Utilization Review Nurse Jobs in USA

Employment Status:Full timeShift:Weekends Only (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R159918 RN Case Manager - ED Observation Unit - Full time - Weekends (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management fo...

Employment Status:Full timeShift:Weekends Only (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R159918 RN Case Manager - ED Observation Unit - Full time - Weekends (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management fo...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans.This position...

WHO WE ARE & WHAT WE DOTallahassee Memorial Healthcare (TMH) is a private nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6000 colleagues who reflect the diversity of our community.TMH is t...

Applied Technologies GroupUtility Helicopter FMS Program Support CoordinatorWho We Are: AM Pierce & Associates and Applied Technologies Group (ATG) a wholly owned subsidiary of AM Pierce and Associates is a woman-owned small business providing Engineering & Research Cyber C5ISR Program & Acquisition...

DescriptionSchedule:Salary Range:Your experience matters:At Valley Springs Behavioral Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in...

DescriptionSalary Range: $33.22 $44.85Your experience matters:At Valley Springs Behavioral Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that...

ID: Shift: Day 5x8-Hour (08:30 - 17:00) Description: Utilization Review Nurse*THIS IS NOT A REMOTE POSITION. It is an in person :5x8 s; M-F; 8:30 5pmNo WeekendsNo CallEDUCATIONGraduate from an accredited school of nursing BSN of two (2) years of Utilization Review experience. EPIC experience is re...

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Utilization Review RNMust have current utilization review experience within the last Start Prefer Local candidates in the DC area60 Mile traveler radius*This position will be working out of the Medstar Georgetown facility starting May 1 2026 Mod...

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Utilization Review RNMust have current utilization review experience within the last Start Prefer Local candidates in the DC area60 Mile traveler radius*This position will be working out of the Medstar Georgetown facility starting May 1 2026 Mod...

Review service plan requests from case managers daily a. Ensure plans are detailed and comprehensive i. Communicate with case managers in writing and by telephone to obtain information provide technical assistance and resolve service plan/ client issues. ii. Review client files for information rel...

Utilization Review ManagerReports to: CEOJob Category: Salaried Exempt Full-TimeStarting Salary: $75000-$95000/year (DOE)Job Site: Remote (must reside in Colorado)Job Summary:The Utilization Review Manager is responsible for overseeing utilization review activities to ensure medical necessity regu...

Utilization Review SpecialistHYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470EMPLOYMENT TYPE- Full-Time ExemptAbout Umpqua HealthAt Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the heal...

Position: Utilization Review SpecialistReq.#: 26-61FTE: Full-time ExemptUnit: UAWDepartment/Location: Utilization ManagementCompensation:$63102.73-$83647.81The Final job offer is based on several factors (internal equity skills education experience and credentials).Attractive Benefits Package: Four...

Utilization Review SpecialistHYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470EMPLOYMENT TYPE- Full-Time ExemptAbout Umpqua HealthAt Umpqua Health were more than a healthcare organization were a community-driven Coordinated Care Organization (CCO) dedicated to improving the hea...

Looking for an Opportunity to Make an ImpactAt Leidos we deliver innovative solutions through the efforts of our diverse and talented people who are committed to our customers success. We empower our teams contribute to our communities and operate sustainably. Everything we do is grounded in our com...

MissionQSAC is a New York City and Long Island based nonprofit that supports children and adults with autism together with their families in achieving greater independence realizing their future potential and contributing to their communities in a meaningful way by offering person-centered services....

We are hiring Utilization Review Analyst Hybrid for one of our clients in Hamilton NJ. Job Description: Review service plan requests from case managers daily Ensure plans are detailed and comprehensive Communicate with case managers in writing and by telephone to obtain information provide te...

Current University of Arkansas System employees including student employees and graduate assistants need to log in to Workday via then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply...

General Summary:Responsible for supporting the utilization review system including data analysis report writing and program improvement.UR Specialist will develop and maintain a VOD Tracking and Receipt system.UR Specialist will maintain an expert level review of client entitlements and billing auth...