• Clinical Review Nurse

    Centene Corporation (Little Rock, AR)
    …organization offering competitive benefits including a fresh perspective on workplace flexibility. Clinical Review Nurse - Concurrent Review & Outpatient ... member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions...Practical Nurse - State Licensure required. + RN - Registered Nurse Licensure,… more
    Centene Corporation (07/18/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Annapolis, MD)
    …rotating days off, rotating on-call weekends and holidays. Applicants must be a RN with a compact licensure required with ability to obtain additional licenses as ... 3+ years of clinical practice experience in an inpatient setting required + RN with unrestricted state licensure required + Willingness to obtain additional state… more
    CVS Health (07/24/25)
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  • Registered Nurse ( RN

    LifePoint Health (Hickory, NC)
    * Registered Nurse ( RN ), Clinical...changes to the care plan as needed. *6. Utilization Review & Documentation** Performs admission and concurrent ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care… more
    LifePoint Health (07/16/25)
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  • Trauma PI Coordinator Registered

    HCA Healthcare (Richmond, VA)
    …path, we encourage you to apply for our Trauma PI Coordinator Registered Nurse RN opening. We review all applications. Qualified candidates will be ... have the career opportunities as a Trauma PI Coordinator Registered Nurse RN you want...adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality,… more
    HCA Healthcare (06/21/25)
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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, Day...admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement… more
    Ascension Health (07/26/25)
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  • Registered Nurse RN - Case…

    Trinity Health (Ann Arbor, MI)
    …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
    Trinity Health (07/29/25)
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  • RN Registered Nurse Digestive…

    AdventHealth (Riverview, FL)
    …area, such as surgery, digestive health platform or data collection within a healthcare setting. Registered Nurse ( RN ) Licensed Practical Nurse (LPN) or ... for analysis and corrective action to improve quality outcomes. Assures concurrent review is performed on those patients that may trigger assigned evidence-based… more
    AdventHealth (07/23/25)
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  • Registered Nurse - Case Manager…

    Mayo Clinic (Rochester, MN)
    …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... of the RN Case Manager include: Utilization Review , including concurrent admission status and continued...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
    Mayo Clinic (06/14/25)
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  • RN - Registered Nurse Case…

    Geisinger (Wilkes-Barre, PA)
    …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient,...Trauma Registry. + Maintains trauma roster and updates on concurrent basis. + Summarizes concurrent daily chart… more
    Geisinger (07/24/25)
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  • RN - Care Manager Registered

    Geisinger (Scranton, PA)
    …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...weekly, 8-hour shifts. At least three (3) years of RN work experience is required. Union: Yes + Works… more
    Geisinger (07/16/25)
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  • Registered Nurse , RN - Case…

    Prime Healthcare (Inglewood, CA)
    …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse ( RN ) license is required. 2. Five years ... Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218476/ registered - nurse %2c- rn more
    Prime Healthcare (07/31/25)
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  • Registered Nurse , RN - Case…

    Prime Healthcare (Inglewood, CA)
    …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse ( RN ) license is required. 2. Five years ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218273/ registered - nurse %2c- rn more
    Prime Healthcare (07/30/25)
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  • Registered Nurse , RN - Case…

    Prime Healthcare (Inglewood, CA)
    …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse ( RN ) license is required. 2. Five years ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/215433/ registered - nurse %2c- rn more
    Prime Healthcare (07/16/25)
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  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …full-time, 40 hours weekly; Dayshift; Monday through Friday. Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License. A minimum ... program uses highly trained staff members to perform a concurrent inpatient review of the record. This...of 3 years RN work experience is required; BSN is strongly preferred.… more
    Geisinger (06/19/25)
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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 Coordinator*… more
    LifePoint Health (05/15/25)
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  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
    Sacramento County (07/22/25)
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  • Supervising Registered Nurse D/CF

    Sacramento County (Sacramento, CA)
    Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply  Supervising Registered Nurse ... are at 5:00 pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory… more
    Sacramento County (07/22/25)
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  • Registered Nurse ( RN ) Case…

    Northwell Health (Riverhead, NY)
    …to another level of care according to regulatory standards. + * Performs concurrent utilization management + Conducts chart review for appropriateness of ... Sheet and the Patient Transfer Sheet. + Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile...Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State.… more
    Northwell Health (07/25/25)
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  • Case Manager Registered Nurse

    Beth Israel Lahey Health (Beverly, MA)
    …coordinators for patients, care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization, assessment, ... school of nursing 2. BSN preferred **Certification/License:** 1. Current Massachusetts RN licensure 2. Certification in Case Management preferred **As a health… more
    Beth Israel Lahey 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 ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
    Community Health Systems (07/12/25)
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