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Keywords: Clinical Review Nurse - Concurrent Review, Location: USA

Page: 3

Utilization Review RN - Part- time - REMOTE

utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: Provide prospective, retrospective, and concurrent...

Posted Date: 07 Feb 2026

Medical Review Supervisor

of Nursing Required Work Experience: Five years clinical OR five years utilization review/medical review experience (Three.... Five years clinical experience as a Registered Nurse in the following specialty area(s): Outpatient Surgical, Pain...

Posted Date: 07 Feb 2026

RN Case Manager - Utilization Review - Days

. Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical... in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient...

Company: Integris Health
Location: USA
Posted Date: 05 Feb 2026

RN Case Manager - Utilization Review - Days

. Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical... in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient...

Company: Integris Health
Location: USA
Posted Date: 05 Feb 2026

RN Utilization Review - Part-time Day - REMOTE

reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...

Posted Date: 04 Feb 2026

RN Utilization Review - Full-time Day- REMOTE

reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...

Posted Date: 04 Feb 2026

Utilization Review RN - Per Diem - Day - HPW Pennington NJ

: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... midnight stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 30 Jan 2026

RN Case Manager - Utilization Review

outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...

Posted Date: 29 Jan 2026

RN Utilization Review

; documents clinical information in Case Management Software system During the concurrent review process, evaluates the medical... timely admission and concurrent utilization review for all patients of designated medical services; certifies medical...

Company: UofL Health
Location: Louisville, KY
Posted Date: 29 Jan 2026

RN Case Manager - Utilization Review

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Lynwood, CA
Posted Date: 28 Jan 2026

RN Utilization Review - Per Diem Day - REMOTE

for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...

Posted Date: 25 Jan 2026

PRN Utilization Review RN - M-F Days

Experience 5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review...PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday...

Posted Date: 22 Jan 2026

Utilization Review Specialist

Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review... functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors...

Posted Date: 22 Jan 2026

Utilization Review Specialist

Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review... functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors...

Posted Date: 17 Jan 2026

Behavioral Health Utilization Review Clinician

perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...

Company: Centene
Location: USA
Posted Date: 14 Jan 2026

UM Coordinator - Utilization Review - P/T with Benefits Days

attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center staff and PFS department... Advisor for determination. Review clinical and diagnostic interventions for appropriateness and timeliness to achieve optimal...

Posted Date: 10 Jan 2026
Salary: $45375.2 per year

Utilization Review RN - FT - Day - RMC Trenton NJ

. Experience:Five years of clinical nursing and three years quality management, utilization review or discharge planning experience.... Other Credentials:Registered Nurse - NJ Knowledge and Skills:Five years of clinical nursing or three years quality management...

Company: Capital Health
Location: Trenton, NJ
Posted Date: 09 Jan 2026

Utilization Review RN - FT - Day - HPW Pennington NJ

:Registered Nurse - NJ Knowledge and Skills:Five years of clinical nursing or three years quality management, utilization review... of clinical nursing and three years quality management, utilization review or discharge planning experience. Other Credentials...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 24 Dec 2025

RN Utilization Review, Peace Hospital, 7:30a-3p

optimal management of clinical resources by conducting timely admission and concurrent utilization review for all patients... concurrent review process, evaluates the medical record to identify any process delay impacting the timeliness of patient care...

Company: UofL Health
Location: Louisville, KY
Posted Date: 20 Dec 2025

Denial & Appeals Coordinator, RN, Concurrent Denials Prevention, FT, 08\:30A-5P

. Strong critical thinking skills & the ability to perform clinical chart review abstract information efficiently. Strong analytical... on experience. Qualifications Degrees: Bachelors. Licenses & Certifications: AAMCN Utilization Review Professionals. AACN...

Company: Baptist Health
Location: Coral Gables, FL
Posted Date: 23 Jan 2026
Salary: $87755.2 - 116714.42 per year