• Sentara Health (Hampton, VA)
    …community involvement and creates unlimited opportunities for development and growth. Keywords: RN , registered nurse , case management, care plan, clerical, ... CMAC or CMGT-BC, care management, patient outcome, discharge planning, utilization review , integrated care, flexi, hospital, inpatient,...(BLS) - Certification - American Heart Association (AHA) RQI, Registered Nurse ( RN ) Single State… more
    JobGet (05/26/24)
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  • Wellstar Health System, Inc. (Avondale Estates, GA)
    …Kennestone Hospital WellStar Kennestone Hospital has an opportunity for a Registered Nurse ( RN ) - Acute Pulmonary - Full-time - Day Shift OverviewThe ... RN Clinical Nurse is a proactive member of an interdisciplinary team...purpose (eg, bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and… more
    JobGet (05/26/24)
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  • University of New Mexico - Hospitals (Algodones, NM)
    …Sign-on Bonus and Relocation Reimbursement available!Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for the ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
    JobGet (05/26/24)
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  • ChristianaCare (Avondale, PA)
    …plan. Social Worker resolve psycho-social barriers and supports discharge needs. Utilization Management review patient status for appropriateness and anticipated ... planning offerings, including 403(b) with company contributions Generous paid time off with annual roll-over and opportunities to cash-out...Triad Team Model is a collaboration between the following: RN Case Manager - manage patient care and drive… more
    JobGet (05/26/24)
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  • BrightSpring Health Services (Arlington, TX)
    …Education: Degree from an accredited school of nursingQualifications: * Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... and submit to State Health Services Director and Assigned Director, Clinical Practice * Review utilization report at least monthly to ensure adequate hours on… more
    JobGet (05/26/24)
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  • Utilization Review Nurse

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM ... we serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined)… more
    State of Connecticut, Department of Administrative Services (05/18/24)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...$169,609.20 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
    The County of Los Angeles (04/02/24)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... **Job Type:** Regular ** Time Type:** Full time ...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
    Beth Israel Lahey Health (03/22/24)
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  • Case Manager with Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend and holiday ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review more
    Beth Israel Lahey Health (04/19/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
    Billings Clinic (03/13/24)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
    University of Utah Health (04/24/24)
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  • Utilization Review RN

    HCA Healthcare (Largo, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
    HCA Healthcare (04/18/24)
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  • System Manager- Utilization Review

    Baptist Memorial (Memphis, TN)
    …Minimum- RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical ... Summary Responsible for the Utilization Review Program across the system....Category: Leadership & Administration Type: Non Clinical Work Type: Full Time Work Schedule: Days Location: US:TN:Memphis… more
    Baptist Memorial (05/18/24)
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  • Utilization Review Nurse (40…

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... Utilization Review Nurse (40...+ + + + Introduction Are you a skilled Registered Nurse ( RN )? Join our...full range of duties involving the assessment and review of health care delivery systems or medical cost… more
    State of Connecticut, Department of Administrative Services (05/17/24)
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  • Manager Utilization Review /Medical…

    Emanate Health (Covina, CA)
    …ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full Medi-Cal case management ... of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review /MediCal Specialist will manage the program to provide the… more
    Emanate Health (05/03/24)
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  • Interim Nurse Manager, Utilization

    Trinity Health (Fresno, CA)
    **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next ... Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case...families, and hospital staff **Requirements** + State of California Registered Nurse ( RN ) License. +… more
    Trinity Health (03/20/24)
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  • RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... impact. HonorHealth offers a diverse benefits portfolio for our full-time and part- time team members designed to...in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or… more
    HonorHealth (05/20/24)
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  • Registered Nurse

    Glens Falls Hospital (Glens Falls, NY)
    …foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for ... management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New...summary of these offerings, which are available to active, full-time and part-- time employees who work at… more
    Glens Falls Hospital (04/26/24)
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  • RN Care Manager Utilization

    Catholic Health (Lewiston, NY)
    …1000-1800, 1100-1900/8am - 4pm, 9am - 5pm, 10am - 6pm, 11am - 7pm Summary: The RN Care Manager, Utilization Review / Transitions of Care, as an active member ... Facility: Mount St. Mary's Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: SEIU...the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services… more
    Catholic Health (05/22/24)
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  • Utilization Review (UR) Coordinator…

    Universal Health Services (Harahan, LA)
    …(Nursing, Counseling, Psychology or Social Work). Masters preferred. + Licensure/Certification: Registered Nurse ( RN ), Licensed Therapist or Social ... River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW COORDINATOR who Evaluates patient medical...- 401k plan with company match - Generous Paid Time Off One of the nation's largest and most… more
    Universal Health Services (03/29/24)
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