Utilization Review Nurse Jobs

RSS

1000+ Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 28681
Title/Unit: RN- Utilization Review Manager Shift/Schedule: Days 8hr shifts We are seeking a strong Nurse leader who will manage and coordinate the UR/Case Management Dept for a Behavior Health Facility. Facility Description: This Hospital is a 138-bed, privately owned psychiatric and chemical dependency hospital providing a full continuum of care for all ages. The hospital was established in...
The San Francisco Health Plan is a progressive county health plan located in downtown San Francisco’s SOMA district. Our mission is to provide affordable, quality health care to the residents of San Francisco. We are a fast-paced, team-oriented organization that is rapidly growing and transforming itself to maintain its position as a leader in the rapidly changing health care world. NURSE, Utiliz...
Tired of the crazy hours, heavy lifting, working weekends and holidays? Put your medical skills to work in an office environment. Become part of our dynamic, growing managed care specialist team. Join a company with a unique culture dedicated to technology and customer service. We have a Utilization Review Nurse position available for the right person interested in becoming part of our successful...
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...
SBSC, Inc. is seeking an experienced Utilization Review Nurse. Duties include speaking with providers and insurers regarding authorizations and other issues that impact billing and collections. Experience in behavioral health and/or substance abuse a plus. Would require someone who can problem solve, work with insurers, take responsibility,and is committed to accuracy and timeliness. Prefer 3 or ...
Registered Nurses who have mental health and utilization review experience are encouraged to consider an outstanding career opportunity with Liberty Healthcare. Liberty Healthcare is currently accepting applications for a full-time Utilization Review Nurse position. The Utilization Review Nurse will be based at the Delaware Psychiatric Center and travel regularly to mental health hospitals and f...
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...
PURPOSE: • Provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Palo Verde Behavioral Health services, assists in the promotion and maintenance of high quality patient care through the review and evaluation of clinical practices and the review of patient cases for appropriateness of admission, continued stay and discharge planning. REPORTS TO: D...
This is a position that focuses on utilization review including assessment of medical records for appropriateness, level of care provided. You will assess utilization of treatment, modalities, medications, services and application of treatment protocols. A team approach with other members of internal staff is important. Requirements: California Nurses license, Registered Nurse (RN) Utilization ...
Eden Medical Center's new state-of-the-art facility in Castro Valley brings together patient-centered care, technology and sophisticated design in a LEED-certified sustainable and seismically-safe building. The new facility has 130 private patient rooms, with an additional 34-bed Universal Care Unit. Eden Medical Center is home to the Sutter East Bay Neuroscience Institute, a Primary Stroke Cente...
Title/Unit Director of Case Management Shift/Schedule: Days This Healthcare System is proud to call San Antonio its home, the popular “Alamo City” because of two world famous attractions, The Alamo and the River Walk. T he city is well-diversified and offers a resilient local economy. San Antonio is a great place to start a new job or raise a family due to the low cost of living in terms of ho...
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: 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...
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...
Utilization Review Nurseneeded for acontract to hireopportunity with Yoh's client located in Santa Clara, CA. Top Skills Should You Possess: - Experience in Managed Care or Case Management - Knowledge of Medi-Cal & Medicare What You'll Be Doing: - Day-to-day utilization review for inpatient and outpatient activities, utilizing approved policies, standards, and clinical criteria - Proactively...
Description: Position Summary: To perform utilization review for workers’ compensation claims based on review criteria and protocols in accordance with state and regulatory agency compliance. This is a position that requires critical thinking and problem solving skills with effective written and oral communication skills. The environment is fast-paced and ever-changing. Technical Knowledge, Expe...
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...
CONTRACT Utilization Review Nurse (LPN) - Managed Care Roanoke, VA ** This is a full-time, benefits available, CONTRACT opportunity, expected to last several months, or longer! ** Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews of current inpa...
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 ...
Judge Healthcare is actively seeking a full time utilization review registered nurse for one of Las Vegas fastest growing healthcare facilities! The right candidate must possess the following qualifications: Active RN licence in the state of Nevada. 3 years of clinical experience in acute care setting Relevant previous experience in utilization review. BSN Preferred. Please send your MOST UP...

Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
email me

Upload your resume and let employers find you!
It's that simple!

Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager
(313 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

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

Popular Utilization Review Nurse Articles

Nursing Careers Beyond the Bedside Article Rating
Want to get away from direct care, but keep your seniority? These nonclinical hospital roles could be right for you.
Sample Resume for an RN Career Changer Article Rating
This sample resume demonstrates how experienced nurses can position themselves for jobs outside of the hospital.
For Employers: Post Jobs | Search Resumes | Advertise
About Monster | Work for Monster | Advertise with Us | AdChoices | Partner with Us | Investor Relations | Social Media
Terms of Use | Privacy Center | Accessibility Center | Help | Security | Contact Us | Sitemap | Mobile
©2014 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2014.11.15.18-204
eTrustLogo