Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Job Title: RN - Case Management (Utilization Review) Location: California ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Job Title: RN - Case Management (Utilization Review) Location: California ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel About the Position Specialty: RN - Utilization Review ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel About the Position Specialty: RN - Utilization Review ...
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 ...
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 ...
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 ...
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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 ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your ...
Utilization Review Nurse
Las Vegas, NV · On-site
Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and ...
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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 Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and ...
Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...
Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...
Utilization Review Nurse
Omaha, NE · On-site
LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent, hands-on clinical ... Paid Community Volunteer Day * Employee Assistance Program * Tuition Reimbursement Program
Utilization Review Nurse
Omaha, NE · On-site
LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent, hands-on clinical ... Paid Community Volunteer Day * Employee Assistance Program * Tuition Reimbursement Program
Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...
Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...
Registered Nurse - Utilization Review (Remote)
Torrance, CA · On-site
$57/hr
Job Title: RN - Utilization Review (Remote) Location: Remote - Must work in Pacific Standard Time (PST) Duration: 13 Weeks Unit: Remote Utilization Management Pay Rate: $54/hr (W2) or $57/hr (1099 ...
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Registered Nurse - Utilization Review (Remote)
Torrance, CA · On-site
$57/hr
Job Title: RN - Utilization Review (Remote) Location: Remote - Must work in Pacific Standard Time (PST) Duration: 13 Weeks Unit: Remote Utilization Management Pay Rate: $54/hr (W2) or $57/hr (1099 ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
Experience: • 36+ months RN experience in direct patient care • 12 consecutive months in Utilization Management, Utilization Review, or Case Management * • Preferred Certifications: Not ...
Experience: • 36+ months RN experience in direct patient care • 12 consecutive months in Utilization Management, Utilization Review, or Case Management * • Preferred Certifications: Not ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
Columbia, SC · On-site
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
Columbia, SC · On-site
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
Nashville, TN · On-site
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
Nashville, TN · On-site
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
RN Utilization Review
$73K - $75K/yr
... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...
Volunteer Rn 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
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Contractor
Posted 29 days ago
Job description
Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: RN
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Job Title: RN - Case Management (Utilization Review)
Location: California
Employment Type: Full-Time
Contract Length: Permanent
Job Summary: The Utilization Review Nurse II is responsible for evaluating medical records, discharge planning, and ensuring compliance with payor documentation requirements to maximize hospital reimbursement.
Job Responsibilities:
- Evaluate medical records for inpatient admissions to ensure required documentation is present.
- Initiate Physician Advisories for unwarranted admissions.
- Conduct ongoing reviews and discuss care changes with attending physicians.
- Formulate and document discharge plans.
- Coordinate with hospital services to ensure efficient resource use.
- Identify pay source issues and provide appropriate referrals.
- Collaborate with admitting office to prevent inappropriate admissions.
- Schedule specialized tests and authorize payments under Medically Indigent Adult programs.
- Review and approve surgery schedules for elective procedures.
- Coordinate with correctional facilities regarding elective procedures and medical goods.
- Answer provider questions about reimbursement and documentation requirements.
- Teach providers payor documentation requirements to maximize reimbursement.
- Assist in training Utilization Review Nurse I staff.
- Perform other job-related duties as assigned.
Required Qualifications:
- Two (2) years of experience as an RN in an acute care hospital, including one (1) year on a medical/surgical ward or unit.
- One (1) year of utilization review/discharge planning experience in an acute care hospital or two (2) years as a Case Manager in a clinic or physician’s office.
- Knowledge of payor source documentation requirements and governmental regulations.
- Understanding of acute care nursing principles, patient disease processes, medical terminology, and hospital routines.
- Ability to evaluate medical records, assess clinical performance, and communicate documentation needs effectively.
- Proficiency in gathering and analyzing data for reports and recommendations.
Required Certifications & Licensure:
- Valid Registered Nurse license in the State of California.
- Current American Heart Association Healthcare Provider Basic Life Support (BLS) card.
Preferred Qualifications:
- None specified.
Additional Information: This role requires strong interpersonal skills to collaborate with physicians, health providers, payor sources, and the general public.
QUALIFICATION/LICENSURE
Work Authorization : US Citizen
Preferred years of experience : 2 years
Travel required : No travel required
Shift timings : Days
RightSourcing IHS Job ID #37276836. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Utilization Review