• Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years...tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical… more
    JobGet (04/08/24)
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  • RestoraCare Staffing (Houston, TX)
    RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or… more
    JobGet (04/25/24)
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  • Adventist Health (Portland, OR)
    Adventist Health is seeking a Registered Nurse ( RN ) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: ... Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in...RN ) licensure in the state of practice: Required Case management certification: Preferred Basic Life Support (BLS OR… more
    JobGet (04/15/24)
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  • The Judge Group Offshore Travel (Long Branch, NJ)
    The Judge Group Offshore Travel is seeking a local contract nurse RN Case Management for a local contract nursing job in long branch, New Jersey.Job ... experience required Case Manager will be focused on criteria and utilization review so must have documented experience with this EPIC charting required BLS… more
    JobGet (04/25/24)
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  • Rio Vista Behavioral Health (El Paso, TX)
    …Behavioral Science, Social Work or related field. In some states, may also be a registered nurse , in which case , an associate's or bachelor's degree in ... professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the… more
    JobGet (04/25/24)
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  • Csmc 8750000 Utilization Management…

    Cedars-Sinai (Los Angeles, CA)
    **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
    Cedars-Sinai (03/10/24)
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  • Utilization Review Case

    University of Miami (Miami, FL)
    …. The University of Miami is currently seeking Utilization Review Case Manager to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (02/08/24)
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  • Utilization Review Manager,…

    Trinity Health (Fresno, CA)
    Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial services ... time **Shift:** Day Shift **Description:** Reporting to the Director, Case Management, Case Management, this position is...an accredited school is required. 2. State of California Registered Nurse ( RN ) is required.… more
    Trinity Health (03/29/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm potential ... evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case...a timely process. Registered Nurses (RNs) with utilization review experience, case management… more
    Beth Israel Lahey Health (04/19/24)
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  • Case Manager- Utilization

    Actalent (Oklahoma City, OK)
    Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and ... nurse , clinical, healthcare, Case management, Utilization management, Utilization review , Insurance...* Active Oklahoma RN license required. * Case Manager, Discharge Planner, UR experience. * Utilization more
    Actalent (04/20/24)
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  • Per Diem Registered Nurse III…

    Ventura County (Ventura, CA)
    Registered Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply ... Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN more
    Ventura County (04/22/24)
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  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days **Department** ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager...an accredited nursing program Bachelor's Degree Nursing preferred **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3… more
    Cedars-Sinai (04/22/24)
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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** ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...+ Current license to practice as a Registered Nurse in the State of Utah,… more
    University of Utah Health (04/24/24)
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  • Utilization Review Specialist

    Munson Healthcare (Traverse City, MI)
    …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management… more
    Munson Healthcare (04/20/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...REQUIREMENTS : One to three years of experience in utilization review , case management, or… more
    Universal Health Services (04/22/24)
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  • Corporate Director of Clinical Utilization

    Prime Healthcare (Ontario, CA)
    …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
    Prime Healthcare (04/05/24)
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  • Registered Nurse - Case

    Mohawk Valley Health System (Utica, NY)
    Registered Nurse - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
    Mohawk Valley Health System (04/15/24)
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  • RN Case Manager - Hospital

    Marshfield Clinic (Weston, WI)
    …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse more
    Marshfield Clinic (04/13/24)
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  • Case Manager- RN - New Pay Rates!

    Henry Ford Health System (Detroit, MI)
    …skills. + Knowledge of computers, Electronic Health Records, data base systems and utilization review / case management documentation systems. + Desire to work ... New and Improved Pay Rates GENERAL SUMMARY: The Case Manager- RN coordinates the care and...work in a fast-paced work environment. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (03/20/24)
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  • RN Case Manager- Case

    Rady Children's Hospital San Diego (San Diego, CA)
    …programs Competent keyboarding skills PREFERRED QUALIFICATIONS: Four years of experience Utilization review , case management, discharge planning experience ... JOB SUMMARY: Case Managers function as liaisons between patients, their...discharge. MINIMUM QUALIFICATIONS: Bachelor's Degree in Nursing Current California RN license Three years of experience One year of… more
    Rady Children's Hospital San Diego (02/26/24)
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