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Utilization Review Nurse
RangamPenningtonCompany Description Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam
Utilization Review Nurse
Innovative Systems GroupRichardson3 days ago Be among the first 25 applicantsThis is full-time remote, but candidates must reside in IL or TXContract: 12/22/2025 to 03/31/2026RN working in theinsuranceormanaged careindustry using medi
Behavioral Health Utilization Review Registered Nurse
Hines & Associates IncRockfordDescription:Nurses - are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates!ABOUT US:H
Utilization Review Nurse(Austin/Richardson TX) (Remote)
Madea Home Care ServicesPlanoREMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties RN working in the insurance or managed care industry using medically ac
Utilization Review RN - Remote
Providence Health & ServicesPortlandUtilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focus
Utilization Review RN - Remote
Providence Health & ServicesRentonDescriptionUtilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled
Utilization Review Author-Remote
R1 RCMSalt Lake CityThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Utilization Review Nurse RN - Grace Medical Center
LifeBridge HealthBaltimoreUtilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:
Utilization Review Author-Remote
R1 RCMBoiseThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Physician Reviewer - Orthopedic Surgery (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesEagle RiverDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Associate Utilization Review Specialist - Remote
Providence Health & ServicesOregonDescription Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient‑focused, whole‑person care built on understanding, commitme
Registered Nurse (RN) – Utilization Review, Per Diem
Dartmouth-HitchcockLebanonOverview Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through as
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAlaskaDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAnchorageDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane StreetNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking a Board-Certified Physical Medicine and Rehabilitati
Medical Director - Case Management and Utilization Review
Memorial Healthcare SystemHollywoodComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal
Part-Time Associate Physician Advisor - Utilization Review
Medical Review Institute of AmericaSalt Lake CityPart-Time | Remote (U.S. Based)Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions
Care Manager RN - Utilization Review Per Diem Day
ProvidenceNapaDescription The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and
Utilization Management Nurse
MagnaCareChapel HillOverview About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with nationa
Utilization Management Nurse
Brighton Health Plan Solutions, LLCChapel HillAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standard
Utilization Management Nurse – Remote
UnitedHealth GroupEden PrairieRequisition number:2358175Job category:NursingOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will
UM Trainer - Utilization Management
OptumEden PrairieOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin
Experienced Mothers Wanted to Help a Growing Family
Roots SurrogacyPenningtonThere are families out there who would give anything to hold their baby — and you could be the reason they do. At Roots Surrogacy, we work with incredible women who feel called to do something meani
Residential Healthcare Group: Home Health Rn - Evening Shift
Sanford HealthPenningtonSanford Health, a premier health system spanning multiple states, is seeking a dedicated Registered Nurse to join our team. This role requires delivering high-quality patient care within our dynamic h