Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Utilization Review Nurse
Las Vegas, NV · On-site
Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour ... At least 1 year in Utilization Management, Case Management, or CDI * Minimum 3 years of Utilization ...
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Utilization Review Nurse
Las Vegas, NV · On-site
Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour ... At least 1 year in Utilization Management, Case Management, or CDI * Minimum 3 years of Utilization ...
Utilization Review Nurse
Omaha, NE · Hybrid
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Utilization Review Nurse
Omaha, NE · Hybrid
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Utilization Review Nurse A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services.
New
Utilization Review Nurse A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services.
New
Utilization Review Nurse
Dothan, AL · On-site
Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...
Utilization Review Nurse
Dothan, AL · On-site
Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...
Utilization Review Nurse
Omaha, NE · Hybrid
WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Utilization Review Nurse
Omaha, NE · Hybrid
WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...
Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Must be an RN Utilization Review background in either Managed Care of Provider environment (at ...
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Must be an RN Utilization Review background in either Managed Care of Provider environment (at ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
New Orleans, LA · On-site
In our more than 20 years of service, Absolute Care has focused on fulfilling the needs of this ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...
Utilization Review Nurse
New Orleans, LA · On-site
In our more than 20 years of service, Absolute Care has focused on fulfilling the needs of this ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...
Utilization Review Nurse
Las Vegas, NV · On-site
Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
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Utilization Review Nurse
Las Vegas, NV · On-site
Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in ... utilization review RN must have two years of experience in an acute care hospital. Additional ...
Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in ... utilization review RN must have two years of experience in an acute care hospital. Additional ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... This position collaborates with case management in the development and implementation of the plan ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... This position collaborates with case management in the development and implementation of the plan ...
Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure ... JOB SUMMARY The performance of the Utilization Review function on all patients presenting for ...
Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure ... JOB SUMMARY The performance of the Utilization Review function on all patients presenting for ...
Utilization Review Nurse
Sheridan, WY · On-site
Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure ... JOB SUMMARY The performance of the Utilization Review function on all patients presenting for ...
Utilization Review Nurse
Sheridan, WY · On-site
Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure ... JOB SUMMARY The performance of the Utilization Review function on all patients presenting for ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... This position collaborates with case management in the development and implementation of the plan ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position ... This position collaborates with case management in the development and implementation of the plan ...
Be Seen First
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field ... utilization, case and/or disease management processes. - Requires knowledge of health care ...
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Be Seen First
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field ... utilization, case and/or disease management processes. - Requires knowledge of health care ...
Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Quick apply
Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Live In Cigna Utilization Review Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do live in cigna utilization review nurse jobs pay per hour?
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Other
Posted 4 days ago
Job description
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
- Review admissions using InterQual and/or Milliman criteria
- Evaluate medical necessity, level of care, and documentation accuracy
- Ensure compliance with Medicare, Medicaid, and regulatory guidelines
- Collaborate with physicians, case management, and care teams
- Support discharge planning and care coordination
- Document findings and communicate recommendations
- Active RN license (Nevada)
- 5+ years acute care nursing experience
- 3+ years Utilization Review experience
- 3+ years discharge planning experience (acute care)
- Experience with InterQual (must be able to pass exam)
- Experience with Milliman guidelines
- Background in Case Management or CDI
- Strong knowledge of Joint Commission and CMS guidelines
- Competitive pay
- Stable, high-demand role
- Collaborative healthcare environment
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!
About Fusion HCR
Sourced by ZipRecruiter
Industry
Human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Springboro, OH, US
Year founded
2012