Utilization review nurse [h1.location_city]
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Utilization review nurse • louisville ky
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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]
Beacon Hill Legal is one of the country's largest legal staffing agencies.We are privately owned and part of Beacon Hill Staffing Group, LLC.
Beacon Hill Legal seeks US barred attorneys in the Kentu...[show_more][last_updated.last_updated_30]
Join Our Team as a Nurse at Choice Waiver and Rehab Services LLC!.Are you a compassionate and skilled nurse looking to make a meaningful difference in the lives of others? At.Choice Waiver and Reha...[show_more][last_updated.last_updated_variable_days]
Innovation at its Best : Join our Forward-Thinking Company.At CableLabs we wake up every day to invent the future.CableLabs is a global award-winning innovation and R&D lab dedicated to keeping ...[show_more][last_updated.last_updated_variable_days]
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
We started Oscar in 2012 to create the kind of health insuran...[show_more][last_updated.last_updated_variable_days]
Embrace Your Calling as a Nurse Practitioner in the Vibrant Heart of Louisville, Kentucky.In the realm of healthcare, the true essence of your impact lies beyond just the statistics - it's in the l...[show_more][last_updated.last_updated_30]
First Shift (United States of America).UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice locations more than 7...[show_more][last_updated.last_updated_variable_days]
Collaboration with Managed Care Organizations (MCO) and care providers is vital to ensure care is being delivered in the right setting at the right time.
How you Will make a difference.Collaborate r...[show_more][last_updated.last_updated_variable_days]
Fun, wellness-focused work environment.Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States.
Our goal is to make Hyper Wellness® w...[show_more][last_updated.last_updated_variable_days]
TheClinical Utilization Management Pharmacist is responsible for delivering data‑driven clinical and cost‑containment strategies that optimize medication utilization, improve patient outcomes, and ...[show_more][last_updated.last_updated_variable_days]
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]
Travel Nurse RN - Neuro PCU - Progressive Care Unit - $2,186 per week at Nurse First summary : .Nurse First is seeking a skilled Travel Nurse RN specializing in Neuro PCU for a 13-week assignment in ...[show_more][last_updated.last_updated_variable_days]
Join an Inspiring Team as a Practical Nurse / Vocational Nurse.Launch Your Rewarding Career at Encompass Health.Are you ready to embark on a meaningful healthcare journey that reflects your values?...[show_more][last_updated.last_updated_variable_days]
LRS Healthcare - Nursing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Jeffersonville, IN.
Shift : Inquire Start Date : 03 / 01 / 2026 Duration : 13 weeks Pay : ...[show_more][last_updated.last_updated_variable_days]
Utilization Management Representative I.This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and auton...[show_more][last_updated.last_updated_variable_days]
Crowe is seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of clients in the financial services industry.
Provide loan review services and other consul...[show_more][last_updated.last_updated_30]
Collaboration with Managed Care Organizations (MCO) and care providers is vital to ensure care is being delivered in the right setting at the right time.
Collaborate regularly and maintain open comm...[show_more][last_updated.last_updated_variable_days]
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]
- [promoted]
California Licensed Utilization Review Nurse
VirtualVocationsLouisville, Kentucky, United States[job_card.full_time]
Admitted Attorney Document Review Projects
Beacon HillLouisville, Kentucky[job_card.full_time]
- [promoted]
Nurse
Choice Waiver and Rehab Services LLCLouisville, KY, US[job_card.full_time]
SUMMER INTERNSHIP Spectrum Utilization Study Intern
CableLabsLouisville, Kentucky, USA[job_card.internship]
- [promoted]
Senior Manager, Payment Integrity (Chart Review)
Oscar HealthLouisville, KY, United States[job_card.full_time]
- [promoted]
Advanced Practice Nurse / Nurse Practitioner
MLee Healthcare Staffing and Recruiting, IncLouisville, KY, United States[job_card.full_time]
RN Utilization Review
UofL HealthLouisville, Kentucky, USA[job_card.full_time]
Utilization Management Nurse RN
Signature HealthCARELouisville, Kentucky[job_card.full_time]
- [promoted]
Nurse
Restore Hyper WellnessLouisville, KY, United States[job_card.full_time]
- [promoted]
Clinical Utilization Management Pharmacist
BrightSpring Health ServicesLouisville, KY, United States[job_card.full_time]
- [promoted]
Flexible Online Opportunity - Discover & Review Work-from-Home Gigs
Finance BuzzFairdale, Kentucky, US[filters.remote]
[job_card.temporary]
- [promoted]
Travel Nurse RN - Neuro PCU - Progressive Care Unit - $2,186 per week
Nurse FirstLouisville, KY, USA[job_card.full_time]
- [promoted]
Practical Nurse / Vocational Nurse
Encompass Health Rehabilitation Hospital of LakeviewHeritage Creek, KY, United States[job_card.full_time] +1
- [promoted]
Travel Nurse - Registered Nurse - Telemetry Nurse - $1904 / Week
LRS HealthcareJeffersonville, IN, United States[job_card.full_time]
- [promoted]
Utilization Management Representative I (Kentucky)
Elevance HealthLouisville, KY, United States[job_card.full_time]
Loan Review Senior Consultant
CroweLouisville KY US[job_card.full_time]
- [promoted]
Utilization Management Nurse RN
Signature HealthCARE, LLCLouisville, KY, US[job_card.full_time]
Nerve Health Protocol Review Specialist - Part-Time (Remote)
Tribe WellnessLouisville, Kentucky, .US[filters.remote]
[job_card.full_time] +1
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California Licensed Utilization Review Nurse
VirtualVocationsLouisville, Kentucky, 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