You must reside in one of the following states for this position:
AL, AR, AZ, GA, IA, ID, IL, IN, KS, KY, LA, MI, MO, MS, NY, OH, OK, PA, SC, TN, TX, UT, WI
American Health Plans, a division of ...

POSITION SUMMARY
The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate admission status and documents all information that relate...

Overview
UF Health Leesburg Hospital has been serving the health care needs of our community for 58 years. The hospital offers advanced cardiac care including one of the largest cardiothoracic surg...

Overview
UF Health Leesburg Hospital has been serving the health care needs of our community for 58 years. The hospital offers advanced cardiac care including one of the largest cardiothoracic surg...

Job Description:
Seeking Utilization Management RN!
Full-time, Monday-Friday, 9:00am-5:30pm
Baptist Health Floyd, Case Mangement
Southern Indiana/Louisville, Kentucky area
The Uti...

Tittle: RN Utilization Review
Location: Lansing, MI 48912
Duration: 13 weeks
Guranteed hours: 40 hrs
Pay Package: Total weekly gross $2646
Shifts: Day 5x8-Hour (08:00 - 16:30)
...

Additional Information About the Role
Join a stable work from home team. This is a great opportunity for a local remote position.
Schedule
80 hours/per pay period (two weeks) -
* Mo...

Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states prov...

Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals. Screens patients for admission criteria (medical necessity/patient stat...

Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership ...

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people,"...

TYPE OF RECRUITMENT:
OPEN COMPETITIVE JOB OPPORTUNITY
EXAM NUMBER:
Y5126D
FILING START DATE:
06/09/2020 AT 8:00 A.M. (PST)
This examination will remain open until the n...

Medica’s Utilization Review Nurses are responsible for reviewing and documenting prior authorization and appeals requests and member case history in compliance with policies and procedures for approva...

Responsibilities
Join the Southwest Healthcare Team!

About Us:
Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambu...

Job Details
Job Location: 7600 Office - South Charlotte - Charlotte, NC Position Type: Full Time Salary Range: Undisclosed Travel Percentage: Up to 25% Job Shift: Day
Descri...

* Position Summary
* Conducts reviews of the patient’s medical data to assess appropriateness and medical necessity for admission and continued stay, to assist in assigning an appropriate D...

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/Quality Assurance Senior Coordinator (Nights). Ut...

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Posted job title: Case Management (Utilization Review). Some of the ...

Genie Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Bronx, New York. Prefer prior critical care experience,BLS, PRI (Patient Review Instrument) Certification, ...