Utilization Review Nurse
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Syracuse, NY · On-site
Interested in being considered? IF IS JOB OPPORTUNITY IS FOR YOU, GIVE ME A CALL AT 321-574-6926 ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Syracuse, NY · On-site
Interested in being considered? IF IS JOB OPPORTUNITY IS FOR YOU, GIVE ME A CALL AT 321-574-6926 ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
$80 - $100/hr
The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum ... Graduate of an accredited School of Nursing. * Experience: Three (3) years in an acute care setting.
$80 - $100/hr
The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum ... Graduate of an accredited School of Nursing. * Experience: Three (3) years in an acute care setting.
Kotzebue, AK · On-site
$100 - $125/hr
... The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and ... Assists in revenue procurement by:making sure insurance approvals are completed correctly with no ...
Kotzebue, AK · On-site
$100 - $125/hr
... The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and ... Assists in revenue procurement by:making sure insurance approvals are completed correctly with no ...
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with ... care, care management, and utilization review. * Five years clinical nursing experience
$34.73 - $45.15/hr
... of service and documents such in clinical database * Monitors all levels of care for ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...
$34.73 - $45.15/hr
... of service and documents such in clinical database * Monitors all levels of care for ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... In addition, this position may be eligible for participation and company contributions into the ...
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... In addition, this position may be eligible for participation and company contributions into the ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Kern Medical has been a community cornerstone since its ... In addition, this position may be eligible for participation and company contributions into the ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Kern Medical has been a community cornerstone since its ... In addition, this position may be eligible for participation and company contributions into the ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... In addition, this position may be eligible for participation and company contributions into the ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... In addition, this position may be eligible for participation and company contributions into the ...
Asheboro, NC · On-site
Complete utilization management functions for assigned patients as outlined in the Utilization ... Review patient record and plan of care at admission or placement into observation utilizing the ...
Asheboro, NC · On-site
Complete utilization management functions for assigned patients as outlined in the Utilization ... Review patient record and plan of care at admission or placement into observation utilizing the ...
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 ...
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 ...
Providence, RI · On-site
Actual location may vary., RI Contract · Participates in the development and ongoing ... Nurse in state of residence · Must have prior authorization utilization experience · Able to work ...
Providence, RI · On-site
Actual location may vary., RI Contract · Participates in the development and ongoing ... Nurse in state of residence · Must have prior authorization utilization experience · Able to work ...
Albany, NY · On-site
$80 - $100/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
Albany, NY · On-site
$80 - $100/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Participate in utilization management activities, including concurrent reviews, appeals, and denial ...
Quick apply
Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Participate in utilization management activities, including concurrent reviews, appeals, and denial ...
$80 - $100/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
$80 - $100/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
Albany, NY · On-site
$77K - $119K/yr
... utilization review identifies areas for clinical documentation improvement and contacts appropriate ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
Albany, NY · On-site
$77K - $119K/yr
... utilization review identifies areas for clinical documentation improvement and contacts appropriate ... Takes actions to achieve continuous improvement in both areas. • Refers cases and issues to ...
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
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 ...
Albany, NY · On-site
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Takes actions to achieve continuous improvement in both areas. Refers cases and issues to Medical ...
Albany, NY · On-site
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Takes actions to achieve continuous improvement in both areas. Refers cases and issues to Medical ...
$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
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The most popular types of Cigna Utilization Review Nurse jobs are:
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Full-time
Posted 12 days ago
Position Summary
Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate timely discharge, assure medical documentation accurately reflects the patient’s severity of illness; and ensures compliance with the conditions of participation as they relate to utilization review and discharge planning and payer regulations.
MINIMUM EDUCATION AND EXPERIENCE:
Required:
Preferred: