Utilization Review Nurse
Lawrence, MA ยท On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Lawrence, MA ยท On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Lawrence, MA ยท On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Asheboro, NC ยท On-site
$21.47 - $35/hr
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...
Asheboro, NC ยท On-site
$21.47 - $35/hr
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...
Collaborate with physicians, healthcare providers, claims professionals, and internal team members ... Proficiency with Microsoft Office applications and ability to learn new clinical and claims systems*
Collaborate with physicians, healthcare providers, claims professionals, and internal team members ... Proficiency with Microsoft Office applications and ability to learn new clinical and claims systems*
Omaha, NE ยท On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE ยท On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Asheboro, NC ยท On-site
Utilization Management Nurse Complete utilization management functions for assigned patients as ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...
Asheboro, NC ยท On-site
Utilization Management Nurse Complete utilization management functions for assigned patients as ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...
Oxford, NC ยท On-site
Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques ...
Oxford, NC ยท On-site
Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques ...
Warner Robins, GA ยท On-site
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with ...
Warner Robins, GA ยท On-site
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with ...
The Utilization Review Supervisor oversees day to day functions of the department and staff. The ... Working at Lake Charles Memorial Health System | Great Place To Work
The Utilization Review Supervisor oversees day to day functions of the department and staff. The ... Working at Lake Charles Memorial Health System | Great Place To Work
Warner Robins, GA ยท On-site
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with ...
Warner Robins, GA ยท On-site
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... He/she collaborates with multiple leaders at various levels throughout Shannon Health, for the ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... He/she collaborates with multiple leaders at various levels throughout Shannon Health, for the ...
Omaha, NE ยท Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE ยท Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Manhattan, NY ยท On-site
$60 - $61/hr
... nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning ... Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate ...
Manhattan, NY ยท On-site
$60 - $61/hr
... nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning ... Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate ...
West Chester, PA ยท On-site
... healthcare continuum, and third-party payor standards are met. Reports same to the Utilization ... Nursing/BSN 3+ years nursing experience 1+ years utilization review We believe that the best care ...
West Chester, PA ยท On-site
... healthcare continuum, and third-party payor standards are met. Reports same to the Utilization ... Nursing/BSN 3+ years nursing experience 1+ years utilization review We believe that the best care ...
Lawrence, MA ยท On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Lawrence, MA ยท On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Lawrence, MA ยท On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Lawrence, MA ยท On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Syracuse, NY ยท On-site
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Syracuse, NY ยท On-site
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Chicago, IL ยท On-site
Considers all documented system information as well as any additional records/data presented to ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?
Chicago, IL ยท On-site
Considers all documented system information as well as any additional records/data presented to ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?
Kotzebue, AK ยท On-site
... The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and ... Participates in Medicaid Task Force committee through Alaska Native Health Board. * Completes ...
Kotzebue, AK ยท On-site
... The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and ... Participates in Medicaid Task Force committee through Alaska Native Health Board. * Completes ...
Las Vegas, NV ยท On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Stay current with healthcare regulations, accreditation standards, and utilization management best ...
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Las Vegas, NV ยท On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Stay current with healthcare regulations, accreditation standards, and utilization management best ...
$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
For Memorial Health System Utilization Review Nurse jobs, the most frequently searched job titles are:
Lawrence, MA โข On-site
Other
Posted 13 days ago
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: