Top 178 Precertification rn Jobs

Utilization Review Coordinator - Behavioral Health Setting
Confidential —Highlands Ranch, CO
- $33.33 - $49.99 an hour
- Full-time
- Acute care
- Background check
- RN License
- Free parking
- Health savings account
Quick Apply
8d
Utilization Management Registered Nurse (RN) - Remote
Guidehealth —Chicago, IL
- $70,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
14d
Registered Nurse- Triage (Internal Medicine - hybrid)
Weill Cornell Medicine —New York, NY
- $113,600 - $130,700 a year
- Monday to Friday
- Nursing
- RN License
- Bachelor of Science
Registered Nurse
Weill Cornell Medicine —New York, NY
- $113,600 - $130,700 a year
- Monday to Friday
- Nursing
- Surgery
- RN License
Precertification Nurse-LPN/RN (Remote in NJ/PA)
MEDLOGIX, LLC —Township of Hamilton, NJ
- $28 - $32 an hour
- Full-time
- Remote
- Nursing
- RN License
- English
Quick Apply
Utilization Review Specialist
We Level Up —Pompano Beach, FL
- $50,000 - $90,000 a year
- Full-time
- Remote
- 18 years or older
- CPR Certification
- HIPAA
Quick Apply
Nurse Reviewer (Registered Nurse) - Remote in US
Gainwell Technologies —Alabama
- $78,000 - $88,000 a year
- Extended hours
- Remote
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Pre- Authorization Coordinator - LPN or RN
Baton Rouge General —Baton Rouge, LA
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
- Paid time off
Precertification & Pre-Service Appeals Nurse
CURE Auto Insurance —Princeton, NJ
- $65,000 - $85,000 a year
- Hybrid work
- Nursing
- RN License
- Writing skills
- Health savings account
- AD&D insurance
Quick Apply
Registered Nurse (RN) 24 hours - Diabetes
St. Elizabeth Physicians —Covington, KY
- Nursing
- Microsoft Outlook
- RN License
- 403(b) matching
- Dental insurance
Remote Intake Coordinator
SUN Behavioral Houston —Houston, TX
- PRN
- Remote
- Nursing
- RN License
- Writing skills
Utilization Review Nurse (RN)
Baton Rouge General —Baton Rouge, LA
- Full-time
- Nursing
- RN License
- HIPAA
RN Coordinator
Yale New Haven Health —New Haven, CT
- Full-time
- Nursing
- RN License
- Word processing
Utilization Management RN (Hybrid)
TEXASCONNECT INC —Dallas, TX
- Weekends as needed
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Relocation assistance
Utilization Management Nurse Consultant - Eastern Time Zone
CVS Health —Massachusetts
- $32.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
2d
Clinical Reviewer Nurse
Integrated Home Care Acquisition —Miramar, FL
- RN License
- Word processing
- Mid-level
- Paid training
- Wellness program
Quick Apply
RN - Specialty CMPG Cardiology Main
Carle Health —Peoria, IL
- $33.11 - $53.88 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
Medical Appeals and Grievance (MAG) Registered Nurse Specialist II - Remote
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Mid-level
- 1 year
- Leadership
MOT Admissions Registered Nurse
Sun Behavioral Houston —Houston, TX
- From $40 an hour
- Full-time
- Nursing
- RN License
- Master's degree
- Wellness program
- Disability insurance
Quick Apply
11h
RN CLINICAL CASE MANAGER
Legent Health —Bellaire, TX
- Full-time
- Nursing
- Mid-level
- US work authorization
- Paid time off
Quick Apply

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Utilization Review Coordinator - Behavioral Health Setting

Confidential
Highlands Ranch, CO

Quick Apply

Job Details

Full-time
$33.33 - $49.99 an hour
8 days ago

Benefits

Free parking
Health savings account
Loan repayment program
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Retirement plan
Pet insurance

Qualifications

Direct patient care
Psychiatry
RN License
DSM-5
Licensed Clinical Social Worker
Master's degree
Utilization management
Resource utilization in healthcare
Working with individuals with mental health conditions
Computer skills
Patient treatment

Full Job Description

Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. If you have a passion for Mental Health Care, please explore employment options with us!

The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Benefit & Reward Highlights:

Tuition and Educational Reimbursement Program.
Student Loan Repayment Program.
Challenging and rewarding work environment
Career development opportunities
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
Discounts on pet insurance, automotive insurance & homeowners insurance
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program

Requirements:

Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
Valid RN license, LCSW, or LPC preferred.
A minimum of 3-5 years direct psychiatric patient care experience.
Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

Questions or concerns? Contact the Human Resources department at [email protected].

Screening of applications begins immediately and continues until the position is filled.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $33.33 - $49.99 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Free parking
Health insurance
Health savings account
Life insurance
Loan repayment program
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: In person

Quick Apply

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