- CHRISTUS Health (Arp, TX)
- … utilization , disease management programs and contracted provider network support . Responsibilities: Oversee the development, implementation and management of an ... DescriptionSummary: The Registered Nurse Patient Navigator Lead is a Registered ...continuum of care.Use standard tools, databases and methodologies to support the health benefit program and provide leadership in… more
- CHRISTUS Health (Balcones Heights, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Appcast (Baltimore, MD)
- …focused on discharging patients safely with protocolized care pathways within 24 hours Increased nurse autonomy in facilitating care plan with support of Charge ... Registered Nurse - Sinai Hospital - OROC Sign On...Designated provider team (MDs/ APPs) available with Care Management support JOB SUMMARY: As a member of the patient… more
- Appcast (Westminster, MD)
- REGISTERED NURSE Westminster, MD CARROLL HOSPITAL SUPPLEMENTAL STAFFIN PRN - As Needed - Hours Vary Staff Nurse 69552 $35.00-$54.82 Experience based Posted: June ... Apply Now Save Job Saved Summary JOB SUMMARYThe Registered Nurse (RN) is a member of the Nursing Dept....their families through the application of the nursing process utilization , independent judgment, collaboration and communication with all team… more
- Appcast (Randallstown, MD)
- …schools. This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse , Clinical Care Coordinator, Patient Care Integrator or RN ... The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimize denials of payment among a patient… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary...is mandatory. + Must possess a valid Basic Life Support (BLS/CPR) Certificate PRIOR to the first day of… more
- 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 - $141,888.74 Annually Location Ventura and...California. + Must have a current, valid Basic Life Support (BLS/CPR) certification by first day of employment. +… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... an expert level at all objectives delineated in the Utilization Review Nurse and Utilization ...of complex problems and issues. Serves as an escalation support for novice staff. Implements and leads to initiatives… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department in a*/*FLOAT*/*/assignment to support Inpatient, Psych and ... and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating… more
- Idaho Division of Human Resources (Nampa, ID)
- Utilization Review and Nurse Educator - SHW Posting Begin Date: 2025/09/22 Posting End Date: 2025/10/20 Category: Nursing Work Type: Full Time Location: Nampa, ... Idaho! We are currently seeking a dedicated and experiencedRegistered Nurse Seniorto take on a critical role in our... Seniorto take on a critical role in our Utilization Review, Performance Improvement, Nursing Education programs. This is… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 250930-5612FP-001 Location Hartford, CT Date Opened 10/2/2025 12:00:00 AM Salary $78,480* - ... Services (DMHAS (https://portal.ct.gov/dmhas) ), is seeking to hire a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&LinkSpec=RecruitNum2&R1=&R3=) at the Blue… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent ... best and most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers,… more
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **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… more
- Beth Israel Lahey Health (Boston, MA)
- …lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status ... based on medical necessity and documentation is sufficient to support the level of care being billed. Conducts concurrent...billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to… more
- 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, Barksdale ... 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 is mandatory. Six… more
- Humana (Frankfort, KY)
- …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… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical ... care, prior authorization and denial management, education and provider support , and data and quality reporting for referrals for...enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures that home health… more
- Humana (Little Rock, AR)
- …put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
