State Licensed Utilization Review NurseVirtualVocations • Salt Lake City, Utah, United States
No longer accepting applications
State Licensed Utilization Review Nurse
VirtualVocations • Salt Lake City, Utah, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Nurse (PRN).
Key Responsibilities
Review and evaluate electronic medical records for emergency admissions to assess medical necessity
Apply clinical guidelines to ensure proper utilization of healthcare resources and participate in discussions with physicians
Enter clinical review information for insurance authorization and analyze utilization patterns
Required Qualifications
Current and unrestricted RN license
At least 3 years of clinical experience in an acute care setting
Minimum of 2 years of utilization management experience
Intermediate experience with InterQual and / or MCG criteria
Proficiency in medical record review in an electronic medical record (EMR) system
Create a job alert for this search
Utilization Review Nurse • Salt Lake City, Utah, United States
Related jobs
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career.
Challenging Work Feel inspired with great case di...Show more
We are seeking a compassionate and dedicated Hospice On-Call Registered Nurse (RN) to join our team.The ideal candidate will provide high-quality, patient-centered care to individuals receiving hos...Show more THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career.
Challenging Work Feel inspired with great case di...Show more THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career.
Challenging Work Feel inspired with great case di...Show more 
New Mexico residency preferred.Candidates who do not live in New Mexico must be willing to work MOUNTAIN time zone business hours permanently.
Job Description Job Summary Molina's Medicaid Critica...Show more We are seeking a compassionate and dedicated Hospice On-Call Registered Nurse (RN) to join our team.The ideal candidate will provide high-quality, patient-centered care to individuals receiving hos...Show more 
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Salt Lake City, Utah.Job Description & Requirements.
Host Healthcare Job ID #a1fVJ000007F3KvYAK.Pay packa...Show more
This position is expected to float in the Salt Lake Valley.The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This posit...Show more Job Description Job Summary Delivers training programs for clinical staff across the enterprise to orient employees to Molina's clinical methodology, policies, processes, and systems.Ensures all ...Show more 
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show more
Nurse Manager Job Duties : Identifies patient service requirements by establishing personal ra...Show more
ICD-9 / 10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing / payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and c...Show more
Looking for a RN that has a current active unrestricted license.This a remote role and can sit anywhere within the United States.
Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team ...Show more
Please read the information in this job post thoroughly to understand exactly what is expected of potential candidates.Molina's Behavioral Health function provides leadership and guidance for utili...Show more JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...Show more Registered Nurse - RN - Ovation Hospice.Are you a nurturing soul with a passion for making a positive impact on the lives of our cherished senior residents? If so, we want YOU to be a part of our w...Show more 
Mountain West Medical Center is seeking a General Surgeon.Be busy right away / High Production Potential.Opportunity offers high quality of life.
Anesthesia Coverage available 24 / 7.Supportive Admini...Show more
RN Duties to include and may not be limited to : .Medication training for new staff members.Medication administration delegation and blood sugar delegation (if there is a resident that needs blood su...Show more The Medical Claim Review Nurse provides support for medical claim review activities.Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and ben...Show more THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career.
Challenging Work Feel inspired with great case di...Show more
Reserve Perioperative Nurse
United States Army • Grantsville, UT, US
Full-time
Last updated: 11 hours ago • Promoted • New!
RN
Ovation Hospice • Cottonwood Heights, UT, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Active Public Health Nurse
United States Army • Syracuse, UT, US
Full-time
Last updated: 11 hours ago • Promoted • New!
Reserve OBGYN
United States Army • Eagle Mountain, UT, US
Full-time
Last updated: 11 hours ago • Promoted • New!
Registered Nurse (RN) Specialist, Critical Incidents ( New Mexico )
Molina Healthcare • Lehi, UT, United States
Full-time
Last updated: 24 days ago • Promoted
Hospice On-Call Registered Nurse
Ovation Hospice • Cottonwood Heights, UT, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Case Management - $2,582 per week
Host Healthcare • Salt Lake City, UT, US
Full-time
Last updated: 5 days ago • Promoted
Outpatient Registered Nurse - RN
Fresenius Medical Care • South Jordan, UT, United States
Full-time
Last updated: 2 days ago • Promoted
Clinical Learning Facilitator - Utilization Management Trainer
Molina Healthcare • Lehi, UT, United States
Full-time
Last updated: 20 days ago • Promoted
RN Carceral Care Manager Remote
Molina Healthcare • Lehi, Utah, United States
Remote
Full-time
Last updated: 7 days ago • Promoted
Nurse Manager
TradeJobsWorkForce • 84045 Saratoga Springs, UT, US
Full-time
Last updated: 30+ days ago • Promoted
DRG Auditor (South Jordan)
Insight Global • South Jordan, UT, US
Part-time
Last updated: 14 hours ago • Promoted • New!
Medical Claim Review Nurse (RN)
Molina Healthcare • Layton, UT, US
Full-time
Last updated: 25 days ago • Promoted
Medical Director, Behavioral Health (TX / WA)
Molina Healthcare • Lehi, Utah, US
Full-time
Last updated: 3 hours ago • Promoted • New!
Care Review Clinician (RN)
Molina Healthcare • Lehi, UT, United States
Full-time
Last updated: 20 days ago • Promoted
RN - Registered Nurse
Ovation Hospice • Bountiful, UT, United States
Full-time
Last updated: 30+ days ago • Promoted
Utah General Surgery opening near Salt Lake City
Quorum Health • Tooele, US
Full-time +1
Last updated: 11 days ago • Promoted
Community RN - Nursing Director
Sunridge Assisted Living of Roy • Roy, UT, USA
Full-time
Quick Apply
Last updated: 30+ days ago
RN Medical Claim Review Nurse Remote
Molina Healthcare • Provo, UT, US
Remote
Full-time
Last updated: 1 hour ago • Promoted • New!
Reserve Mental Health Nurse
United States Army • Kaysville, UT, US
Full-time
Last updated: 11 hours ago • Promoted • New!