Utilization Review RN
Brentwood, TN ยท On-site
Utilization Review RN Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with a prestigious healthcare company? Do you want the ...
Brentwood, TN ยท On-site
Utilization Review RN Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with a prestigious healthcare company? Do you want the ...
Brentwood, TN ยท On-site
Utilization Review RN Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with a prestigious healthcare company? Do you want the ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Memphis, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Knoxville, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Knoxville, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Nashville, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Nashville, TN ยท On-site
$63K - $65K/yr
... RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. * Apply your RN clinical knowledge ...
New
Franklin, TN ยท On-site
Utilization Review Nurse American Health Plans, a division of Franklin, Tennessee-based American ... Required Registered Nurse Equal Opportunity Employer This employer is required to notify all ...
Franklin, TN ยท On-site
Utilization Review Nurse American Health Plans, a division of Franklin, Tennessee-based American ... Required Registered Nurse Equal Opportunity Employer This employer is required to notify all ...
Franklin, TN ยท On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ... (RN) license EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do ...
Franklin, TN ยท On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ... (RN) license EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ... (RN) license EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ... (RN) license EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN ยท On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
State RN License required. Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in ...
Franklin, TN ยท On-site
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
Franklin, TN ยท On-site
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
$19.42 - $23.35
2% of jobs
$23.35 - $27.27
9% of jobs
$29.96 is the 25th percentile. Wages below this are outliers.
$27.27 - $31.20
21% of jobs
The median wage is $34.38 / hr.
$31.20 - $35.13
23% of jobs
$35.13 - $39.05
13% of jobs
$42.11 is the 75th percentile. Wages above this are outliers.
$39.05 - $42.98
10% of jobs
$42.98 - $46.91
8% of jobs
$46.91 - $50.84
5% of jobs
$50.84 - $54.76
5% of jobs
$54.76 - $58.69
2% of jobs
$58.69 - $62.62
2% of jobs
$19
$38
$62
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

Other
Medical, Dental, Vision
Re-posted 25 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Title: Utilization Review RN
Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Position Summary:
As the Utilization Review RN, you would be responsible for telephonically reviewing medical information in order to determine medical necessity of continued stay according to review standards.ย
Hours for this Position: Monday-Friday 8:00am-5:00pm
Advantages of this Opportunity:
More Insight of Daily Responsibilities:ย
What We Look For:
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003