Talent.com
Utilization Review Nurse - RN
Utilization Review Nurse - RNVirtualVocations • Fayetteville, North Carolina, United States
Utilization Review Nurse - RN

Utilization Review Nurse - RN

VirtualVocations • Fayetteville, North Carolina, United States
3 days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Review Nurse- RN.

Key Responsibilities

Conduct assessments and reviews for medical necessity of treatment requests and plans

Process appeals for non-certification of services and complete necessary documentation

Collaborate with hospital staff to prepare patients for discharge and ensure proper referrals

Required Qualifications

Current RN license in the United States or U.S. territory

Associate's degree or diploma from a Nursing program required

Minimum of 1 year clinical experience required

Create a job alert for this search

Rn Utilization Review • Fayetteville, North Carolina, United States

Related jobs
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,936 to $2,164 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,936 to $2,164 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with Prime Time Healthcare to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28301!. Now Hiring : RN ICU - Fayetteville, NC.Contact us for Pay Inf...Show more
Last updated: 1 day ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,936 to $2,164 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,936 to $2,164 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with Prime Time Healthcare to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28301!. Now Hiring : RN ICU - Fayetteville, NC.Contact us for Pay Inf...Show more
Last updated: 6 days ago • Promoted
Tennessee RN Utilization Review

Tennessee RN Utilization Review

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for an RN Utilization Review.Key Responsibilities Perform clinical assessments and evaluate injured employees' treatment utilization and compliance Collaborate with healthca...Show more
Last updated: 5 days ago • Promoted
Registered Nurse Utilization Manager

Registered Nurse Utilization Manager

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Manager, Utilization Management (Remote).Key Responsibilities Manage a team of UM Nurse Analysts, guiding workload and supporting team development Partner with leaders...Show more
Last updated: 30+ days ago • Promoted
Maine Licensed Utilization Review Nurse

Maine Licensed Utilization Review Nurse

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities Review prior authorization requests for medical necessity and manage medical claims disputes Coordinate transiti...Show more
Last updated: 30+ days ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,852 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,852 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with GetMed Staffing to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28304!. GetMed Staffing is searching for a strong ICU RN to assist our tra...Show more
Last updated: 6 days ago • Promoted
Registered Nurse Utilization Management

Registered Nurse Utilization Management

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Director of Utilization Management Authorization and Claims.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedur...Show more
Last updated: 30+ days ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,853 to $2,006 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,853 to $2,006 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with Host Healthcare to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28304!. Host Healthcare is an award-winning travel healthcare company with...Show more
Last updated: 6 days ago • Promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Review Nurse.Key Responsibilities Review and evaluate electronic medical records for emergency department admissions and screen for medical necessity Apply...Show more
Last updated: 30+ days ago • Promoted
DC Licensed Utilization Nurse Reviewer

DC Licensed Utilization Nurse Reviewer

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Nurse Reviewer (Remote).Key Responsibilities Conduct timely clinical chart reviews and communicate effectively with third-party payers Review admission ser...Show more
Last updated: 4 days ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,797 to $1,912 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,797 to $1,912 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with Fusion Medical Staffing to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28304!. Facility in Fayetteville, North Carolina.Fusion Medical St...Show more
Last updated: 2 days ago • Promoted
Ohio Licensed Utilization Management Nurse

Ohio Licensed Utilization Management Nurse

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members Gather clinical...Show more
Last updated: 30+ days ago • Promoted
Travel Registered Nurse (RN) - Labor & Delivery (L&D) - $1,988 per week in Sanford, NC

Travel Registered Nurse (RN) - Labor & Delivery (L&D) - $1,988 per week in Sanford, NC

TravelNurseSource • Sanford, NC, US
Full-time
TravelNurseSource is working with TRS Healthcare to find a qualified Labor / Delivery RN in Sanford, North Carolina, 27330!. Registered Nurse - OB - Labor & Delivery.TRS Healthcare is seeking a Re...Show more
Last updated: 6 days ago • Promoted
Minnesota Licensed Utilization Review Nurse

Minnesota Licensed Utilization Review Nurse

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits. Key Responsibilities Review and assess prior a...Show more
Last updated: 3 days ago • Promoted
Compact RN Utilization Management Nurse

Compact RN Utilization Management Nurse

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Management Nurse Consultant - Work From Home.Key Responsibilities Utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Utilization Management RN

Ohio Licensed Utilization Management RN

VirtualVocations • Fayetteville, North Carolina, United States
Full-time
A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more
Last updated: 5 days ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,010 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,010 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time
TravelNurseSource is working with Magnet Medical to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28301!. Purpose of the Position : Responsible for the delivery of direct pat...Show more
Last updated: 5 days ago • Promoted
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,098 per week in Fayetteville, NC

Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,098 per week in Fayetteville, NC

TravelNurseSource • Fayetteville, NC, US
Full-time +1
TravelNurseSource is working with Prime Staffing to find a qualified ICU / Critical Care RN in Fayetteville, North Carolina, 28304!. Minimum 2 years of ICU experience required.Active State or Compact ...Show more
Last updated: 5 days ago • Promoted