rn utilization review jobs in United States


  • Norman Regional Hospital Authority Norman

    Departmental Overview · The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. · Job Summary · Utilization Review, Utilization Management, ...


  • Vivo HealthStaff San Francisco Full time

    Job Title · Utilization Review RN · About the Role · Vivo HealthStaff is seeking a skilled Utilization Review RN for a hybrid position in San Francisco. This role requires 1-2 days of on-site work per week. · Key Responsibilities · Collaborate with healthcare professionals to dev ...


  • Medix Lake Forest

    This role is fully on-site 5 days a week. · Determines the most appropriate level of care and admission status, applying approved criteria and guidelines in decision-making. This ensures a smooth admission experience for patients by coordinating clinical needs with operational pr ...


  • Providence Mission Hills

    At Providence, we strive to provide high-quality care to our patients. We are seeking a dedicated and compassionate Utilization Review Nurse to join our team. · About the Job · Provide utilization review and coordination of care throughout the healthcare continuum to promote qual ...


  • MedStar Health Washington

    General Summary of Position · Conducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to deliver high-qualit ...


  • Medstar Washington

    Job Summary · We are seeking a highly skilled Utilization Review Specialist to conduct admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing nationally approved guidelines. · This role requires collaboration with m ...


  • TidalHealth Salisbury Full time

    Why work at TidalHealth? · TidalHealth offers a rewarding place to work with U.S. News & World Report naming it a High Performing hospital for 11 challenging and elective health conditions. · Utilization Review RN Position Summary · The Utilization Review – RN facilitates appropr ...


  • Providence Olympia Full time

    Utilization Review Nurse · The Utilization Review (UR) Nurse plays a crucial role in supporting the Utilization Management (UM) program by developing and maintaining effective processes for determining patient admission status based on regulatory and reimbursement requirements of ...


  • KPC GLOBAL MEDICAL CENTERS INC. Anaheim Full time

    Job Description · SUMMARY · The Utilization Review Registered Nurse reviews client health records to ensure proper utilization of treatment resources. This includes assessing the need for hospitalization, intensive care, or other levels of care to provide appropriate and effectiv ...


  • Ascension Austin, TX

    Job Summary · We are seeking a Utilization Review Registered Nurse to provide health care services regarding admissions, case management, discharge planning and utilization review. · Responsibilities · Review admissions and service requests within assigned unit for prospective, c ...


  • Hines & Associates Inc Rockford

    Nurses – are you looking for a change? We offer a unique opportunity to work no nights, no weekends, and no holidays. You'll be able to work from home 50% of the time once trained. · About Hines & Associates: · We are a nationwide, independent leader in personalized managed healt ...


  • LifeBridge Health Burtonsville Part time

    Utilization Review / Case Management RN - Part Time, Weekends · Baltimore, MD · GRACE MEDICAL CENTER · CARE MANAGEMENT · Part-time - Weekends - Day shift - 9:00am-5:30pm · RN Other · $50.00-$55.00 · Summary · Utilization Review/Case Management RN will work every other weekend fro ...


  • Providence Service Mission Hills

    Description · Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to members. · This role is critical in ensuring that patients receive the best possible care, while also optimizing r ...


  • Nemaha Valley Community Hospital Seneca Full time

    Job Title: · Utilization Review Specialist · Department: · Nursing · Reports to: · Director of Nursing · Summary: · The Utilization Review Specialist plays a critical role in ensuring the appropriate use of hospital resources while maintaining high-quality patient care. This posi ...


  • Magnet Medical Ashland Travel

    Travel Utilization Review RN · We are seeking a skilled and dedicated Registered Nurse to join our team as a Travel Utilization Review RN in Ashland, OR. · Job Summary: · This position offers the opportunity to work as a Travel Utilization Review RN for 36 hours a week over the c ...


  • Magnet Medical Grants Pass Travel

    We are seeking a Travel Utilization Review Registered Nurse for a rewarding travel nursing position in Grants Pass, Oregon. · This 13-week utilization review travel nursing assignment offers a competitive salary of $2686 per week for 40 hours of work, Monday through Friday. · Job ...


  • University of Maryland Medical System Upper Marlboro Full time

    Job Title · Utilization Reviewer - Case Management · Full-time / Day-shift (Primarily Mon-Fri; 9a-5:30p or 10a-6:30p; Occasional weekends/holidays may be necessary. This is a fully onsite position.) · UM Capital Region Health - Largo, MD · Job Summary · Under general supervision, ...


  • Ascension Austin

    Job Summary · We are seeking a skilled Registered Nurse to join our team in the ICU department at St. Joseph Hospital in Milwaukee, WI. · The ideal candidate will have 1 year of acute care nursing experience or critical care internship and be able to work a 7pm-7am schedule with ...


  • Capital Health (US) Pennington, NJ , USA

    Job Title: Utilization Review Registered Nurse · Capital Health Medical Group · We are seeking a highly skilled and experienced Utilization Review Registered Nurse to join our team. As a key member of our healthcare team, you will be responsible for conducting thorough reviews of ...


  • LifePoint Hospitals Henderson

    Utilization Review Specialist · Monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions, and extended hospital stays. · The role involves establishing and maintaining efficient methods for verifying the medi ...

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