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Utilization review nurse [h1.location_city]

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Utilization review nurse • huntsville al

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California Licensed Utilization Review Nurse

California Licensed Utilization Review Nurse

VirtualVocationsHuntsville, Alabama, United States
[job_card.full_time]
A company is looking for a Concurrent Utilization Review Nurse (Work from Home).Key Responsibilities Conduct real-time clinical reviews to assess medical necessity and appropriateness of healthca...[show_more][last_updated.last_updated_variable_hours]
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Nurse Residency - Registered Nurse

Nurse Residency - Registered Nurse

ScionHealthHeath, AL, USA
[job_card.full_time]
The registered nurse assumes principle responsibility for total care of assigned clients in the respective unit.This nurse is responsible for the processes of assessment, reassessment, establishmen...[show_more][last_updated.last_updated_variable_days]
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Nurse

Nurse

North Alabama Oral & Facial SurgeryMadison, AL, United States
[job_card.full_time]
Role and Responsibilities The nurse will perform routine nursing duties and assist with the other related duties involved in providing patient care in a surgical setting. Interviews patients to obta...[show_more][last_updated.last_updated_variable_days]
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Student Nurse

Student Nurse

Huntsville Hospital Health SystemHuntsville, AL, United States
[job_card.full_time]
The Student Nurse works under the direction of the RN / LPN.The responsibilities of the Student Nurse include providing direct patient care and maintaining patient care standards.The Student Nurse mu...[show_more][last_updated.last_updated_variable_days]
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Senior Behavioral Health Utilization Management Clinician

Senior Behavioral Health Utilization Management Clinician

Blue Shield of CAHuntsville, AL, United States
[job_card.full_time]
Join our dedicated Behavioral Health Utilization Management team, where you will play a vital role in conducting comprehensive prospective and concurrent utilization reviews.As a Senior Behavioral ...[show_more][last_updated.last_updated_variable_days]
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Travel Physical Therapist - $2,160 per week

Travel Physical Therapist - $2,160 per week

Nurse FirstHuntsville, AL, United States
[job_card.full_time]
Nurse First is seeking a travel Physical Therapist for a travel job in Huntsville, Alabama.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per week (subject to con...[show_more][last_updated.last_updated_30]
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Registered Nurse / Licensed Practical Nurse

Registered Nurse / Licensed Practical Nurse

Araa Home Care LLCHuntsville, AL, United States
[job_card.full_time] +1
ARAA Home Care, LLC is an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, dis...[show_more][last_updated.last_updated_variable_days]
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Registered Nurse

Registered Nurse

LHC GroupHuntsville, AL, United States
[job_card.full_time]
We are hiring for a Registered Nurse.At Huntsville Hospital HomeCare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from i...[show_more][last_updated.last_updated_variable_days]
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Registered Nurse

Registered Nurse

OptumHuntsville, AL, US
[job_card.full_time]
Full-Time Registered Nurse (RN).Explore opportunities with Southeast Alabama HomeCare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide.As me...[show_more][last_updated.last_updated_variable_days]
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Travel RN - Case Management / Utilization Review - Case Management

Travel RN - Case Management / Utilization Review - Case Management

American TravelerMadison, AL, United States
[job_card.full_time]
American Traveler is seeking an experienced RN Case Manager in California with a CA RN license and significant case management experience. Hospital-based Case Management unit,.Day shift position wor...[show_more][last_updated.last_updated_30]
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Material Review Board (MRB) Coordinator

Material Review Board (MRB) Coordinator

Performance Drone WorksHuntsville, AL, US
[job_card.full_time]
Material Review Board (MRB) Coordinator.Performance Drone Works (PDW) builds technologies for the warfighter, by the warfighter. Born out of the Drone Racing League, our roots are competitive, our m...[show_more][last_updated.last_updated_variable_days]
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Registered Nurse

Registered Nurse

Encompass HealthHuntsville, AL, United States
[job_card.full_time] +1
Full-time, Night positions available.Experience nursing as it was meant to be.We’re looking for Registered Nurses who are inspired by the prospect of caregiving the way it should be.Here, you'll ha...[show_more][last_updated.last_updated_30]
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Registered Nurse

Registered Nurse

Encompass Health Rehabilitation Hospital of North AlabamaMeridianville, AL, US
[job_card.full_time] +1
Registered Nurse Career Opportunity.Encompass Health : Where Nursing Meets Heart, Home, and Healing.Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...[show_more][last_updated.last_updated_variable_days]
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Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzBrownsboro, Alabama, US
[filters.remote]
[job_card.temporary]
Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...[show_more][last_updated.last_updated_variable_days]
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Nurse-LPN

Nurse-LPN

River City CenterHuntsville, AL, USA
[job_card.full_time]
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we be...[show_more][last_updated.last_updated_variable_days]
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Registered Nurse

Registered Nurse

ADDICTION AND MENTALMadison, AL, United States
[job_card.part_time]
This position is a full-time 8 p.At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees.W...[show_more][last_updated.last_updated_30]
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Safety Review Panel Coordinator

Safety Review Panel Coordinator

Bastion TechnologiesHuntsville, AL, US
[job_card.full_time]
Safety Review Panel Coordinator.NASA's Marshall Space Flight Center (MSFC) Safety and Missions Assurance (SMA) initiatives in. Human Landing System (HLS) Safety and Engineering Review Panel (HSE...[show_more][last_updated.last_updated_variable_days]
Nerve Health Protocol Review Specialist - Part-Time (Remote)

Nerve Health Protocol Review Specialist - Part-Time (Remote)

Tribe WellnessHuntsville, Alabama, .US
[filters.remote]
[job_card.full_time] +1
[filters_job_card.quick_apply]
Tribe Wellness Sales specializes in outbound sales for health and wellness brands.We combine the health and wellness messaging of our strategic partners with our decades of sale...[show_more][last_updated.last_updated_30]
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Advanced Practice Nurse / Nurse Practitioner

Advanced Practice Nurse / Nurse Practitioner

MLee Healthcare Staffing and Recruiting, IncHuntsville, AL, United States
[job_card.full_time]
Embrace Compassion, Experience Autonomy - Start Your Journey as a Nurse Practitioner in Vibrant Huntsville.In the realm of healthcare, true impact transcends mere statistics; it's reflected in the ...[show_more][last_updated.last_updated_30]
California Licensed Utilization Review Nurse

California Licensed Utilization Review Nurse

VirtualVocationsHuntsville, Alabama, United States
[job_card.variable_hours_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for a Concurrent Utilization Review Nurse (Work from Home).

Key Responsibilities

Conduct real-time clinical reviews to assess medical necessity and appropriateness of healthcare services

Collaborate with the Medical Director on complex cases and manage authorization requests

Ensure compliance with health plan policies and maintain accurate documentation of review activities

Required Qualifications

Registered Nurse (RN) with an active, unrestricted California nursing license; BSN preferred

2-3 years of clinical nursing experience, with at least 1 year in utilization review or case management

Experience in a managed care setting is strongly preferred

Preferred certifications include Certified Professional in Utilization Review (CPUR) or Certified Case Manager (CCM)

Strong knowledge of clinical guidelines and medical necessity criteria