- 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 ... nurse or supervisory experience working as a registered nurse in an accredited acute care...acute care hospital. Professional experience in case management and utilization review in a hospital is preferred.… more
- Medical Solutions (Omaha, NE)
- Ready to Plant Roots? This Permanent Case Management ( Utilization Review )/ RN ( Registered Nurse ) Position in White Plains, NY Has Your Name on It! A ... top-tier facility is looking for a dedicated Case Management ( Utilization Review )/ RN ( Registered Nurse ) to join their team. If you've been craving… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- …in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment ... attorneys. Act as a medical resource in regards to utilization review to Claims Support Nurse...and Education: Bachelor of Science Nursing degree (BSN), or Registered Nursing degree ( RN ) from four-year college… more
- Medical Solutions (Omaha, NE)
- A facility in Santa Ana, CA is seeking its next amazing RN ( Registered Nurse ) to work in Case Management ( Utilization Review ). Read on if this sounds ... like your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam, travel… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
- North Carolina Specialty Hospital (Durham, NC)
- …additional members of the healthcare team. Educate members of the healthcare team on utilization review and managed care concepts. Act as a resource for routine ... and complex problem solving as it relates to utilization review and case management. Anticipate the needs of customers and work proactively to improve services.… more
- Kaiser Permanente (Santa Cruz, CA)
- Description: Eligible for Sign on bonus! Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in ... the discharge planning process. Essential Responsibilities: Conducts utilization review for in-house patients and/or members who have been admitted to contracted… more
- Lifepoint Health (Louisburg, NC)
- Description Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a ... as an employee but as a person. As a registered nurse ( RN ) joining our...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
- American Traveler (Washington, DC)
- American Traveler is seeking an experienced RN Case Manager with a DC license and case management or utilization management background for a day shift position. ... rotation according to clinical experience and facility policy, Job Requirements *Active DC RN license required at time of consideration, *Minimum 2 years of recent… more
- American Traveler (Boston, MA)
- American Traveler is seeking an experienced RN Case Manager with acute case management experience and an active MA RN license. Job Details *Position is based in ... qualified candidates, *Uses Epic charting for documentation, Job Requirements *Active RN license in Massachusetts required at time of consideration (no conditional… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager, or a ... for Medical Director review as needed. We're Hiring for: General UM ( RN ): Mon-Fri, 8 AM-5:30 PM. Occasional evenings/weekends based on need. Pediatric Shift Care… more
- Valley Health System (Paramus, NJ)
- …5 years experience in clinical nursing, minimum of 3 years in case management/ utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of New ... POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... (CCM, ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- Kaiser Permanente (Ontario, CA)
- …graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Franciscan Missionaries of Our Lady Health System (Baton Rouge, LA)
- …retrospective case review and reporting quality issues identified during the utilization review process to department leaders. b. Notifies physicians of need ... Graduated from an accredited school of nursing ADN or BSN Licensure: Registered Nurse (Active Louisiana, Mississippi, multistate/compact or APRN) required more
- Center Light - Uniondale - Long Island (Uniondale, NY)
- …Name Center Light - Uniondale - Long Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 27808114 Job Title Clinica ... Review Nurse Weekly Pay $2500.0 Shift Details Scheduled Hours 40 Job Order Details Start Date 07/17/2025 End Date 10/16/2025 Duration 13 Week(s) Client Details… more
- Tenet Health (Detroit, MI)
- …and objectives that support overall strategic plans of the Case Management and Utilization Review strategy *Lead Group hospital Case Management and ... Utilization Review operations for cost-effective and clinically sound care delivery...experience, business planning and project management experience preferred. Required: Registered Nurse or LCSW/LMSW license. Must be… more
- Corewell Health (Royal Oak, MI)
- …care management, utilization review , home care and/or discharge planning. Preferred Registered Nurse ( RN ) - State of Michigan License Upon Hire ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
