Utilization Review Nurse - RNVirtualVocations • Pasadena, Texas, United States
Utilization Review Nurse - RN
VirtualVocations • Pasadena, Texas, 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 • Pasadena, Texas, United States
Related jobs
TravelNurseSource is working with Triage Staffing to find a qualified CVOR RN in Denton, Texas, 76201!.Travel Nursing : Cardiovascular OR Denton, TX.
Shift Details : 10H Days (6 : 30 AM-5 : 00 PM).Lengt...Show more 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 A company is looking for a Utilization Management Registered Nurse - Remote.Key Responsibilities Analyze patient records to determine the legitimacy of hospital admissions and appropriate levels ...Show more TravelNurseSource is working with Advantis Medical Staffing to find a qualified OR RN in Fort Worth, Texas, 76101!.Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experi...Show more 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 
As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.
As the facility leader, you will be part of a close-k...Show more TravelNurseSource is working with JobSquad to find a qualified ICU / Critical Care RN in Texas City, Texas, 77591!.We are currently seeking a qualified RN for an opening with one of our clients in Te...Show more 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-certifi...Show more 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 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 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 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 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 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 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 TravelNurseSource is working with Triage Staffing to find a qualified Endoscopy RN in Plano, Texas, 75023!.Travel Nursing : Endoscopy Plano, TX.
Shift Details : 10H Days (7 : 00 AM-5 : 00 PM).Length : ...Show more TravelNurseSource is working with Care Career to find a qualified OR RN in Fort Worth, Texas, 76104!.Operating Room Nurses Responsible for planning, executing, directing and evaluating, direct and ...Show more 
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).
This position is accountable and responsible for the provision and co...Show more
Travel Registered Nurse (RN) - Cardiovascular Operating Room (CVOR) - $2,102 per week in Denton, TX
TravelNurseSource • Houston, Texas, US
Full-time
Last updated: 6 days ago • Promoted
Ohio Licensed Utilization Management RN
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 5 days ago • Promoted
Florida Licensed Utilization Management RN
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
Travel Registered Nurse (RN) - Operating Room (OR) - $2,177 per week in Fort Worth, TX
TravelNurseSource • Houston, Texas, US
Full-time
Last updated: 4 days ago • Promoted
Registered Nurse Utilization Management
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
RN
Fresenius Medical Care • Houston, TX, US
Full-time
Last updated: 3 hours ago • Promoted • New!
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $1,560 to $2,500 per week in Texas City, TX
TravelNurseSource • Texas City, TX, US
Full-time
Last updated: 2 days ago • Promoted
Utilization Review Nurse - RN
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 3 days ago • Promoted
Maine Licensed Utilization Review Nurse
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
Tennessee RN Utilization Review
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 5 days ago • Promoted
Minnesota Licensed Utilization Review Nurse
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 3 days ago • Promoted
State Licensed Utilization Review Nurse
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
DC Licensed Utilization Nurse Reviewer
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 5 days ago • Promoted
Registered Nurse Utilization Manager
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 5 days ago • Promoted
Compact RN Utilization Management Nurse
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
Travel Registered Nurse (RN) - Endoscopy - $1,743 per week in Plano, TX
TravelNurseSource • Houston, Texas, US
Full-time
Last updated: 6 days ago • Promoted
Travel Registered Nurse (RN) - Operating Room (OR) - $1,976 per week in Fort Worth, TX
TravelNurseSource • Houston, Texas, US
Full-time
Last updated: 6 days ago • Promoted
Outpatient Registered Nurse - RN
Fresenius Medical Care • Katy, Texas, US
Full-time
Last updated: 30+ days ago • Promoted