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Entry Level Rn Utilization Review Nurse Jobs in Kentucky

Universal Hospital Services Inc.

Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

Acrisure, LLC

Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

Uoflhealth

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

UofL Health, Inc.

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

UofL Health, Inc.

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

SPEROS

$77K - $117K/yr

Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and ... Registered Nurse (RN) Minimum Licensure (Other): * Knowledge of utilization management principles ...

Albany Medical College

$77K - $119K/yr

## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...

Evry Healthcare Inc.

The RN Integrated Care Coordinator (UM) provides comprehensive care coordination services and is ... Rotating weekend hours are required to address utilization review cases. Roles and Responsibilities

CorVel Corporation

RN is required unless local state regulations permit LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and retrospective utilization review experience preferred

Montefiore Nyack

$110K/yr

As appropriate for discipline (Registered Nurse versus Social Worker). Involves patient/family in ... utilization, performing continued stay reviews and assists with managing length of stay of patients ...

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Infographic showing various Entry Level Rn Utilization Review Nurse job openings in Kentucky as of June 2026, with employment types broken down into 60% Full Time, 25% Part Time, 1% Temporary, and 14% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

Utilization Review Nurse (RN)

On-site

Universal Hospital Services Inc.
Health Care and Social Assistance • 1 - 5K employees
Learn more about Universal Hospital Services Inc.external

Other

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Responsibilities

Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team.

Lighthouse Care Center of Augusta Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission. Utilization Review Nurse, RN Under the direction of the Director of Utilization Management.

Website: https://www.LighthouseCareCenters.com

Job Duties/ Responsibilities:
  • Review clinical content of medical records
  • Participate in treatment team meetings
  • Collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved
  • Utilization Review/Business Office Coordinator will ensure input of pre-certifications and continued stay reviews into Midas
  • Follow-up on unfinished pre-certifications from the day before
  • Coordinate with the treatment team on any follow-ups necessary
  • Verify insurance coverage at the first of the month, and post patient payments into MS4
  • Trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems
  • Additional job duties
Benefit Highlights:
  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries
  • Pet Insurance
  • More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

Education and Experience:

  • Registered Nurse (RN) preferred or License Professional Nurse (LPN)
  • Current GA or Multistate Valid RN or LPN license
  • Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review
EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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