North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... review. Qualifications RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN ...
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... review. Qualifications RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Responsibilities include comprehensive patient assessment, care planning, utilization review, and ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
New
Responsibilities include comprehensive patient assessment, care planning, utilization review, and ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
New
MDS Coordinator (RN)
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Quick apply
MDS Coordinator (RN)
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
MDS Coordinator (RN)
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
MDS Coordinator (RN)
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
New
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
New
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Be Seen First
Registered Nurse RN
Butner, NC · On-site
$58/hr
Review admission requests for medical necessity * Ensure proper approvals and pre-certifications ... Support urgent and emergent admissions with utilization teams * Document all patient and transfer ...
Quick apply
Be Seen First
Registered Nurse RN
Butner, NC · On-site
$58/hr
Review admission requests for medical necessity * Ensure proper approvals and pre-certifications ... Support urgent and emergent admissions with utilization teams * Document all patient and transfer ...
LPN/ RN
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN or RN ... will be responsible for meeting the standards required by JCAHO, GHS, and other regulating agencies ...
LPN/ RN
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN or RN ... will be responsible for meeting the standards required by JCAHO, GHS, and other regulating agencies ...
LPN/ RN
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN or RN ... will be responsible for meeting the standards required by JCAHO, GHS, and other regulating agencies ...
LPN/ RN
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN or RN ... will be responsible for meeting the standards required by JCAHO, GHS, and other regulating agencies ...
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... review nursing documentation, and uphold HIPAA and OSHA standards. * Optimize Clinical Workflows ...
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... review nursing documentation, and uphold HIPAA and OSHA standards. * Optimize Clinical Workflows ...
Medical Surgical Nurse (LPN/RN)
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN will be ... The RN will be responsible for meeting the standards required by AACN, JCAHO, GHS, and other ...
Medical Surgical Nurse (LPN/RN)
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN will be ... The RN will be responsible for meeting the standards required by AACN, JCAHO, GHS, and other ...
Medical Surgical Nurse (LPN/RN)
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN will be ... The RN will be responsible for meeting the standards required by AACN, JCAHO, GHS, and other ...
Medical Surgical Nurse (LPN/RN)
Oxford, NC · On-site
$25 - $34/hr
... utilization of the nursing process in collaboration with other health team members. The LPN will be ... The RN will be responsible for meeting the standards required by AACN, JCAHO, GHS, and other ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and ...
Entry Level Rn Utilization Review Nurse information
See Raleigh, NC salary details
$20.80 - $25
2% of jobs
$25 - $29.21
9% of jobs
$32.09 is the 25th percentile. Wages below this are outliers.
$29.21 - $33.42
21% of jobs
The median wage is $36.82 / hr.
$33.42 - $37.62
23% of jobs
$37.62 - $41.83
13% of jobs
$45.10 is the 75th percentile. Wages above this are outliers.
$41.83 - $46.03
10% of jobs
$46.03 - $50.24
8% of jobs
$50.24 - $54.45
5% of jobs
$54.45 - $58.65
5% of jobs
$58.65 - $62.86
2% of jobs
$62.86 - $67.06
2% of jobs
$20
$41
$67
How much do entry level rn utilization review nurse jobs pay per hour?
- Nurse Practitioner Utilization Review
- Utilization Review
- Remote Aetna Utilization Review
- Remote Rn Utilization Review Nurse
- Remote Preservice Review Nurse
- Registered Nurse Reviewer
- Optum Utilization Review Nurse
- Registered Nurse Medical Reviewer
- Chart Review Nurse Practitioner
- Internship Rn Utilization Review Nurse

Job description
Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.