• * RN Coordinator- Utilization

    Henry Ford Health System (Warren, MI)
    …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse with a valid, unrestricted State of Michigan License.… more
    Henry Ford Health System (09/25/25)
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  • RN - Quality Assurance/ Utilization

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity… more
    Emanate Health (12/06/25)
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  • Utilization Review Nurse

    Emory Healthcare/Emory University (Decatur, GA)
    …**Description** We're seeking a **Clinical Utilization Review Nurse Preceptor ( Registered Nurse / RN )** . This individual will be responsible for ... training, mentoring, and coaching for the Utilization Review Department and must be an expert in the utilization review functions and able to cover any… more
    Emory Healthcare/Emory University (11/27/25)
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  • RN Utilization Review Part-…

    Providence (Mission Hills, CA)
    **Description** ** RN Utilization Review - Remote. This position will work full - time in a 8-hr Day shift.** Provide prospective, retrospective, and ... must empower them. **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience working… more
    Providence (12/03/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43...EDUCATION, TRAINING, and EXPERIENCE Requires two (2) years of full -time professional registered nurse experience,… more
    Ventura County (09/21/25)
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  • Utilization Management Registered

    Katmai (Fort Carson, CO)
    …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization..., active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • NCCPAC Revenue Utilization Review

    Veterans Affairs, Veterans Health Administration (Middleton, WI)
    Summary The Revenue Utilization Review (RUR) nurse ...level degree in Nursing may have opportunity to become registered as a nurse with a state ... the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle...improvements in patient care through systematic evaluation and analytical review of clinical information. Responsibilities Responsibilities of the RUR… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    …and care coordination. Responsibilities The Utilization Management (UM) Consultant Registered Nurse ( RN ) demonstrates leadership, experience, and ... Summary The Hines VA Utilization Management (UM) RN reports to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (12/06/25)
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  • Registered Nurse ( RN ), Main…

    Penn Medicine (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... your life's work? Job Description: Locations: Lancaster, PA Schedule: Full -Time, Rotating Shifts, 40 hours/week. On-call, holiday and weekend...their NCLEX within 60 days of starting in their RN role.A graduate registered nurse more
    Penn Medicine (11/21/25)
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  • Registered Nurse ( RN ), 4…

    Penn Medicine (Lancaster, PA)
    …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
    Penn Medicine (12/05/25)
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  • Registered Nurse ( RN ) Spine…

    Penn Medicine (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
    Penn Medicine (11/15/25)
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  • Hospice Registered Nurse RN

    Aveanna Healthcare (Birmingham, AL)
    Hospice Registered Nurse RN Full Time 10K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 208286 Location: Birmingham, AL 35203 ... care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as...and Paid Holidays Qualifications: + Current license as a Registered Nurse in the State of Alabama… more
    Aveanna Healthcare (10/11/25)
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  • Experienced Registered Nurse

    AdventHealth (Winter Park, FL)
    …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... team. All while understanding that together we are even better. **Schedule:** Full Time. **Shift:** Days; 4 days, 10-hour shifts **Location:** **201 NORTH LAKEMONT… more
    AdventHealth (12/05/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Tomball, TX)
    …career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager...utilization ** **What qualifications you will need:** + **Current Registered Nurse License in the State of… more
    HCA Healthcare (11/08/25)
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  • Registered Nurse ( RN )

    Vighter Medical Group (Glendale, CO)
    …- $48.00 Hourly Position Type Full Time Job Shift Any Education Level Registered Nurse ( RN ) Travel Percentage None Category Health Care Description Serve ... (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play...required. What You'll Do As a Case Manager / Utilization Review RN , you will:… more
    Vighter Medical Group (11/13/25)
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  • Registered Nurse RN case Mgr

    HCA Healthcare (Margate, FL)
    …growth, we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (11/14/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri ... Full and Part-Time roles **Job Summary** The Utilization Review Nurse - ...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
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  • Case Manager- Registered Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
    Houston Methodist (11/15/25)
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  • Registered Nurse RN Case Mgr

    HCA Healthcare (Atlantis, FL)
    …**Introduction** Do you want to join an organization that invests in you as a(an) registered Nurse RN Case Mgr? At HCA Florida JFK Hospital, you ... make a difference. We are looking for a dedicated registered Nurse RN Case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (11/19/25)
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  • Registered Nurse Case Mgr RN

    HCA Healthcare (Aventura, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (11/08/25)
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