirkland, Washington | Department: Care Management | Job Type: Full-Time

intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical...

Company: EvergreenHealth
Location: Kirkland, WA
Posted Date: 15 Aug 2025
Salary: $98301 - 157227 per year

Registered Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review, P26749

Duties Description The selected candidate will provide Utilization Review services, including but not limited... to conducting daily Utilization Review audits for active and discharged records, reviewing admissions and continued stays to ensure...

Company: New York State
Location: New York City, NY
Posted Date: 14 Aug 2025
Salary: $115147 - 124138 per year

Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)

Job Category: Healthcare Services and Operations Job Description: Your Role The Commercial Post Service Review... Review RN will report to the Manager, Post Service. In this role you will perform accurate and timely clinical review of post...

Posted Date: 10 Aug 2025

Licensed Vocational Nurse Utilization Review Per Diem Days BHS

) Job Description: POSITION SUMMARY Under a Registered Nurse's supervision, provides nursing care for a group of patients, based on matching the.../LICENSURE: Possession of current Texas State License for Licensed Vocational Nurse REQUIRED COURSES/COMPLETIONS (e.g., CPR...

Company: Tenet Healthcare
Location: San Antonio, TX
Posted Date: 01 Aug 2025

Remote Utilization Review Nurse

Actalent is Hiring a Remote Dietitian Position Purpose: The Registered Dietitian will provide clinical education and support for Ambetter members enrolled in Disease Management programs, with a focus on Diabetes and Congestive Heart Fai...

Company: Actalent
Location: Sunrise, FL
Posted Date: 02 Oct 2025
Salary: $32 - 33 per hour

Utilization Review Manager (Registered Nurse/RN)

Live the Mission: An Equal Opportunity Employer...

Posted Date: 27 Sep 2025

Case Manager (LPN/LVN) Utilization Review-FT

Job Description: Responsibilities POSITION SUMMARY: Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the app...

Location: McAllen, TX
Posted Date: 27 Sep 2025

Utilization Review Manager (Registered Nurse/RN)

Job Description: Live the Mission An Equal Opportunity Employer...

Posted Date: 27 Sep 2025

Case Manager (LPN/LVN) Utilization Review-FT

Job Description: Responsibilities POSITION SUMMARY: Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the app...

Posted Date: 27 Sep 2025

Utilization Review RN - Utilization Review

Registered Nurse license required. 2. CCM Preferred. Utilization review and discharge planning experience preferred. 3. Three.... GENERAL SUMMARY: The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource...

Posted Date: 02 Oct 2025

Regional Utilization Review Documentation Specialist (RN)

Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage... for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal...

Company: Trinity Health
Location: Maywood, IL
Posted Date: 02 Oct 2025
Salary: $78540.8 - 121721.6 per year