Utilization Review Nurse Jobs

1000+ jobs

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly gr...

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...

RN / UTILIZATION REVIEW NURSE Kelly Healthcare Resources currently has a full-time, contract opportunity available for a Utilization Review Nurse to come and join our client located in Hoover, AL! As the UR Nurse with a global health insurance service company, you’ll be responsible for performing the utilization and case management functions in the acute care setting. Specifically, it will be you...

Our client is currently seeking a Utilization Review RN. This job will have the following responsibilities: Responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans The UM Nurse determines medical appropriateness of inpatient and outpatient services Performs utilization review activities, including pre-certification, concurrent, and retrospective ...

Utilization Review Nurse - RN Kelly Services has an exciting opportunity available for a Utilization Review Nurse - RN to come work with our client located in Oklahoma City, OK. As the Utilization Review Nurse- RN, you'll work behind the scenes to maximize cost efficiency and quality of various health care services. Within the scope of practice, responds to calls, conducts certification reviews, ...

Company Confidential
An Outstanding Opportunity - If you are currently poised and ready for the next level of management or currently managing a team but are ready to advance your career to the next level, we want to hear from you! As a Nationally recognized Fortune 500 Healthcare Leader, we pride ourselves in our ability to provide the absolute best care to our patients. You will guide the team to the exceptional ca...

Kelly Services has an exciting opportunity available for a Temp to Hire Utilization Review Coordinator to come work with our client located in Minnetonka, MN. As the Utilization Review Coordinator, you’ll prepare reviews for all prior authorizations and clinical appeal requests. So, if you’re ready to provide patients with information that they need, then apply now to begin the recruiting process ...

RN/Medical Reviewer Kelly Services has an exciting opportunity available for a RN/Medical Reviewer to join our client located in Wilkes-Barre, PA! As the Medical Reviewer, you’ll be reviewing and auditing medical records for completeness and accuracy by looking at various pieces of documentation. If records are missing important information it will be your duty to ensure that the information is i...

Tracking Code 206626 Job Description Utilization Review Manager is needed to provide oversight and direction to the Managed Care Team. The Utilization Review Manager utilizes standards of care, evidence based practices, commercial insurance coverage guidelines to assure patients receive high quality, cost efficient health outcomes to meet their long term home and community based needs. Performs...

Tracking Code 206642 Job Description Utilization Review Manager is needed to provide oversight and direction to the Managed Care Team. The Utilization Review Manager utilizes standards of care, evidence based practices, commercial insurance coverage guidelines to assure patients receive high quality, cost efficient health outcomes to meet their long term home and community based needs. Performs...

Facility Information: Since 1976 Lakeside Behavioral Health System has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and mid-south region. The 319 bed facility is located on a safe and private 37 acre campus in northeast Shelby County and provides comprehensive behavioral health treatment for adults, seniors, adolescents and children. Lak...

Job Description: We are in need of a qualified and committed Inpatient UR Nurse knowledgeable in Milliman and Interqual guidelines for a full-time position. Qualifications: - Active California RN license - 2+ years of experience - Telephonic Case Management experience - Experience and knowledge with inpatient, UM, concurrent reviews - Knowledge of Medicare and Medi-Cal programs - Backgroun...

Job Description: We are in need of a qualified and committed Case Manager / UR Nurse with recent experience within an acute/trauma setting. Qualifications: - Active CA RN license - 5+ years of experience in an acute setting - Case Management & UR experience - Experience and knowledge with inpatient, UM, concurrent reviews, and discharge planning - Background in Managed Care helpful - Knowl...

Description : As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient c...

Beverly Hospital, a member of Lahey Health has a full time opportunity for a Utilization Review RN. Please apply to our website: www.beverlyhospital.org The Utilization Management Nurse promotes the documentation of medical necessity and resource consumption during an inpatient hospitalization. Performs medical necessity surveillance, conducts concurrent clinical reviews, manages patient status ...

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...

Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...