Utilization Review Nurse - RNVirtualVocations • Boca Raton, Florida, United States
Utilization Review Nurse - RN
VirtualVocations • Boca Raton, Florida, United States
1 day 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 • Boca Raton, Florida, United States
Related jobs 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 Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more 
The Transfer Center RN is responsible for coordinating direct admissions and hospital transfers to and from community hospitals with the intent to transfer each patient to an appropriate Tenet hosp...Show more
TravelNurseSource is working with Fusion Medical Staffing to find a qualified Labor / Delivery RN in Fort Lauderdale, Florida, 33316!.
Facility in Fort Lauderdale, Florida.Fusion Medical Staffing is s...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 
HealthTrust Workforce Solutions Local is seeking a per diem / prn nurse RN ICU - Intensive Care Unit for a per diem / prn nursing job in Aventura, Florida.
Job Description & Requirements.Entrust You...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 TravelNurseSource is working with Job.OR RN in Fort Lauderdale, Florida, 33310!.Seeking an experienced OR RN with advanced transplant experience to join a leading short-term acute care teaching fac...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 
The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained thro...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 HealthTrust Workforce Solutions Local is seeking a per diem / prn nurse RN Post Partum for a per diem / prn nursing job in Margate, Florida.
Job Description & Requirements.Entrust Your Career to Hea...Show more TravelNurseSource is working with TRS Healthcare to find a qualified OR RN in Weston, Florida, 33331!.Registered Nurse - OR - Operating Room.
TRS Healthcare is seeking a Registered Nurse who is lice...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 
Up to $10,000 SOB for qualified candidates, paid over 24 months.In following the mission, vision and values of Tenet, the RN provides high quality, safe, cost effective, total nursing care to all p...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 Director of Utilization Management Authorization and Claims.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedur...Show more
Minnesota Licensed Utilization Review Nurse
VirtualVocations • Hialeah, Florida, United States
Full-time
Last updated: 1 day ago • Promoted
Ohio Licensed Utilization Management RN
VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
Last updated: 3 days ago • Promoted
Registered Nurse (RN) - Transfer Center
Delray Medical Center • DELRAY BEACH, Florida, United States
Full-time
Last updated: 18 hours ago • Promoted • New!
Travel Registered Nurse (RN) - Labor & Delivery (L&D) - $1,780 to $1,894 per week in Fort Lauderdale, FL
TravelNurseSource • Fort Lauderdale, FL, US
Full-time
Last updated: 2 days ago • Promoted
Registered Nurse Utilization Manager
VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
Last updated: 3 days ago • Promoted
Per Diem / PRN Nurse RN - ICU - Intensive Care Unit - $47 per hour
HealthTrust Workforce Solutions Local • Aventura, FL, US
Full-time
Last updated: 3 days ago • Promoted
State Licensed Utilization Review Nurse
VirtualVocations • Boca Raton, Florida, United States
Full-time
Last updated: 30+ days ago • Promoted
Travel Registered Nurse (RN) - Operating Room (OR) - $2,400 to $2,500 per week in Fort Lauderdale, FL
TravelNurseSource • Fort Lauderdale, FL, US
Full-time
Last updated: 1 day ago • Promoted
Tennessee RN Utilization Review
VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
Last updated: 3 days ago • Promoted
Outpatient Registered Nurse - RN
Fresenius Medical Care • Boca Raton, Florida, US
Full-time
Last updated: 30+ days ago • Promoted
Compact RN Utilization Management Nurse
VirtualVocations • Hialeah, Florida, United States
Full-time
Last updated: 30+ days ago • Promoted
Per Diem / PRN Nurse RN - Post Partum - $44 per hour
HealthTrust Workforce Solutions Local • Margate, FL, US
Full-time
Last updated: 3 days ago • Promoted
Travel Registered Nurse (RN) - Operating Room (OR) - $2,095 per week in Weston, FL
TravelNurseSource • Weston, FL, US
Full-time
Last updated: 4 days ago • Promoted
Utilization Review Nurse - RN
VirtualVocations • Hialeah, Florida, United States
Full-time
Last updated: 1 day ago • Promoted
Maine Licensed Utilization Review Nurse
VirtualVocations • Boca Raton, Florida, United States
Full-time
Last updated: 30+ days ago • Promoted
Registered Nurse (RN) - ICU
West Boca Medical Center • BOCA RATON, Florida, United States
Full-time
Last updated: 3 days ago • Promoted
DC Licensed Utilization Nurse Reviewer
VirtualVocations • Hialeah, Florida, United States
Full-time
Last updated: 3 days ago • Promoted
Registered Nurse Utilization Management
VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
Last updated: 30+ days ago • Promoted