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Manager or Utilization or Review or RN jobs in United States

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Unit Manager (RN) $5k Sign-On Bonus

The Pines at Utica Center for Nursing &  –  Waterville, NY, 13480
... -: What You'll Do: As an RN Unit Manager, you will oversee and coordinate the nursing staff within a dedicated unit. Your role is instrumental in ensuring the delivery of quality care, fostering a positive work environment, ensuring the health, ... - May 05

Clinical Review Manager

VNS Health  –  Bronx, NY, 10461
Overview Oversees the completion and approval of all clinical utilization documentation, including Start of Care, Re ... Evaluates clinician’s performance for annual performance review process. • Collaborates internally to ensure timely and ... - Apr 29

Sr. Medical Review Nurse

Williams Consulting LLC  –  Baltimore, MD
... Minimum Job Requirements: Active, current, valid, unrestrictedRegistered Nurse (RN) License A minimum requirement of three to five (3-5) years of recent medical review experience/claims review/coding review for payment accuracy experience is ... - May 05

Utilization Review Specialist

Acadia External  –  Columbia, MO, 65203
... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current licensure as an LPN or RN within ... - Apr 30

RN - Utilization Review

healthtrust  –  Louisville, KY, 40202
Job Title:RN,University - UofL - Travel: RN - Utilization Review - Mon - Friday - 3p -11:30p (921519), City: Louisville, State: Kentucky, Estimated Start Date:05/27/2025, Shift:5 x 8 Hour Evening Shift, 15:00:00-23:00:00, 8.00-5, Length of Contract ... - May 03

LPN/Utilization Review-NCCIW

State of North Carolina  –  Wilmington, NC, 28412
... Adult Correction Division: Operations Opening Date: 04/30/2025 Closing Date: 5/14/2025 5:00 PM Eastern Job Class Title: Licensed Practical Nurse-Utilization Review Position Number: 60066935 Salary Grade: MH07 Description of Work **THIS IS A REPOST. ... - May 02

Utilization Review Coordinator - BHC Utilization Management - Per Diem

John Muir Health  –  Concord, NC
... Collaborates and partners closely with the Manager of Business Operations and their team to secure authorizations for treatment and address denials of care. Initiates appeal process and monitors response. Communicates utilization review and ... - Apr 23

Travel Nurse RN - Utilization Review - per week

Cross Country Nurses  –  Louisville, KY
Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks 40 hours per ... - May 05

Utilization Review Clinician (RN, PT, OT)

WellSky  –  Overland Park, KS, 66213
... Preferred Qualifications: RN, PT, OT Compact License highly preferred. Experience in utilization review, case management and/or managed care. MCG/ Interqual or other criteria-based applications. General understanding of managed care guidelines and ... - Apr 29

Registered Nurse - Utilization Review

TotalMed  –  Woodfield, SC, 29219
Registered Nurse-Utilization Review Job ID #1822786 Share About this Role Reviews and evaluates medical or behavioral ... Required Qualifications Active, unrestricted RN licensure 4 years recent clinical in defined specialty area. Specialty areas ... - Apr 28
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