• Utilization Review RN

    Trinity Health (Boise, ID)
    …Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/ utilization review and discharge planning collaboratively determining ... care as appropriate. Coordinates the hospital activities concerned with case management/ utilization review and discharge planning. Adheres to departmental goals,… more
    Trinity Health (03/27/25)
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  • RN - Quality Assurance/ Utilization

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity… more
    Emanate Health (01/22/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …you're not just taking a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management ... **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you… more
    Beth Israel Lahey Health (01/29/25)
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  • Utilization Review Counselor

    Seafield Center, Inc. (Westhampton Beach, NY)
    Utilization Review Counselor ID:5712 Department: Utilization Review Location:Westhampton Beach Description Full -Time Opportunity Available + ... - Friday + Hours:40-hour week + Pay:$25.00 - $30.00/hr Benefits Available for Full -Time Employees: + Generous Paid Time Off Policy + Medical, Dental, and Vision… more
    Seafield Center, Inc. (04/02/25)
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  • Utilization Review Nurse

    Matrix Providers (Aurora, CO)
    Utilization Review Nurse ( RN ) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse ( RN...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization more
    Matrix Providers (01/29/25)
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  • RN Registered Nurse - Varied…

    Penn State Health (Lancaster, PA)
    …family medical or genetic information._ **Position** RN Registered Nurse - VARIED SHIFT - Corporate Services Utilization **Location** US:PA:Lancaster | ... **MINIMUM QUALIFICATION(S):** + Currently licensed to practice as a Registered Nurse by state of employment or... by state of employment or holds a multistate RN license through the interstate Nurse Licensure… more
    Penn State Health (04/10/25)
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  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    …outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities:...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
    Crouse Hospital (03/20/25)
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  • Registered Nurse

    Ascension Health (Baltimore, MD)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (04/11/25)
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  • Registered Nurse ( RN ) Case…

    LifePoint Health (Henderson, NC)
    …**Please select a valid job field* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager Full Time* **Location:** *NC-Henderson* ... * Registered Nurse ( RN ) Case...skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
    LifePoint Health (04/13/25)
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  • Registered Nurse ( RN ), 4…

    Penn Medicine (Lancaster, PA)
    …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
    Penn Medicine (03/21/25)
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