• HCA HealthONE Rose (Denver, CO)
    …as assigned. Position Requirements: Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... of the range. Now offering increased pay rates for Registered Nurses! Introduction Do you have the career opportunities...growth, we encourage you to apply for our Clinical Nurse Coordinator Inpatient Surgery opening. We promptly review more
    JobLookup XML (01/10/26)
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  • NHS Management (Huntsville, AL)
    …overnight weekend hours Qualifications for the RN Night Supervisor: Current and active Registered Nurse ( RN ) license in the state of employment Minimum ... policies and procedures Support quality assurance, infection control, and utilization review activities during night operations Receive,...Lead When It Matters Most? If you're an experienced Registered Nurse ( RN ) with leadership… more
    JobLookup XML (01/08/26)
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  • NHS Management (Madison, AL)
    …and personable liaison between residents, families, and staff Qualifications: Current and active Registered Nurse ( RN ) license in the state of employment ... care standards related to quality assurance, infection control, and utilization review Receive and communicate physician orders...When It Matters Most? xrbllit If you're an experienced Registered Nurse ( RN ) with leadership… more
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  • Baptist Memorial Health (Southaven, MS)
    …and/or life situation. Performs other duties as assigned. Responsibilities Utilization Review Discharge planning Readmission Reduction Participation Payer ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...Hospital Department: DC Case Management Admin BMH Desoto Category: Nurse RN Type: Clinical Work Type: Full… more
    JobLookup XML (01/02/26)
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  • NHS Management (Birmingham, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... their needs. We are in search of a qualified RN Weekend Supervisor to be a leader in our...day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing… more
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  • NHS Management (Fayetteville, AR)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... an application. We are in search of a qualified RN Unit Manager to be a leader in our...day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing… more
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  • NHS Management (Athens, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... their needs. We are in search of a qualified RN Weekend Supervisor to be a leader in our...day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing… more
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  • NHS Management (Madison, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... We are in search of a qualified Unit Manager, RN to be a leader in our facility -...day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing… more
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  • NHS Management (Jacksonville, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... through and read the complete job description before applying. RN Weekend Supervisor - Weekend Rotation- $15k SOB for...the way. We are in search of a qualified Registered Weekend Nurse Supervisor (Every Other Weekend):… more
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...the County of Los Angeles, a Utilization Review Nurse is an RN ...Los Angeles, a Utilization Review Nurse is an RN that has Case… more
    The County of Los Angeles (12/25/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 -… more
    The County of Los Angeles (12/27/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Syracuse, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health ... Code 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
    New York State Civil Service (12/25/25)
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  • Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating ... nursing*( RN ) experience or * 2 years of recent* utilization review , utilization management*nursing experience.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work ... this position: *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include… more
    Minnesota Visiting Nurse Agency (12/06/25)
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  • Nurse Manager - Utilization

    Huron Consulting Group (Chicago, IL)
    …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
    Huron Consulting Group (11/27/25)
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  • PRN Clinical Utilization Review

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital… more
    Community Health Systems (12/03/25)
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  • Utilization Review RN

    St. Peters Health (Helena, MT)
    The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR ... team members in providing all identified utilization review functions for the organization to...the patient/family, physicians, and the interdisciplinary team, the UR RN ensures the care delivery systems at SPH are… more
    St. Peters Health (12/11/25)
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  • Manager of Clinical Documentation Integrity (CDI)…

    Logan Health (Kalispell, MT)
    RN to lead the way as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review ! This role is ideal for a collaborative RN leader who ... You'll Be Doing: As the Manager of CDI & Utilization Review , you will be responsible for...little extra reassurance. If you're looking to use your RN experience to guide teams, support providers, and strengthen… more
    Logan Health (01/01/26)
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  • Clinical Supervisor Utilization

    Martin's Point Health Care (Portland, ME)
    …preferred + 3+ years of medical management experience in a managed care setting including utilization review + RN experience in a clinical setting + ... The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas...Required License(s) and/or Certification(s): + Current Licensure as an RN in Maine and other appropriate jurisdictions as necessary… more
    Martin's Point Health Care (12/23/25)
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  • RN Utilization Review - Case…

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review -...dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the ... 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 (12/03/25)
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