Registered Nurse Utilization Review Jobs
Remote Registered Nurse - Medical Review Specialist
By Avosys Technology, Inc.
At San Antonio, TX, United States
Utilization Review Registered Nurse (Rn), Care Coordination, Full Time, Days
By MarinHealth Medical Center
At , Greenbrae
$66.03 - $99.04 an hour
Utilization Review Nurse-Weekends Jobs
By Sentara Healthcare
At , Virginia Beach, 23462
Utilization Review Nurse - Outpatient
By Johns Hopkins University
At , Baltimore, 21218
Utilization Review Nurse Jobs
By Samaritan Health Services
At , Corvallis
$40.88 - $60.03 an hour
Registered Nurse - Utilization Review Case Manage - Peds/Adults - 8 Hour Days
By CEDARS-SINAI
At , Los Angeles
$52.47 - $83.95 an hour
Utilization Review Nurse Jobs
By Mercy
At , Springfield, 65804
Manager, Utilization Management, Registered Nurse, Rn
By Humana
At ,
Utilization Review Nurse - Outpatient
By Johns Hopkins Health Plans
At , Hanover
Utilization Review Nurse Selecthealth
By Intermountain Healthcare
At , Murray
$38.83 - $57.46 an hour
Utilization Review Nurse Jobs
By MEDSTAR HEALTH
At , Washington, 20010
Utilization Review Nurse (Lpn)
By 1199SEIU Benefit and Pension Funds
At , New York
Registered Nurse-Coordinator-Utilization Management-Full Time-Days-Detroit
By Henry Ford Health
At , Detroit, 48202
Utilization Review Nurse/ Care Management – Full Time
By Montefiore Nyack Hospital
At , Nyack
From $110,000 a year
Registered Nurse, Utilization Review, Rn
By BJC HealthCare
At , St. Louis, 63144
$68,224 - $104,811 a year
Utilization Review Nurse Jobs
By Albany Medical Center
At , New Scotland
$65,062 - $107,349 a year
Utilization Review/Performance Improvement Nurse*
By San Bernardino County
At ,
$83,678 - $113,942 a year
Utilization Review Nurse- Prn
By Netsmart Technologies
At , Remote
Behavioral Health Utilization Review Nurse- Hmhi
By University of Utah Health
At , Salt Lake City, 84190, Ut
Nurse Case Manager/Utilization Review Nurse I
By State of Vermont
At , Burlington, Vt
$38.58 - $60.51 an hour
Are you a Registered Nurse looking for a rewarding career in Utilization Review? Join our team and help us ensure that our patients receive the best care possible. We offer a competitive salary and benefits package, and the opportunity to make a real difference in the lives of our patients. Apply now and start making a difference today!
A Registered Nurse Utilization Review (RNUR) is responsible for reviewing and evaluating the medical necessity of patient care and services provided by healthcare providers. They are responsible for ensuring that the services provided are medically necessary and meet the standards of quality and cost-effectiveness.What is Registered Nurse Utilization Review Job Skills Required?
• Knowledge of medical terminology and coding
• Knowledge of healthcare regulations and standards
• Ability to analyze and interpret medical records
• Ability to communicate effectively with healthcare providers
• Ability to work independently and as part of a team
• Knowledge of computer systems and software
What is Registered Nurse Utilization Review Job Qualifications?
• Bachelor’s degree in Nursing or related field
• Current Registered Nurse (RN) license
• Previous experience in utilization review or related field
What is Registered Nurse Utilization Review Job Knowledge?
• Knowledge of medical terminology and coding
• Knowledge of healthcare regulations and standards
• Knowledge of computer systems and software
What is Registered Nurse Utilization Review Job Experience?
• Previous experience in utilization review or related field
What is Registered Nurse Utilization Review Job Responsibilities?
• Review and evaluate medical necessity of patient care and services
• Ensure services provided meet standards of quality and cost-effectiveness
• Monitor utilization of services to ensure compliance with regulations
• Communicate with healthcare providers regarding utilization of services
• Prepare reports and documentation related to utilization review
• Maintain current knowledge of healthcare regulations and standards
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