Utilization Review Nurse Jobs

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1000+ Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 20324
Job Description Registered Nurse (RN) Review Analyst Responsible for the approval or rejection of claims Admissions approvals Telephone triage Benefit interpretation May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job. Expertise in the use of medical terminology Utilization Review Chart Auditing Details 40 hour...
Title/Unit: RN Case Manager Shift/Schedule: Days Exciting opportunity to join a strong cosmopolitan growing city in the Texas market! Facility/Description: This opportunity is for a major Specialty Hospital in SE Texas. Responsibilites for this Case Manager will be to work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan th...
Utilization Review Nurse (RN or LPN) – Managed Care South Seattle, WA Job Summary: As a Utilization Review Nurse you will utilize your clinical skills to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost-effective care for health plan members that are hospitalized in acute, skilled and long term care settings. You will telephonically ...
Judge Healthcare is actively seeking a full time Utilization Review Registered Nurse for one of our BEST National Healthcare clients!!! This opportunity is located in Syracuse, PA! The right candidate must possess the following qualifications: Active RN license in the state of New York. 1-2 years' of experience in Utilization Review and/or Case Management. Please send your MOST UP TO DATE res...
Judge Healthcare is actively seeking a full time Utilization Review Specialist for an outstanding healthcare client of ours in the Syracuse, NY area! The right candidate must possess the following qualifications: Active RN or LPN license in the state of NY. Utilization Review/Case Management experience REQUIRED. Please send your MOST UP TO DATE resume to Rebecca at ***** or giv...
Judge Healthcare is currentlyhiring Clinical Care Reviewer for an outstanding opportunity with agreat Healthcare Company in Omaha, NE! We are hiring Nurses (RN) forthis position. Clinical Care reviewers will work to complete medical necessityreviews in a timely fashion. JobDescription Clinical Care Reviewer UM · Using clinical knowledge and nursing experience, the nurse reviewsprovider request...
The Utilization Review Coordinator has responsibility for organizing and conducting the managed care process. These duties shall be directed toward supporting the hospital’s mission in the pursuit of excellence in care/service and will include: conducting admission and continued stay record reviews; utilizing approved criteria; making determinations of medical necessity active treatment; assisting...
This position is responsible for reviewing and analyzing medical-legal reviews against quality standards and provide feedback to Utilization Review nurses; Understand different medical terminology; Must be extremely detail-oriented, quality driven; Manage time effectively in a fast-paced environment....
Judge Healthcare is actively seeking full time LPNs and/or LCSWs for an outstanding healthcare client of ours in the Portland, OR area for a large Utilization Review/Case Management project!! The right candidate must possess the following: Active LPN or LCSW license in the state of Oregon Utilization Review and Case Management experience REQUIRED. Great communication skills-verbal and written....
Title/Unit: Manager of Case Management We are currently seeking a Manager of Case Management to supervise overall case management operations. Facility Description: This facility is committed to providing the care that you and your family will need throughout your lifetime. This Regional Health System has been providing quality and compassionate health care in this community for over 50 years. ...
Alegent Creighton Health Council Bluffs, IA
LPN-UTILIZATION REVIEW Utilization Review FT Days Mercy Hospital Alegent Health - 1400021864 Description Alegent Creighton Health is the largest not-for-profit, faith-based healthcare provider in Nebraska and southwest Iowa with 11 acute care hospitals, a specialty spine hospital, freestanding inpatient psychiatric and skilled nursing facilities and more than 100 Alegent Creighton Clinic locatio...
Catholic Health Initiatives Council Bluffs, IA
LPN-UTILIZATION REVIEW Utilization Review FT Days Mercy Hospital Alegent Health - 1400021864 Description Alegent Creighton Health is the largest not-for-profit, faith-based healthcare provider in Nebraska and southwest Iowa with 11 acute care hospitals, a specialty spine hospital, freestanding inpatient psychiatric and skilled nursing facilities and more than 100 Alegent Creighton Clinic locatio...
Position Description: Total Care, a subsidiary of Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those ...
This Utilization Review Nurse Job is an office job and the hours are 11am-7:30pm. The nurse will be performing case management and utilization review of workers' compensation cases and making appropriate medical referrals. We are seeking a RN or LVN with 3 years of case management or utilization review experience. Compensation: varies based on RN or LVN certification. Please attach an updated ...
Title/Unit: RN-Case Management- Manager Shift/Schedule: Days- 8:30 - 5:00pm Looking for a thriving community in Northeast GA that offers year round outdoor life and access to big city entertainment and are an energetic RN who enjoys providing high quality, compassionate nursing care to people of all ages with a variety of illnessess and injuries, a rewarding career in the Intensive career Unit...
Title/Unit: RN- Manager of Case Management Shift/Schedule: Days- 8:30 - 5:00pm Looking for a thriving community in Northeast GA that offers year round outdoor life and access to big city entertainment and are an energetic RN who enjoys providing high quality, compassionate nursing care to people of all ages with a variety of illnessess and injuries, a rewarding career in the Intensive career U...
Title/Unit: RN-Case Management Shift/Schedule: Days- 8:30 - 5:00pm Looking for a thriving community in Northeast GA that offers year round outdoor life and access to big city entertainment and are an energetic RN who enjoys providing high quality, compassionate nursing care to people of all ages with a variety of illnessess and injuries, a rewarding career in the Intensive career Unit is waiti...
Position Type: Full Time Shift: Varies Qualifications: Education: Graduate of Accredited Nursing School, Bachelors preferred. / Experience: 2-4 years. Related experience and/or training or equivalent combination of educational experiences. Utilization Review, Case Management, and Discharge Planning experience preferred. / Required Licensure: Registered Nurse - Maryland. / Certifications: America...
Judge Healthcare is currently seeking a Utilization Review RN. This job will have the following responsibilities: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applic...
COMPANY DESCRIPTION Newport Academy is a gender-specific, comprehensive treatment program for adolescents suffering from mental health, behavioral health and substance abuse issues located in Litchfield County. The program combines the key elements essential in effectively treating adolescent girls and boys with substance abuse and other mental health disorders. As compared with adults, adolescen...

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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager
(313 Respondents)
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Education / Training

Bachelor's
41.2%
Master's
30.6%
Associates
22.7%
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

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