Utilization Review Nurse Jobs in USA

Only applicants who apply with a State of Texas application via the CAPPS online application system will be considered for this position. First time applicants will need to create an account in the CAPPS online application system at Please visit our job opportunities page at for more information...

What You Get to Do:The Program Coordinator (PC) is the lead direct support professional foran assigned Supported Living PrograminOlympia WA and will be responsible providing direct support hands-on instruction assistance and positive direction to individuals with intellectual/developmental disabilit...

Job Title: ProgramCoordinator - Planning Research & EvaluationRetirees of the Texas Teachers Retirement System (TRS) may apply.Consistent with district policy SD-7.17 Employment of Retirees selected applicants are responsible for reimbursing the district through payroll deduction for the current rat...

Job Requisition ID:53104Closing Date: 02/10/2026Agency:Department of Public HealthClass Title:HEALTH FACIL SURVEILLANCE NURSE (18150)Office:Health Care RegulationDivision: Assisted LivingPosting ID:/ 53104Posted: 01/27/2026 - 02/10/2026Skill Option: None Bilingual Option: Salary: Anticipated Startin...

BAYADA by Bayhealth Home Health Care is looking for a compassionate and dedicated Licensed Practical Nurse (LPN) to join our team in our office located in Dover DE. This office services ouradult clientson aper visit basis in homes throughout Georgetown Millsboro and Lewes. We have full-time or part-...

DescriptionPay range: $35.20-$45 per hour depending on years of experience.Centurion is proud to be the provider ofcomprehensive services to the Maryland Department of Public Safety and Correctional Services. We are currently seeking a Part-time Day Shift Licensed Practical Nurse (LPN) to join our t...

Where Youll WorkAmbulatory Care at Penrose Home Health services a 60-mile radius from our office here in Colorado Springs. Our interdisciplinary team includes skilled nursing physical/occupational/speech therapy social work and CNAs. We care for a diverse population of patients aged 18 and above and...

Minimum 2 years of experience required. COVID Vaccine - Required. Performs and documents ongoing assessments including observation physical examination laboratory/test results and patient response to procedural intervention. Reviews and revises plan of care according to change in patients status. In...

Employment Type:Part timeShift:12 Hour Day ShiftDescription:Registered Nurse RNThis Staff RN position will be working in our Cardiovascular Progressive Care Unit two 12-hour shifts per week on day shift from 7am - 7:30pm with rotating weekends and holidays.Interested candidates are welcome to send r...

We are seeking a highly organized and proactive Program Coordinator to support the planning execution and administration of organizational programs in a fully remote environment. The successful candidate will coordinate program activities manage schedules and ensure projects are delivered on time an...

SUMMARYCoordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objectives for the program are accomplished according to established priorities time and funding limitations or other specifications.A program refers to carrying out a specific s...

Department:09110 GCMG Neurology Call Center: 1000 Blythe - Call CenterStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This position is hybrid M-F 8am-5pmPay Range$28.55 - $42.85Major Responsibilities:Provides program and project management assistance.As...

City/StateCharlottesville VAWork ShiftThird (Nights)Overview:Sentara Martha Jefferson is hiring a Patient Care Supervisor - Registered Nurse for a Full time night shift in Charlottesville VA!The Supervisor Nursing and Patient Care Services is responsible for overseeing and managing the day-to-day op...

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention a...

Are you looking to take your career to new heights with a leader in healthcare SUNY Downstate Health Sciences University is one of the nations leading metropolitan medical centers. As the only academic medical center in Brooklyn we serve a large population that is among the most diverse in the world...

Job Purpose: Ensuring all projects follow Case Management Standards of PracticePromotes and restores individuals health and wellbeing by completing a collaborative process of assessment planning facilitation care coordination evaluation and advocacy for options and services to meet an individuals co...

Job DescriptionThe Manager of Utilization Review is responsible for overall policy and operational accountability for utilization review to meet system strategic goals and directions. This position oversees utilization for all patient encounters. This includes management of the department budget hir...

About Umpqua HealthAt Umpqua Health were more than just a healthcare organization; were a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County Oregon where we prior...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence we have career opportunities all across the world which can lead to a unique exciting and fulfilling career path. Pick your path today! To see what career opportunities we have availab...

DescriptionSummaryThe Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes precertification concurrent review and retrospective review. The nurse works closely with providers patients a...