- Singing River Health System (Ocean Springs, MS)
- Utilization Review Surgery Nurse - RN Ocean Springs Hospital | Full-Time | Monday-Friday rotating weekends/Holidays | 3109 Bienville Blvd Ocean Springs, ... training. Experience: 3-5 years' Registered Nurse (RN) experience in surgical nursing, Utilization Review , Ambulatory or Acute Care that has relevance to the… more
- Ascension (Baltimore, MD)
- …health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: Review admissions and service ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to… more
- Talent Software Services (Santa Barbara, CA)
- …Required: CA RN License Job Duties: The role involves coordinating utilization management, resource management, discharge planning, post-acute care referrals, and ... Department. Promoting patient wellness and improved care outcomes. Ensuring efficient utilization of health services. Minimizing denials of payment among a patient… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit (TPP)… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- NYC Health Hospitals (New York, NY)
- …conduct the orientation of new employees. 5. Supervision of staff of the Utilization Management Department. 6. Determine, outline, and review daily assignments ... Utilization Management Department. 7. Plan, prepare, manage, review , and approve the Time and Leave Schedule, including...Licensed and currently registered to practice as a professional nurse in New York State, plus (2) or (3),… more
- Kaiser Permanente (Panorama City, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working ... during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources… more
- Riverside County, CA (Moreno Valley, CA)
- …Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in ... in nursing is preferred. Experience: Three years of charge nurse or supervisory experience working as a registered ...acute care hospital. Professional experience in case management and utilization review in a hospital is preferred.… more
- Geisinger (Wilkes Barre, PA)
- …Support Schedule: Days Work Type: Full time Department: Northeast Licensed Practical Nurse Team Date Posted: 06/20/2025 Job ID: R-74816 Job Summary clerical support ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Geisinger (Bellefonte, PA)
- …Schedule: Days Work Type: Full time Department: Community Medicine Licensed Practical Nurse Team Date Posted: 07/18/2025 Job ID: R-75160 Job Summary Geisinger is ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Kaiser Permanente (Aurora, CO)
- …requests, including discharge planning activities when needed (collective referred to as Utilization Review ) for the Colorado region. Manages utilization ... concurrent requests. Responsible for the planning and decision-making related to utilization review . Develops and implements departmental policies and… more
- Ascension (Baltimore, MD)
- …date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Education: ... date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Education:… more
- Geisinger (Bellefonte, PA)
- …Schedule: Days Work Type: Full time Department: Community Medicine Licensed Practical Nurse Team Date Posted: 05/22/2025 Job ID: R-77177 Job Summary $3,000 for ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Mount Sinai Hospital (New York, NY)
- Job Description Job Title: Nurse Practitioner-Outpatient Oncology - Leukemia/Lymphoma Infusion - Mount Sinai Hospital - Full Time -Day Shift (3 12 hr) A nurse ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...to the plan of care. Performs a patient record review with the collaborating physician in a timely fashion… more
- NavitsPartners (Boston, MA)
- …a hospital or case management role Demonstrated experience in discharge planning and utilization review within the past 4 years Working knowledge of InterQual(R) ... Job Title: Travel - Registered Nurse (RN) - Case Management Location: Hyannis, MA...initial assessments and reassessments using InterQual(R) within specified timelines Review appropriateness of admissions and levels of care; follow… more
- Tufts Medicine (Lowell, MA)
- …productivity and utilization of all resources. The ED Clinical Resource Nurse utilizes the nursing process, leadership skills and current evidence based clinical ... to grow with us? Tufts Medicine Lowell General Hospital is seeking an ED Clinical Resource Nurse . The ED Clinical Resource Nurse is a Registered Nurse with… more
- Iconma LLC (Detroit, MI)
- …which may include acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative ... Our Client, a Health Insurance company, is looking for a Registered Nurse - Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform… more
- Ann Arbor VA Medical Center (Toledo, OH)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) for the Patient Aligned Care Team (PACT), aligned under Ambulatory care, ... education, orientation, competencies and providing quality improvement and outcomes utilization . Demonstrates leadership in delivering and improving holistic, primary… more
- Wilmington VA Medical Center (Wilmington, DE)
- Summary The Nurse Specialty Care Outpatient Staff Registered Nurse (RN) is located at the Wilmington VAMC in the Ambulatory Care Service for Cardiology. Duties ... Help The Nurse Specialty Care Outpatient Staff Registered Nurse ...education, orientation, competencies and providing quality improvement and outcomes utilization . Demonstrates leadership in delivering and improving holistic, specialty… more
