• RN Utilization Review

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review Full Time Days - 2506001461 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
    Tenet Healthcare (07/03/25)
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  • RN Manager - Utilization

    Ascension Health (Pensacola, FL)
    **Details** + **Department: Utilization Review ** + **Schedule: Full time days** + **Hospital: Ascension Sacred Heart Pensacola** + **Location: Pensacola, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
    Ascension Health (06/04/25)
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  • 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 more
    LifePoint Health (05/15/25)
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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 (04/23/25)
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  • Utilization Review Registered

    Emory Healthcare/Emory University (Atlanta, GA)
    …_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 ...Location** _Atlanta, GA, 30308_ **Campus Location** _US-GA-Atlanta_ **Department** _EHM Utilization Review_ **Job Type** _Regular Full -Time_ **Job… more
    Emory Healthcare/Emory University (07/02/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …you're not just taking a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management ... **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you… more
    Beth Israel Lahey Health (04/29/25)
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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 ... ASN from an accredited college or university Experience:** One year of experience in Utilization Management is required. Full time employment in a nursing field… more
    ERP International (06/18/25)
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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 (07/03/25)
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  • Registered Nurse ( RN ), Main…

    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 (05/28/25)
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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 (07/04/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Las Cruces, NM)
    …**Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Discharge Planner - Full Time* **Location:** *New Mexico-Las ... resources in the development of care, discharge planning and Utilization Review . * Utilization Management...is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or… more
    LifePoint Health (06/12/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Webster, TX)
    …personal growth, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (06/21/25)
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  • Registered Nurse RN Care…

    AdventHealth (La Grange, IL)
    …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
    AdventHealth (05/31/25)
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  • Registered Nurse II, Acute Care…

    Bassett Healthcare (Cooperstown, NY)
    …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing...Certification: Current NYS license as a Registered Nurse , required BLS certification will be… more
    Bassett Healthcare (07/02/25)
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  • Registered Nurse - Case Manager…

    Mayo Clinic (Rochester, MN)
    …nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent ... and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
    Mayo Clinic (06/14/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Martinsville, VA)
    …**Sovah Health - Martinsville* **Title:** * Registered Nurse ( RN ) - Case Manager - Full Time* **Location:** *Virginia-Martinsville* **Requisition ... others. Here, you're not just valued as an employee, but as a person. As a registered nurse ( RN ) joining our team, you're embracing a vital mission dedicated… more
    LifePoint Health (05/07/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Utilization Management (UM) Program. ... pertaining to patient flow. Responsible for focused studies of utilization patterns for the facility. Responsibilities Job duties include,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Registered Nurse ( RN )- Case…

    LifePoint Health (Johnstown, PA)
    * Registered Nurse ( RN ), Case Manager* Job Type: Full -time|M-F 8a-430pm, rotating Saturdays and On-call ** *Department/Unit Summary* Case Management plays ... team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure...valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,… more
    LifePoint Health (06/17/25)
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  • Hospice Registered Nurse RN

    Aveanna Healthcare (Mobile, AL)
    Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 206009 Location: Mobile, AL 36606 Category: Nursing Salary: ... 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 (06/27/25)
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  • Registered Nurse RN Case Mgr

    HCA Healthcare (Port St. Lucie, 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...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (07/01/25)
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