• Registered Nurse Utilization

    LifePoint Health (Louisburg, NC)
    Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
    LifePoint Health (05/15/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management...RN II + Six (6) months of experience in Utilization Management Per Diem RN III + Five ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem Registered Nurse II/III - Utilization Management VCMC… more
    Ventura County (07/28/25)
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  • Registered Nurse

    ERP International (Barksdale AFB, LA)
    **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical Group, ... needed for patterns, trends, orincidents of under or over utilization of hospital resources incidental to medical careprovided to... Management is required. Full time employment as a registered nurse within the last 36 months… more
    ERP International (06/18/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
    …Responsibilities Duties include but not limited to: Utilization Review (UR) Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... discharge/disposition planning for inpatient and outpatient settings. The UR RN assists Veterans, family members, and caregivers with receiving...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Registered Nurse ED…

    AdventHealth (Tampa, FL)
    …you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... for additional review as determined by department standards. The Utilization Management Nurse is accountable for a...need to succeed:** + Associate's of Nursing Required + Registered Nurse ( RN ) license Required… more
    AdventHealth (07/29/25)
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  • RN Registered Nurse

    Ascension Health (Wichita, KS)
    …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Review + **Schedule:** Full time, 36 hrs,...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
    Ascension Health (07/26/25)
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  • Registered Nurse

    Ascension Health (Baltimore, MD)
    …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:**… more
    Ascension Health (05/17/25)
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  • Registered Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
    Beth Israel Lahey Health (05/17/25)
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  • Utilization Review Registered

    Emory Healthcare/Emory University (Atlanta, GA)
    …Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will ... be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must be an expert in the utilization review… more
    Emory Healthcare/Emory University (07/19/25)
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  • Utilization Management Registered

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to review… more
    McLaren Health Care (06/07/25)
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  • Utilization Review Registered

    BJC HealthCare (St. Louis, MO)
    …(commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of ... utilization review (UR) experience reviewing hospital admissions for medical...in St. Louis. + Have both Missouri and Illinois RN licenses. + If candidate only has one … more
    BJC HealthCare (07/12/25)
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  • Utilization Management Registered

    CVS Health (Richmond, VA)
    …we do it all with heart, each and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote, full-time role responsible for ... services using evidence-based clinical criteria. This position involves conducting utilization reviews, collaborating with healthcare providers, and supporting care… more
    CVS Health (07/29/25)
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  • Utilization Review - Registered

    Community Health Systems (Naples, FL)
    …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders...State Licensure Current RN license as issued by the State Board of… more
    Community Health Systems (07/12/25)
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  • Registered Nurse - Psychiatric…

    Access Dubuque (Dubuque, IA)
    …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... Registered Nurse - Psychiatric Services -...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
    Access Dubuque (07/25/25)
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  • Registered Nurse ( RN )…

    Hartford HealthCare (Norwich, CT)
    …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... matters. **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient* **Location:**… more
    Hartford HealthCare (07/14/25)
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  • Nurse - Community Care Utilization

    Veterans Affairs, Veterans Health Administration (Winter Park, FL)
    …the continuum of care. Responsibilities The Community Care (CC) Utilization Review Registered Nurse ( RN ) is responsible for collecting, interpreting, and ... reviewing and care coordination for the VAHCS. The CC Utilization Review RN performs a wide variety...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (08/01/25)
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  • Utilization Review Nurse

    Dignity Health (Carmichael, CA)
    **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite Campus Position** The ** Utilization Review RN ** is responsible for ... + Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on… more
    Dignity Health (07/25/25)
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  • Mgr- RN , Utilization Management

    SSM Health (MO)
    …+ Bachelor's degree in nursing EXPERIENCE + Two years' registered nurse experience and three years' utilization management experience, with two years' ... Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + … more
    SSM Health (07/25/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …for the $20,000.00 sign on bonus **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the ... (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to… more
    Bon Secours Mercy Health (07/23/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods...Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
    Bon Secours Mercy Health (07/22/25)
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