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Utilization review nurse Jobs in Las Vegas, NV

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Utilization review nurse • las vegas nv

Last updated: 11 hours ago
RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

The Valley Health SystemLAS VEGAS, Nevada, US
Full-time
Starting with Valley Hospital Medical Center in , the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital M...Show moreLast updated: 30+ days ago
Clinical Review Coordinator

Clinical Review Coordinator

Nevada StaffingLas Vegas, NV, United States
Part-time
The Clinical Review Coordinator conducts all mandatory case review and quality assurance activities as stipulated by contracts and maintains the required timeliness and accuracy within the review p...Show moreLast updated: 7 days ago
  • Promoted
Clinical Claims Review RN - Remote

Clinical Claims Review RN - Remote

UnitedHealth GroupLas Vegas, NV, United States
Remote
Full-time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 15 days ago
  • Promoted
  • New!
Indirect Tax- Sales & Use Lookback Review COE Senior

Indirect Tax- Sales & Use Lookback Review COE Senior

EYLas Vegas, NV, United States
Full-time
At EY, we're all in to shape your future with confidence.We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go.Join EY and help ...Show moreLast updated: 11 hours ago
  • Promoted
Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzLas Vegas, Nevada, US
Remote
Temporary
Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...Show moreLast updated: 30+ days ago
Document Review Attorney

Document Review Attorney

Beacon HillNorth Las Vegas, Nevada
Full-time
Beacon Hill Legal is registering US-licensed attorneys who have 6+ months of prior e-discovery experience in anticipation of upcoming document review projects. Please note candidates must be located...Show moreLast updated: 30+ days ago
Utilization Review (UR) Specialist

Utilization Review (UR) Specialist

Sandstone Healthcare GroupLas Vegas, NV
Full-time
Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? We are seeking a dedicated. Utilization Review (UR) Specialist.Colla...Show moreLast updated: 30+ days ago
  • Promoted
RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

Universal Health Services, Inc.Las Vegas, NV, United States
Full-time
Valley Hospital Medical Center.Valley Health System has grown to include.Centennial Hills Hospital Medical Center.Spring Valley Hospital Medical Center. Summerlin Hospital Medical Center,.Valley Hea...Show moreLast updated: 30+ days ago
RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

Foundations for LivingLAS VEGAS, Nevada, United States
Full-time
Starting with in 1979, the Valley Health System has grown to include , ,.Comprehensive education and training center.Competitive Compensation & Generous Paid Time Off. Excellent Medical, Dental, Vis...Show moreLast updated: 30+ days ago
  • Promoted
Manager Utilization Management

Manager Utilization Management

Las Vegas StaffingLas Vegas, NV, US
Full-time
Full Time, Monday-Friday 8 : 00 - 5 : 30 p.Holiday and weekend coverage when needed.The Manager of Care Management I leads and collaborates with care management operations across utilization review, ac...Show moreLast updated: 30+ days ago
Utilization Management Representative I

Utilization Management Representative I

Elevance HealthS MARYLAND PKWY,LAS VEGAS,NV
Full-time
Utilization Management Representative I.This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and auton...Show moreLast updated: 30+ days ago
  • Promoted
Bill Review Analyst | Professional Liability | Remote

Bill Review Analyst | Professional Liability | Remote

SedgwickLas Vegas, NV, US
Remote
Full-time
Bill Review Analyst | Professional Liability | Remote.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who ...Show moreLast updated: 18 days ago
Utilization Review Technician

Utilization Review Technician

Prime HealthcareNorth Las Vegas, NV, US
Full-time
At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the ...Show moreLast updated: 30+ days ago
Appraisal Review Manager

Appraisal Review Manager

California Bank & TrustLas Vegas, Nevada, United States
Full-time
Zions Bancorporation is one of the nation’s premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets.Zion...Show moreLast updated: 30+ days ago
Medical Director (Utilization Management)

Medical Director (Utilization Management)

HJ StaffingHenderson, Nevada, United States
Full-time
Medical Director (Utilization Management).Conduct utilization reviews and determine medical necessity for admissions and post-acute services. Apply evidence-based guidelines (MCG, InterQual) and CMS...Show moreLast updated: 30+ days ago
Clinical Claims Review RN - Remote

Clinical Claims Review RN - Remote

UnitedHealth Group Inc.Las Vegas, NV, United States
Remote
Full-time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 12 days ago
Utilization Review Specialist

Utilization Review Specialist

Acadia HealthcareHenderson, NV, USA
Full-time
Utilization Management Coordinator.Seven Hills Hospital brings a world of compassion, hope and best practice medical care to the people who need it the most. We are a growing, private, 94-bed psychi...Show moreLast updated: 30+ days ago
  • Promoted
RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

Universal Health ServicesLas Vegas, NV, United States
Full-time
Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospit...Show moreLast updated: 30+ days ago
Utilization Management Manager REMOTE Pacific Region

Utilization Management Manager REMOTE Pacific Region

Kindred Hospitals Mountain District OfficeLas Vegas, NV
Remote
Full-time
Utilization Management Manager REMOTE Pacific Region.Kindred Hospitals Mountain District Office.We value every voice by caring deeply for every patient and each other. We show courage by running tow...Show moreLast updated: 30+ days ago
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RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

RN CASE MANAGER - UTILIZATION REVIEW - SAHARA LAKES (FULL-TIME)

The Valley Health SystemLAS VEGAS, Nevada, US
30+ days ago
Job type
  • Full-time
Job description

Responsibilities

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in , the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.

Benefit Highlights :

  • Comprehensive education and training center
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • (K) with company match and discounted stock plan
  • Career opportunities within VHS and UHS Subsidies
  • Challenging and rewarding work environment

Job Description :

To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.

Qualifications

Education : Graduate of an accredited school of nursing.

Experience : A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.

Technical Skills :

Computer proficiency to include word processing, spreadsheet, and data collection / management computer programs.

License / Certification :

Has a current license to practice as a Registered Nurse in the State of Nevada.

Other :

Must be able to demonstrate the knowledge and skills necessary to provide care / service appropriate to the age of the patients served on the assigned unit / department.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at : or 1 .