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UR Coordinator
Clive, Iowa, United States
OnsiteFull Time
3+ YOEBachelor's degree required (BSN preferred), RN required, 3+ years psychiatric/mental health clinical experience, knowledge of Medicare/Medicaid and CMS quality guidelines, crisis intervention skills.
1w
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UR/QA Manager - DC
Washington, District of Columbia, United States
OnsiteFull Time
3+ YOERegistered nurse required, 3+ years clinical nursing experience preferred; experience in utilization review, quality assurance, or managed care; knowledge of Medicare/Medicaid; strong communication and leadership skills.
Microsoft Office, Microsoft Word, Microsoft Excel
3w
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UR Specialist Supervisor
Little Rock, Arkansas, United States
OnsiteFull Time
Current Arkansas RN license, UR experience in acute care, supervisory experience leading teams (10–15), BSN required, postgraduate degree preferred, UR certification preferred.
1mo
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UR COORDINATOR
Delray Beach, Florida, United States
$60k-$75k/yr RemoteFull Time
2+ YOEMaster's in social work/mental health/nursing required; 2 years UR experience in hospital or insurance setting; preferred licensure (LMSW, LMHC, LPC); strong communication and documentation skills.
1mo
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UR COORDINATOR
Delray Beach, Florida, United States
$60k-$75k/yr RemoteFull Time
2+ YOEMaster's in social work/mental health/nursing required; 2 years UR experience in hospital or insurance setting; preferred licensure (LMSW, LMHC, LPC); experience with preauthorization, denials/appeals, documentation, and PHI compliance.
2mo
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UR RN
Auburn, New York, United States
$50/hr OnsiteTemporary
3+ YOECurrent unrestricted NY RN license, 3+ years acute care experience, prior utilization review or case management preferred; EMR data entry skills, knowledge of federal/state standards, strong communication and critical thinking.
EMR
4w
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UR Medicine Maternal-Fetal Medicine – Registered Nurse, Level 2
Henrietta, New York, United States
$37-$50/hr OnsitePart Time
1+ YOE1-2 years obstetrical nursing experience and fetal monitoring experience required; provides specialized nursing care, education, care coordination, and telephone triage for high-risk pregnancy patients.
1mo
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Utilization Review Nurse
Big Spring, Texas, United States
OnsiteFull Time
5+ YOERN with Texas license; 5 years in clinical nursing; UR experience preferred.
2w
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Outcomes Manager - UR (Per Diem)
Pennsauken, New Jersey, United States
$38-$60/hr RemotePart Time, Temporary
3+ YOENJ RN licensure required, case management certification within one year, 3+ years clinical nursing experience (preferred) with 1 year UR/CM/QM experience, knowledge of Medicare/Medicaid/managed care, discharge planning/home health background, strong communication and critical thinking.
1mo
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UR/TOC & Denials RN
Norman, Oklahoma, United States
$30-$49/hr OnsiteFull Time
3+ YOEADN required (BSN/MSN preferred); current Oklahoma RN license and BLS required; minimum 3 years acute care experience; 1+ year clinical documentation/appeals preferred; utilization review experience preferred.
3w
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Utilization Review Nurse
Dallas, Texas, United States
$90k-$98k/yr RemoteFull Time
3+ YOECurrent unrestricted RN license, 3+ years clinical nursing, 1+ year UM/UR experience, proficiency with Microsoft Excel/Word/Outlook/Teams and utilization management systems; strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams, Milliman
2mo
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Registered Nurse - Case Management
Banning, California, United States
$48-$57/hr OnsiteFull Time
3+ YOECA RN license, BSN preferred for new hires after 2017; 3+ years nursing experience; UR/CM experience preferred; Medi-Cal and InterQual knowledge; data entry and computer skills; strong communication.
InterQual, CERME, Medi-Cal, Data Entry, Computer Skills
1mo
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Clinical UR Specialist
Visalia, California, United States
$30-$45/hr OnsiteFull Time
1+ YOECA LVN license required, 1+ year clinical experience (acute preferred), experience extracting data from medical records; utilization review or coding experience preferred; degree in human services preferred.
InterQual
1mo
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Senior Utilization Review Nurse I
Kailua-Kona, Hawaii, United States
OnsiteFull Time
5+ YOEBachelor of Science in Nursing, active Hawaii RN license, BLS required, minimum 5 years' experience in direct patient care/UR/discharge planning in managed care, and at least 1 year leadership experience.
11h
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Clinical Utilization Review Nurse Preceptor / RN
Atlanta, Georgia, United States
OnsiteFull Time
3+ YOEValid Georgia nursing license, BSN required, 3+ years healthcare and utilization review experience, UR RN II experience, competency in utilization review processes, training and auditing skills.
2w
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UR RN Inhouse/Remote (In-House Preferred)
Albany, Georgia, United States
HybridFull Time
4+ YOEGeorgia RN with 4+ years acute clinical experience and 1+ years utilization review experience; associate degree in nursing required (BSN preferred); CCM or CPUR preferred; proficiency with EHR and Microsoft Office.
Microsoft Office Suite, Electronic health record, Internet
2mo
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Behavioral Health Utilization Review Registered Nurse
Rockford, Illinois, United States
$57k-$62k/yr RemoteFull Time
3+ YOERN with active license; 3+ years acute clinical practice; mental health/substance abuse experience; UR nurse orientation; managed care or workers compensation helpful.
2w
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UR Case Manager (LVN) Psych Hospital
Glendora, California, United States
$28-$35/hr OnsiteFull Time
1+ YOEActive LVN license required; experience coordinating discharge and placements, maintaining records, HIPAA compliance, and collaborating with treatment teams.
1mo
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BH Intake RN - Full Time - Afternoons in Wyandotte, Michigan
Wyandotte, Michigan, United States
OnsiteFull Time
1+ YOEGraduate of an accredited nursing program; BSN preferred. Requires 1 year behavioral health clinical/intake/UR experience. Responsible for screening admissions, coordinating intake, and collaborating with clinical teams.
1w
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Utilization Review RN, Case Management/UR, Full Time, Day Shift, Job ID # 1815702
Hialeah, Florida, United States
OnsiteFull Time
Active Florida RN licensure and BLS required; familiarity with Interqual criteria, Outlook, and medical record review; clinical acute care experience preferred.
Outlook, Interqual
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