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Utilization review nurse jobs in Salt Lake City, UT - 60 jobs

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  • Medical Review Nurse (RN)

    Molina Healthcare 4.4company rating

    Utilization review nurse job in Layton, UT

    Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. Job Duties Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. Supplies criteria supporting all recommendations for denial or modification of payment decisions. Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. Provides training and support to clinical peers. Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. Job Qualifications REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). Experience working within applicable state, federal, and third-party regulations. Analytic, problem-solving, and decision-making skills. Organizational and time-management skills. Attention to detail. Critical-thinking and active listening skills. Common look proficiency. Effective verbal and written communication skills. Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $29.05 - $67.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $29.1-68 hourly 2d ago
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  • Utilization Management Nurse

    Humana 4.8company rating

    Utilization review nurse job in Salt Lake City, UT

    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action + 3+ years of prior clinical experience as nurse in acute care setting + Prior experience utilizing comprehensive knowledge of Microsoft Word, Outlook and Excel + prior experience working independently under general instructions and with a team **Preferred Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** + **Hours for this role are: Monday-Friday 8am-5pm (Various Time Zones)** **Work-At-Home Requirements:** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **How we Value You** + Benefits starting day 1 of employment + Competitive 401k match + Generous Paid Time Off accrual + Tuition Reimbursement + Parent Leave + Personify perks for well-being **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. \#ThriveTogether #WorkAtHome Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $71.1k-97.8k yearly 5d ago
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Salt Lake City, UT

    **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly 12d ago
  • Utilization Review Nurse

    University of Utah Health

    Utilization review nurse job in Salt Lake City, UT

    As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for maintaining the financial integrity of both the patient and the organization through the provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such care; achieved via managing the cost of care while providing timely and accurate information to third party payers and medical care team. This position may be required to access and administer medications within their scope of practice and according to state law. Required One year Utilization Review or Case Management experience. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review. Communication to third-party payers for initial and concurrent clinical review. Reviews patient chart to ensure patient continues to meet medical necessity. Documentation of all actions and information shared with care team members or third-party payer. Alerts and discusses with physician/provider and case manager/discharge planner when patient no longer meets medical necessity criteria for the inpatient stay. Discusses with physicians the appropriateness of resource utilization. Tracks length of stay (LOS) and resource utilization to identify at risk patients. Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. Performs verbal/fax clinical review with payer as determined by nursing judgment and/or collaboration with the payer per university contractual obligation. Participant in UR Committee as needed. Collects data on variances in LOS, avoidable days, costs/barriers to discharge/transition and denied days. Prepares appeals on denied cases when appropriate. At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role. Knowledge / Skills / Abilities Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment. Ability to perform the essential functions of the job as outlined above. Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills. Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. The ability to demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual. Ability to work autonomously and as a team member. Qualifications QualificationsRequired One year Utilization Review or Case Management experience. Licenses Required Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah. * Additional license requirements as determined by the hiring department. Qualifications (Preferred) Preferred Basic Life Support Health Care Provider card. Proficiency in application of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. Utilization Review Certification designation. Knowledge of CMS Regulations. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation. This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. This position does not provide care to patients. Physical Requirements Color Determination, Far Vision, Listening, Near Vision, Sitting, Speaking
    $47k-62k yearly est. Auto-Apply 22d ago
  • Regional Nurse Consultant

    Avalon Health Care Management 4.2company rating

    Utilization review nurse job in Salt Lake City, UT

    Avalon Health Care Management, Inc. has an exciting opportunity for an experienced Registered Nurse for a Regional Nurse Consultant position! Travel required. Avalon is seeking an experience skilled nursing facility director of nursing who is ready to take the next step in their career as a regional nurse consultant or an experienced regional nurse consultant with a background working as a director or nursing in a skilled nursing facility. **Must have DON or Regional Nurse experience in Skilled Nursing** Starting at $130,000 /yr Full-time are eligible for: 401K Medical, Dental & Vision FSA & Dependent Care FSA Life Insurance AD&D, Long Term Disability, Short Term Disability Critical Illness, Accident, Hospital Indemnity Legal Benefits, Identity Theft Protection Pet Insurance and Auto/Home Insurance Responsibilities The Regional Nurse Consultant will be responsible for the provision of expert advice and oversight to facility management personnel and line staff to ensure that systems are maintained to effectively and efficiently operate the facility in a manner to safely meet residents' needs in compliance with federal, state and local requirements. Resident Assessment/Care Plan Development Delivery of Resident Care Facility Support Supervision Customer Service Residents' Rights Resident Comfort and Safety Pharmacy Knowledge Lab Values Infection Control Continuing Education Qualifications Previous Director of Nursing and/or Nurse Consulting experience for a Skilled Nursing Facility is required. Understanding of CMS regulations and experience with the survey process. A current, active license to practice as a Registered Nurse (RN) Ability to travel to assignments. Ongoing pursuit of Continuing Education Credits in clinical subjects, management, personal growth and development. Demonstrate working knowledge of infection control principles and practices. Ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, and policies and procedures that are necessary for providing quality care. Proven ability to communicate effectively and positively with staff, residents and family members. Basic understanding of computer technology. Proven written and oral communication skills. Proven decision-making and analytical skills. Able to relate positively, favorably and cooperatively with others, including employees, residents, family members, and personnel of outside agencies and organizations. Avalon Health Care Group is an Equal Opportunity Employer. If you believe this posting does not comply with WA law, send notice to ************************** .
    $130k yearly Easy Apply 46d ago
  • Field Nurse Practitioner - Utah County, Utah

    Advantmed 3.6company rating

    Utilization review nurse job in Provo, UT

    Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Utah County, Utah Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology
    $100 hourly Auto-Apply 46d ago
  • Travel Labor & Delivery Nurse - $2,394 per week

    Cure Healthcare Staffing 3.3company rating

    Utilization review nurse job in West Valley City, UT

    Cure Healthcare Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Valley City, Utah. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN 36 hours per week Shift: 12 hours, nights Employment Type: Travel Cure Healthcare is seeking a RN - Labor & Delivery L&D for positions in West Valley City, Utah. Current Utah license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 3x12 Nights. Required: 2 years of recent experience in Labor & Delivery L&D. Please inquire for specific job details and confirm shift required by facility. Cure Healthcare Staffing Job ID #35491891. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Labor & Delivery L&D,18:00:00-06:00:00 About Cure Healthcare Staffing Phone Number: Main: 512-572-6388 Website: https://curehealthcarestaffing.com/ With 20+ years of healthcare staffing experience, Cure is helping nurses and allied health professionals rediscover their love of patient care while providing healthcare facilities with the flexible staffing solutions they need.We talk to nurses and techs every day who feel overwhelmed. By empowering them with flexibility and ownership of their career, we can keep more qualified healthcare professionals in direct patient care.Patient care should always come first. That's why we went through the process to become accredited by the Joint Commission. We only accept staff that meet the Joint Commission quality criteria so we can ensure that short-term staff assignments contribute to quality care rather than detract from it.
    $61k-86k yearly est. 23h ago
  • Travel Labor & Delivery Nurse - $2,070 per week

    Core Medical Group 4.7company rating

    Utilization review nurse job in West Valley City, UT

    Core Medical Group is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Valley City, Utah. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Client in UT seeking Registered Nurse: Labor & Delivery for the following shift(s): Nights We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role. Contract/travel assignments are typically 13 weeks, with potential to extend. Help us continue our mission to connect people, improve lives, and give back to the community by joining the CoreMedical Group team. When you work with CoreMedical Group, we put you first and treat you like family, supporting you every step of the way. CoreMedical Group is one of the largest healthcare staffing agencies in the country, with travel and contract positions located across the United States. Our recruiters will help you find the perfect job, whether it's across the country or across the street. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! Weekly paychecks with competitive pay packages Matching 401(k) benefits to help you save for retirement Licensure assistance and reimbursement to set you up for success on your contract Travel reimbursement and dedicated housing support while on assignment Referral cash bonuses when you connect us with other clinicians CoreMedical Group also offers you a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club CoreMed retreat and you'll see why our contract and travel professionals come back to us year after year! Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. Any benefits (medical/dental/vision) are in addition to the weekly pay. Please speak with your Recruiter for additional details. Estimated payments are subject to change until formal offer of assignment is made and accepted. Core Medical Group Job ID #1347804. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN About Core Medical Group CoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements! Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort! Benefits Weekly pay Holiday Pay Guaranteed Hours Continuing Education 401k retirement plan Pet insurance Company provided housing options Sick pay Wellness and fitness programs Mileage reimbursement Referral bonus Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 License and certification reimbursement Life insurance Discount program
    $58k-93k yearly est. 1d ago
  • OR Nurse - Part Time

    Surgery Partners Careers 4.6company rating

    Utilization review nurse job in Salt Lake City, UT

    In partnership with Intermountain Health, Surgery Partners is seeking experienced OR nurse to join our Team! We are open Tuesday-Friday. No Holidays! No Weekends! Our specialties include: cataracts, ENT, podiatry, ortho, plastics, oculoplastics and colorectal. Job Summary The Nurse Circulator assists in provision of nursing care to patients in an Ambulatory Surgical Center setting. Assumes total responsibility for patient care in accordance with physician's orders and centers policies. During operations and other surgical procedures, the circulator assists by acting as an intermediary between the operating room staff and the rest of the surgical center. Responsibilities Performs circulating functions including monitoring, recording and communicating patient condition and managing overall nursing care of patient before, during and after procedure. Prepares operating rooms including equipment and supplies for use. Performs patient positioning and ensures patient safety throughout procedure. Qualifications: • Graduate of Accredited School of Nursing; current state RN license. • BLS required. • Minimum one year in the OR, ability to scrub as well as circulate preferred. Our employees are critical to our success and we value their contributions. Surgery Partners offers a competitive compensation and benefits package and an opportunity to grow and develop your career in an environment that values employee ideas and diversity. Equal Opportunity Employer. We maintain a drug-free workplace and require pre-employment drug screening. Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
    $50k-65k yearly est. 4d ago
  • Travel Labor & Delivery Nurse - $2,268 per week

    Reliable Nurse Staffing

    Utilization review nurse job in West Valley City, UT

    Reliable Nurse Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Valley, Utah. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN 36 hours per week Shift: 12 hours, nights Employment Type: Travel Reliable Nurse Staffing Job ID #58805782. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Reliable Nurse Staffing Providing reliable, competent, and compassionate care to our patients and clients. Benefits Weekly pay Holiday Pay Guaranteed Hours Referral bonus Medical benefits Dental benefits Vision benefits Life insurance
    $56k-89k yearly est. 1d ago
  • Travel Nurse Clinical Instructor

    Nightingale Education Group

    Utilization review nurse job in Salt Lake City, UT

    Please read before applying: This is NOT a remote or classroom teaching role. To be considered, candidates must be willing to travel up to 100% of the time to various locations across the US during clinical rotations. Nightingale faculty are required to work all three 15-week semesters (spring, summer, fall). Clinical rotations take place during at least 11 of these weeks. This is NOT a state-specific travel position. Assignments can be located across the country in any of the Supervised On-Ground Field Experience (SOFE) Areas (click the hyperlink to see a map of all of our SOFE Areas) . The organization will provide travel and lodging accommodations. Position Summary: The Travel Nurse Clinical Instructor (internally referred to as Assistant Professor, Nursing Education) facilitates on-ground education instruction by incorporating innovative teaching methodologies, cutting-edge technologies, and other industry trends reflecting advancements in the discipline by promoting an interdisciplinary approach to advanced practice nursing education and healthcare delivery within and outside the College. The incumbent will be accountable for delivering the nursing curriculum in accordance with the Program's mission, vision, values, and purposes. The Assistant Professor will engage with learners in all aspects of the nursing education process, including evaluating the potential for achievement in the program, and is accountable for Nursing Education Services' successful attainment of key performance indicators, program and functional outcomes, and the success of the College's mission. The Assistant Professor functions as a valued team member within the nursing faculty. Role and Responsibilities: Facilitates learning in the various supervised on-ground focused education (SOFE) sites, including clinical, simulation, or skills labs across the United States. Responsible for teaching and evaluating learners in the Practical Nursing, Baccalaureate, and Master's Degree Nursing Programs. Monitors, engages, and maintains open communication with learners in all aspects of the nursing education process, including attendance, performance, comprehension, and evaluation in accordance with course outcomes, and submits required reports according to published deadlines. Adheres to and holds learners accountable for partner facilities' expectations. Attends nursing faculty meetings, participates in committees, engages in shared decision-making, and other faculty activities as required. May be assigned to various modalities, including experiential, didactic, evaluations, and NCLEX coaching based on the needs of the College. May carry additional teaching load outside of primary assignment. Participates in the successful implementation of other functional projects as they arise. Other duties as assigned. Qualifications and Education Requirements: Earned Graduate degree with a major in nursing from an accredited institution supplemented by 0-1 year of relevant experience. Active, unencumbered RN or APRN license from state of residence and ability to obtain RN and NP licensure in any jurisdiction required by the College, including a valid multi-state license. Either has an earned Certified Nurse Educator (CNE) credential or commits to obtaining this certification within a one-year period. Maintains current knowledge in multiple areas of nursing practice. Two (2) years of experience in clinical nursing, within the past five (5) years. Two (2) years of experience supervising clinical education activities preferred. Maintains immunizations and certification records as required by accreditation, facility, or state board of nursing. Additional Contributions: Annual Professional Development, Service as SME, Service on Committees, and learner load will be congruent with current faculty matrix for the assigned course(s). One (1) year of experience in delivery of Concept-Based Nursing Education is preferred. One (1) year of distance education experience preferred. Familiarity with learning management software, Canvas preferred. Proficiency in modern technology platforms and ability to quickly adapt to various software. Physical Requirements: The Nursing faculty assigned to clinical instruction must be able to perform the following essential physical functions, with or without reasonable accommodation: Stand and walk for prolonged periods during clinical instruction (up to 12 hours). Move throughout clinical units and partner facilities to observe and supervise learners. Assist in demonstrating clinical skills that require reaching, bending, stooping, and manual dexterity. Lift, carry, push, or pull educational equipment, simulation mannequins, supplies, or teaching materials weighing up to 25-50 pounds. Respond rapidly in clinical environments in emergency situations to ensure learner and patient safety. Visually assess learner performance, patient conditions, equipment readings, and environmental safety conditions. Communicate effectively in busy or noisy clinical environments, including speaking clearly through PPE. Maintain the physical and mental stamina required for supervising multiple learners while navigating clinical workflows. Work Environment Conditions: Clinical environments may require exposure to bodily fluids, biohazards, cleaning agents, and standard healthcare PPE. Requires travel to various clinical partner sites and the ability to enter and navigate healthcare facilities. Position involves variable schedules depending on facility access, including early mornings, nights, or extended clinical shifts Reminder: This is NOT a remote or classroom teaching role. This position requires 100% travel to help facilitate on-ground clinical experiential learning. This is NOT a state-specific travel position; assignments can be located across the U.S. at any of the Nightingale SOFE Areas. Compensation & Faculty Ladder: Nightingale College utilizes a faculty ladder with five levels to determine salary and position title. Nursing Education has the following levels: Instructor, Assistant Professor I, Assistant Professor II, Associate Professor, and Professor. Placement on the faculty ladder is determined at the time of an offer and is based on degree level and years of nursing academia experience. Budgeted Hiring Range $93,500 - $102,850 USD All new hires are required to attend New Collaborator Orientation (NCO) in Salt Lake City, Utah. The College will cover travel, lodging, and other accommodations. Nightingale's commitment to diversity and inclusion is reflected both in our learners and collaborators because we believe the best outcomes for learners from underserved and diverse populations are achieved through collaborators with similar backgrounds and cultures. Nightingale Education Group is an equal opportunity employer. Our Mission (not just words on the wall, we live it, love it, and daily contribute to it): With the primary focus on higher learning in healthcare professions, Nightingale Education Group contributes to elevating education, health, and employment systems through facilitation of academic achievement, personal growth, and professional development of its learners, alumni, and collaborators, while serving diverse communities. At Nightingale Education Group, our Innovative Education model helps transform rural health landscapes through our blended-distance learning platform. Every person involved with Nightingale Education Group helps to change the lives of our learners, our communities, and ultimately the world by adding to the quality of healthcare. We are proud to have graduated nearly 5,000 nurses serving communities in need. We are serious about our outcomes and have a little bit of fun getting there. The professional and personal development of our learners and our collaborators is our company's foundation. Not only do we develop strategies that promote a positive work-life integration, but we also create an environment that invites you to become an expert in your field, be it through higher education or professional development. Put simply, we elevate employment, elevate health, and elevate education. We're so happy that you've found us! Employment is contingent upon successful completion of a background check and drug screen.
    $93.5k-102.9k yearly Auto-Apply 20d ago
  • Wellness Nurse

    Legacy Village of Sugar House

    Utilization review nurse job in Salt Lake City, UT

    Are you a compassionate RN looking for a meaningful career where your clinical skills truly make a difference? Legacy Village of Sugar House in beautiful Sugar House, UT is hiring a full-time Wellness Nurse to join our dedicated nursing team. This role offers a consistent daytime schedule with on-call responsibilities. If you're ready to lead with heart and elevate senior care, apply today and become part of something truly rewarding. As our Wellness Nurse, you'll earn a competitive wage, based on experience. We also offer excellent, company-wide benefits and perks, including: Hotel discounts 401(k) with match A referral program $500 sign-on bonus Flexible scheduling Tuition reimbursement program Medical, dental, and vision insurance WHAT SETS US APART Legacy Village of Sugar House offers a beautiful blend of urban living in one of Utah's most desirable neighborhoods. Our gorgeous, state-of-the-art assisted living community provides a healthy aging lifestyle, exceptional services, and fantastic amenities. Winner of Best-of-State for senior living in 2022, we live by a simple mission: to serve our residents like family. We are guided by six core values: Be loving, choose wisely, perform together, act boldly, express gratitude, and mind the store. Our employees live this and are a top priority. We strive to create meaningful connections with each other, our clients, and our partners. We also support our employees to be their best at home and at work by providing tuition reimbursement, hotel discounts, and a supportive environment! WHAT WE'RE LOOKING FOR IN A WELLNESS NURSE We're looking for someone who brings both clinical expertise and heartfelt dedication to our residents' well-being. If you can meet the following qualifications, we want you as our Wellness Nurse! Current RN license Strong communication and assessment skills Experience in assisted living facilities is preferred. Keep reading to see if you'd love this RN position at our assisted living facility! YOUR NEW ROLE AS OUR WELLNESS NURSE This is a full-time nursing position, Monday through Friday, 9:00 AM to 5:00 PM, with on-call responsibilities. As our Wellness Nurse, you'll conduct health assessments, administer medications, and respond to changes in residents' conditions with care and precision. You'll collaborate with physicians, families, and staff to ensure residents receive the best possible care while fostering a safe and welcoming environment. Through your guidance, caregivers will thrive, and residents will flourish under your watchful eye. Ready to make a difference? Apply now and take the next step in your nursing career with Legacy Village of Sugar House! Our initial application process is quick, easy, and mobile-friendly-so you can apply anytime, anywhere.
    $42k-63k yearly est. 60d+ ago
  • Dosing Nurse

    Tranquility Place of Utah LLC

    Utilization review nurse job in Salt Lake City, UT

    Job DescriptionBenefits: 401(k) Dental insurance Paid time off Tranquility Place is one of the last privately owned methadone clinics in Utah and we are looking to hire a dosing nurse. Going on ten years changing lives one person at a time. Relaxed, supportive, transparent, management. Interactive team spirit. Collaborative, supportive environment. A small company that cares for employees as well as for the people we serve. We offer strong team spirit and staff involvement, honesty and trust at all levels, and compassionate service to employees and clients alike. Job Requirements and Duties Must be at minimum a Licensed Practical Nurse (LPN) with an active license in the state of Utah Must pass background check Competent with computer and software (software training done in house) Administers medication to patients Hand out takehome doses Prepares specimens for UA lab
    $42k-63k yearly est. 22d ago
  • Appeals Nurse

    Evolent 4.6company rating

    Utilization review nurse job in Salt Lake City, UT

    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while complying with timeliness guidelines. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the Clients and Members we serve. **Collaboration Opportunities:** The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats, and monthly communication on team metrics and accomplishments. **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews. + Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes. + Refers cases to appropriate internal reviewers according to the business needs of the particular health plan. + Reviews requests for Urgent appeals compared to expedited criteria for downgrade to Standard processing, documenting accordingly. + Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals. + Other duties as assigned. **Qualifications Required and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + Able to work in a rotation to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business needs of nurses providing coverage until 7:00pm CST. - **Required** + Must be able to exercise independent and sound judgment in clinical decision making. - **Preferred** + Able to navigate through internal and external computer systems. Working knowledge of Microsoft Office Product Suit - **Preferred** + Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities. - **Preferred** + Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally, including strong written and verbal communication skills. - **Preferred** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $37- $42/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
    $37-42 hourly 60d+ ago
  • Nurse Case Manager- Ogden, UT

    The Ima Group 4.4company rating

    Utilization review nurse job in Ogden, UT

    Description Company Overview: Orchard Medical Consulting, an IMA Group Company, is a leading medical organization committed to providing high-quality, comprehensive medical assessments across various specialties. With a focus on occupational health, disability evaluations, and healthcare assessments, we strive to deliver exceptional care and support to our claimants. Job Summary: We are seeking a compassionate and experienced Nurse Case Manager to support individuals with work-related injuries. Our ideal candidate will conduct consultative exams, assessing both physical and psychological aspects without administering medical treatment. Our team of providers manage evaluations, screenings, and case management for Insurance Carriers, TPAs, Public Entities, and Employers. Responsibilities: Deliver tailored services for individuals affected by work-related injuries. Work closely with physicians and claims adjusters to craft efficient and budget-friendly treatment strategies. Foster and maintain robust relationships with our client base. Act as an essential liaison connecting patients with their healthcare providers. Qualifications: Associate of Science in Nursing (ASN) or higher-level nursing degree. Active Registered Nurse (RN) license required. CCM (Certified Case Manager) credential preferred. Proven clinical experience, ideally in ICU, ER, Trauma, Ortho, and/or Neurology. Experience in Workers' Compensation Nurse Case Management preferred. Benefits: Complete Health Coverage: Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being. Balanced Lifestyle: Enjoy paid time off, holidays, and a floating holiday to maintain a healthy work-life balance. Comprehensive Coverage: Benefit from LTD, STD, Flexible Spending Account, Company-paid Life Insurance, and ADD coverage. Stress-Free Environment: No on-call responsibilities ensure a stress-free work atmosphere. The IMA Group is an Affirmative Action/Equal Opportunity Employer Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities. #LI-BC1#LI-HYBRID
    $52k-63k yearly est. Auto-Apply 13d ago
  • Travel Labor & Delivery Nurse - $2,036 per week

    Uniti Med 4.4company rating

    Utilization review nurse job in West Valley City, UT

    Uniti Med is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Valley City, Utah. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN 36 hours per week Shift: 12 hours, nights Employment Type: Travel Benefits: Day 1 Insurance Cigna medical, MetLife dental and vision insurance License reimbursement for new licenses needed for each assignment Discounts with hotels and rental cars A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience Referral bonus up to $700 About the Company: Finding the right role is about more than just matching skills to a job-it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence. UnitiMed Job ID #766071. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN) About Uniti Med Uniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way! Benefits Referral bonus Benefits start day 1 Employee assistance programs
    $58k-93k yearly est. 1d ago
  • TeleHospitalist Nurse Coordinator

    Intermountain Health 3.9company rating

    Utilization review nurse job in Murray, UT

    The Hospitalists Coordinator is responsible for coordinating and organizing the clinical care provided to inpatients under the Hospitalists Service. This is a clinically supportive role that facilitates, directs, and assigns patient loads, new admissions, and organizes logistics for physicians rounding of patients. **Position Details** · **Shift Details:** Part time, 21 hours/week, swing (1500 - 0000) and night shift (1800 - 0600), some weekend and holiday requirements · **Department:** Hospitalist · **Primary Location:** Valley Center Tower · **Additional Details:** Two years of clinical hospital experience required. Job Essentials Clinical Excellence: Reviews hospitalists' patient census and uses clinical expertise to divide patient loads to create work-list each day. This includes reviewing on-going census changes due to discharges and new admissions, reviewing pertinent patient information to facilitate physician rounding, and planning the day for physicians to see patients in an appropriate order. Organizes the logistics for physician rounds by gathering paperwork, forms, and medication reconciliation and prepares orders and prescriptions for discharging patients by obtaining patient information, preferred pharmacy, preferred place to obtain follow up labs, etc. at the direction of the physician. Maintains appropriate communication with community physicians and assists the Hospitalists with appropriate hand-off. Screens and, where appropriate, answers questions from patients and families post discharge. Fields questions from pharmacies, mortuaries, etc. and appropriately fill out forms for death certificates and billing requests. Patient Engagement: Works with physicians and patients to actively improve patient engagement and patient satisfaction scores by answering questions in ways patients can understand, spending time alleviating family and patient concerns, and providing written information and resources. Operational Effectiveness: Uses resources effectively and looks for ways to reduce cost while maintaining positive clinical and service outcomes. Works with Hospitalists, Case Management, and Social Services to identify barriers to care, reduce length of staym and decrease cost. Employee Engagement: Role models and fosters an environment of professionalism and personal engagement in the department and hospital by treating each other with mutual respect and working with physicians, members of the interdisciplinary team, and management to create a dynamic environment that fosters trust and feedback. Physician Engagement: Works with Physicians to develop standardized processes and approaches for treatment for various diseases using evidence based medicine. Provides physician reminders for consistent, quality practice. Works to represent Intermountain Healthcare in a positive way by explaining the hospitalists' role to patients and families in a way they can understand. Reinforces Hospitalists role, manages up each physician, and thoroughly describes Primary Care Provider and Hospitalists relationship to patients and families. Community Stewardship: Participates in opportunities to market the hospitalists program to outlying clinics. Performs follow up phone calls on discharged patients to ensure questions are answered and concerns are addressed. Minimum Qualifications Current RN License in state of practice. - and - Basic Life Support Certification (BLS) for healthcare providers. Two years of clinical hospital experience. - and - Basic computer experience. - and - Professional verbal and written communication skills. - and - RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion. Preferred Qualifications Bachelor's degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified. Experience in training and auditing procedures. - and - Clear understanding of health care products, ethics policies, and internal processes. - and - Working knowledge of IDX, Clinical Workstation, AS400, LINC, OVID, and the Int. Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. - and - Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. - and - Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, etc. **Location:** Valley Center Tower **Work City:** Murray **Work State:** Utah **Scheduled Weekly Hours:** 21 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $40.39 - $60.96 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $57k-67k yearly est. 7d ago
  • Float Nurse

    Orem Rehabilitation & Skilled Nursing

    Utilization review nurse job in Orem, UT

    at Orem Rehab & Skilled Nursing. *Flexible shift options available! Pay: $31.00 - $40.00+ (Depending on experience.) Shifts: 6 pm - 10 pm Time Type: Part-time *The Many Perks We Offer!! - *Bonus Programs! *Daily Pay options! - Get paid when you want! *Quick Career Advancement Opportunities! - We will help you rise to the top! *Flexibly Schedule options. *Career Path Development *Tuition Reimbursement Program *GET PAID TO BRING YOUR FRIENDS! Referral Bonus opportunity *Cell Phone, Movie Ticket, and other major Discounts *Medical, Dental, Life Insurance *Mentorship and Training *401(k) with Matching Contributions *Health Insurance, Dental Insurance, Vision Insurance, Life Insurance, Etc... +Plus many more! Please ask us about all of the amazing perks we offer! About The Team: We are a culturally driven facility that strives to put our employees first! It is actually our motto that "Employees Come First" here at Orem Rehab. You will hear this all the time working with our leaders. We enjoy celebrating our accomplishments on a regular basis. Here at Orem Rehab, we have a passion for learning, embrace change, and encourage growth! Our team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding our company's mission of delivering care with compassion and integrity. We value innovation and creativity in our buildings. Responsibilities: Identify patients' care requirements, focus on their needs and act on them Nurture a compassionate environment by providing psychological support Resolve or report on patients' needs or problems Prepare patients for examinations and perform routine diagnostic checks (monitor pulse, blood pressure and temperature, provide drugs and injections etc...) Monitor and record patient's condition and document provided care services Treat medical emergencies Administer workloads Follow care regulations and standards Work within and cooperate with a multidisciplinary team Job Requirements: Must have an active Utah State RN License or Utah or compact state nursing license (RN). Our Mission Statement: As a family we are focused on providing personalized quality care through hope, compassion, and dedication to excellence! Our Vision Statement: Together we grow with our community to prove quality clinical care by creating a fun, uplifting culture, with a home like environment!! We are looking for qualified RNs or LPNs to work with a great team here at our facility!! Please apply here now or contact our recruitment director for any help: James Mendenhall HR Manager Orem Rehab and Skilled Nursing Center 575 E. 1400 S. Orem, UT 84097. ********************** - Main office # ************** Work schedule Monday to Friday On call Day shift Night shift Weekend availability Supplemental pay Bonus pay Other Benefits Flexible schedule Referral program Employee discount Paid training Other
    $31-40 hourly 60d+ ago
  • Travel Nurse Clinical Instructor

    Nightingale College 3.7company rating

    Utilization review nurse job in Salt Lake City, UT

    Please read before applying: * This is NOT a remote or classroom teaching role. * To be considered, candidates must be willing to travel up to 100% of the time to various locations across the US during clinical rotations. Nightingale faculty are required to work all three 15-week semesters (spring, summer, fall). Clinical rotations take place during at least 11 of these weeks. * This is NOT a state-specific travel position. Assignments can be located across the country in any of the Supervised On-Ground Field Experience (SOFE) Areas (click the hyperlink to see a map of all of our SOFE Areas). * The organization will provide travel and lodging accommodations. Position Summary: The Travel Nurse Clinical Instructor (internally referred to as Assistant Professor, Nursing Education) facilitates on-ground education instruction by incorporating innovative teaching methodologies, cutting-edge technologies, and other industry trends reflecting advancements in the discipline by promoting an interdisciplinary approach to advanced practice nursing education and healthcare delivery within and outside the College. The incumbent will be accountable for delivering the nursing curriculum in accordance with the Program's mission, vision, values, and purposes. The Assistant Professor will engage with learners in all aspects of the nursing education process, including evaluating the potential for achievement in the program, and is accountable for Nursing Education Services' successful attainment of key performance indicators, program and functional outcomes, and the success of the College's mission. The Assistant Professor functions as a valued team member within the nursing faculty. Role and Responsibilities: * Facilitates learning in the various supervised on-ground focused education (SOFE) sites, including clinical, simulation, or skills labs across the United States. * Responsible for teaching and evaluating learners in the Practical Nursing, Baccalaureate, and Master's Degree Nursing Programs. * Monitors, engages, and maintains open communication with learners in all aspects of the nursing education process, including attendance, performance, comprehension, and evaluation in accordance with course outcomes, and submits required reports according to published deadlines. * Adheres to and holds learners accountable for partner facilities' expectations. * Attends nursing faculty meetings, participates in committees, engages in shared decision-making, and other faculty activities as required. * May be assigned to various modalities, including experiential, didactic, evaluations, and NCLEX coaching based on the needs of the College. * May carry additional teaching load outside of primary assignment. * Participates in the successful implementation of other functional projects as they arise. * Other duties as assigned. Qualifications and Education Requirements: * Earned Graduate degree with a major in nursing from an accredited institution supplemented by 0-1 year of relevant experience. * Active, unencumbered RN or APRN license from state of residence and ability to obtain RN and NP licensure in any jurisdiction required by the College, including a valid multi-state license. * Either has an earned Certified Nurse Educator (CNE) credential or commits to obtaining this certification within a one-year period. * Maintains current knowledge in multiple areas of nursing practice. * Two (2) years of experience in clinical nursing, within the past five (5) years. * Two (2) years of experience supervising clinical education activities preferred. * Maintains immunizations and certification records as required by accreditation, facility, or state board of nursing. * Additional Contributions: Annual Professional Development, Service as SME, Service on Committees, and learner load will be congruent with current faculty matrix for the assigned course(s). * One (1) year of experience in delivery of Concept-Based Nursing Education is preferred. * One (1) year of distance education experience preferred. * Familiarity with learning management software, Canvas preferred. * Proficiency in modern technology platforms and ability to quickly adapt to various software. Physical Requirements: The Nursing faculty assigned to clinical instruction must be able to perform the following essential physical functions, with or without reasonable accommodation: * Stand and walk for prolonged periods during clinical instruction (up to 12 hours). * Move throughout clinical units and partner facilities to observe and supervise learners. * Assist in demonstrating clinical skills that require reaching, bending, stooping, and manual dexterity. * Lift, carry, push, or pull educational equipment, simulation mannequins, supplies, or teaching materials weighing up to 25-50 pounds. * Respond rapidly in clinical environments in emergency situations to ensure learner and patient safety. * Visually assess learner performance, patient conditions, equipment readings, and environmental safety conditions. * Communicate effectively in busy or noisy clinical environments, including speaking clearly through PPE. * Maintain the physical and mental stamina required for supervising multiple learners while navigating clinical workflows. Work Environment Conditions: * Clinical environments may require exposure to bodily fluids, biohazards, cleaning agents, and standard healthcare PPE. * Requires travel to various clinical partner sites and the ability to enter and navigate healthcare facilities. * Position involves variable schedules depending on facility access, including early mornings, nights, or extended clinical shifts Reminder: * This is NOT a remote or classroom teaching role. * This position requires 100% travel to help facilitate on-ground clinical experiential learning. * This is NOT a state-specific travel position; assignments can be located across the U.S. at any of the Nightingale SOFE Areas. Compensation & Faculty Ladder: Nightingale College utilizes a faculty ladder with five levels to determine salary and position title. Nursing Education has the following levels: Instructor, Assistant Professor I, Assistant Professor II, Associate Professor, and Professor. Placement on the faculty ladder is determined at the time of an offer and is based on degree level and years of nursing academia experience. Budgeted Hiring Range $93,500-$102,850 USD All new hires are required to attend New Collaborator Orientation (NCO) in Salt Lake City, Utah. The College will cover travel, lodging, and other accommodations. Nightingale's commitment to diversity and inclusion is reflected both in our learners and collaborators because we believe the best outcomes for learners from underserved and diverse populations are achieved through collaborators with similar backgrounds and cultures. Nightingale Education Group is an equal opportunity employer. Our Mission (not just words on the wall, we live it, love it, and daily contribute to it): With the primary focus on higher learning in healthcare professions, Nightingale Education Group contributes to elevating education, health, and employment systems through facilitation of academic achievement, personal growth, and professional development of its learners, alumni, and collaborators, while serving diverse communities. At Nightingale Education Group, our Innovative Education model helps transform rural health landscapes through our blended-distance learning platform. Every person involved with Nightingale Education Group helps to change the lives of our learners, our communities, and ultimately the world by adding to the quality of healthcare. We are proud to have graduated nearly 5,000 nurses serving communities in need. We are serious about our outcomes and have a little bit of fun getting there. The professional and personal development of our learners and our collaborators is our company's foundation. Not only do we develop strategies that promote a positive work-life integration, but we also create an environment that invites you to become an expert in your field, be it through higher education or professional development. Put simply, we elevate employment, elevate health, and elevate education. We're so happy that you've found us! Employment is contingent upon successful completion of a background check and drug screen.
    $93.5k-102.9k yearly Auto-Apply 41d ago
  • Mobile IV Part Time Nurse

    Restore Hyper Wellness

    Utilization review nurse job in Midvale, UT

    Who we are: Restore Hyper Wellness is the leader in proactive health and wellness Title: Mobile IV Nurse - Northern Utah Location: This is a mobile, in-home service role primarily located in Salt Lake City and Northern Utah (Bountiful, Farmington, and Ogden). About the Role: At Restore Hyper Wellness, we believe in helping people feel their best so they can do more of what they love. The Mobile IV Nurse is a part-time, field-based position ideal for a nurse who enjoys working independently, connecting one-on-one with clients, and delivering high-quality care outside of a traditional clinical setting. You'll provide in-home IV therapy services to Restore clients, ensuring every visit is safe, professional, and positive. This role is perfect for an RN who is passionate about helping people feel their best and is looking for a few flexible days of work per week. You'll work closely with our Mobile IV team to deliver exceptional care while representing Restore's mission and standards in the community. Work You'll Do: * Provide mobile IV therapy services in clients' homes in accordance with Restore protocols and Utah state regulations * Perform client intakes, review health histories, and ensure appropriate medical clearance prior to treatment * Safely start IVs, monitor clients during treatment, and provide post-service care instructions * Educate clients on IV options, nutrients, and wellness services in a clear, supportive, and approachable way * Create a calm, professional, and reassuring experience for clients in their home environment * Maintain accurate documentation, medical records, and treatment notes for each visit * Communicate effectively with the Mobile IV Manager regarding scheduling, client needs, and follow-ups * Uphold Restore's high standards for cleanliness, safety, and professionalism in every visit What We're Looking For: * Active Registered Nurse (RN) license in the state of Utah * Comfortable working independently in a mobile / in-home setting * Strong IV skills and confidence starting IVs in varied environments * Friendly, professional, and patient-focused demeanor * Clear communicator with a compassionate, service-oriented mindset * Reliable, punctual, and well-organized * Passion for health, wellness, and helping people feel their best * Availability for part-time work (a few days per week) * Previous IV therapy or wellness experience is a plus, but not required-training is provided What You Get: * Flexible, part-time schedule * Supportive team and clear clinical protocols * Meaningful, one-on-one client interactions * Competitive hourly compensation * Opportunity to work in a fast-growing wellness space without hospital-style burnout This is a remote position. Compensation: $37.00 per hour Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness. Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 100+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 just named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love.
    $37 hourly 4d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Salt Lake City, UT?

The average utilization review nurse in Salt Lake City, UT earns between $41,000 and $70,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Salt Lake City, UT

$54,000

What are the biggest employers of Utilization Review Nurses in Salt Lake City, UT?

The biggest employers of Utilization Review Nurses in Salt Lake City, UT are:
  1. Utah Valley University
  2. Humana
  3. Molina Healthcare
  4. Centerwell
  5. University of Utah Health
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