Utilization Review Jobs

Department: BAY 3 W Geropsych Daily Work Times: 7:30am-4:00pm Shift: Days Scheduled Bi-Weekly Hours: 80 Position Summary : In conjunction with the admitting/attending physician, the UR Specialist RN assi... more
1w ago
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Salary: 65,949.00-98,943.00 USD Facility: Mount St. Mary's Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Ov... more
1w ago
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Clinical Review Nurse - Prior Authorization

Centene  •  Full-time  •  Latham, New York, United States  •  $25.97 - $46.68 / hour  •  2w ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
2w ago
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Overview Join our team as a day shift, PRN, Utilization Review Case Management Acute Care Rgistered Nurse in Albuquerque, NM. Fulfilling your purpose begins here: People First, Always. Here’s how we take c... more
1m ago
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REGISTERED NURSE – UTILIZATION MANAGER "We encourage Military Veterans and Military Spouses to apply" SITE OF SERVICE :  o The contractor shall provide personnel for service at the Naval Hospital Pensacola,... more
3w ago
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About Us At Baylor Scott & White Health, we support the health of people, families, and communities. Baylor Scott and White is Texas's largest not-for-profit healthcare system, encouraging healthy living. Our... more
1m ago
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Salary Range:  $47.7200 - $73.3700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. Case Manager – RN (Utilization Review) Do you thrive on support... more
1m ago
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About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced... more
1m ago
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We are recruiting for a motivated RN Utilization Coordinator - Denver Health Medical Plan (Must Live in Colorado) to join our team! We are here for life’s journey. Where is your life journey taking you? Being... more
1m ago
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
6d ago
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We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator (PRN) to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver mean... more
1w ago
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Registered Nurse Utilization Review

SelectHealth Inc  •  Full-time  •  Murray, Utah, United States  •  $39.99 - $59.18 / hour  •  2w ago
Job Description: SelectHealth is a not-for-profit community health plan serving more than 1 million members in the intermountain west that offers a variety of Medicare, Medicaid, Marketplace Qualified Health Plans... more
2w ago
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Mercy South  - de Greeff Hospice House - Utilization Review - Registered Nurse Hours: 8:00am - 4:30pm,  Full Time (40 hrs. per week) Gas Mileage Reimbursement: 0.67/mi. Day-one comprehensive... more
2w ago
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Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse nee... more
2w ago
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Clinical Review Nurse - Concurrent Review

Centene  •  Full-time  •  Amherst, New York 14068, United States  •  $25.97 - $46.68 / hour  •  1m ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
1m ago
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Job Title & Specialty Area: Utilization Management RN Department: Utilization Review Location: Dallas Shift: Day Job Type: Remote (Must be available to attend meetings and trainings onsite in Dallas) Why Children’... more
3d ago
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
1w ago
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At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, e... more
3w ago
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Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse nee... more
1m ago
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Job Description: Proactively manage inpatient and outpatient utilization to assure that medical care is appropriate, efficient, and medically necessary. Support facility discharge planning efforts, coordination of... more
6d ago
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Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here.  Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Vari... more
1w ago
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Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse nee... more
2w ago
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Clinical Review Nurse - Concurrent Review

Centene  •  Full-time  •  Las Vegas - 2500 N Buffalo, Ste 250 (Silver Summit Health Plan)(10380)  •  $25.97 - $46.68 / hour  •  1w ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
1w ago
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Number of Job Openings Available: 1 Date Posted: July 01, 2024 Department: 62209900 Allina Health Group Shoreview Shift: Day (United States of America) Shift Length: 8 hour shift Hour... more
1w ago
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We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator (PRN) to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver mean... more
1w ago
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Description Full time, 10a-10p every third weekend 12-8.  Working in the Emergency Department. The Utilization Management RN reflects the mission, vision, and values of NM, adheres to the organization’s Code o... more
2w ago
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Utilization Management Clinician LPN

Centene  •  Full-time  •  Amherst, New York 14068, United States  •  $25.97 - $46.68 / hour  •  2w ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene... more
2w ago
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Description RESPONSIBLE FOR: The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospita... more
1w ago
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ABOUT MARINHEALTH a UCSF Affiliate Come and be a part of our healing team at the award-winning MarinHealth! Ranked in the top 3% of general hospitals in the country, we have made great strides since returning to... more
3m ago
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Salary Range:   $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to lo... more
4m ago
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