• Saint Vincent Hospital (Worcester, MA)
    …than excellence from ourselves in service of our patients and their families, every day. Registered Nurse ( RN ) - Float Pool Welcome To Saint Vincent Hospital ... we can give you the quality care you deserve. About this job The Registered Nurse provides direct clinical patient care. Responsible for assessing, planning,… more
    job goal (01/10/26)
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  • Unknown (Sacramento, CA)
    …program. This includes differentiating the program in the marketplace, managing bill review and nurse case managers, ensuring compliance with business partners, ... Vice President, Bill Review & Managed Care About the Company Respected...and procedures is essential, as is an active California RN license. The ideal candidate will have over 15… more
    Appcast IO CPC (01/01/26)
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  • Luminis Health (Lanham, MD)
    …within 5 years of date of hire Required License/Certifications: Current licensure as a registered nurse by the Maryland Board of Nursing BLS - American Heart ... based on analysis of patient responses to interventions. 2. Nurse -Patient Family Relationships Demonstrates the ability to assess the patients/familys… more
    job goal (01/11/26)
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  • Luminis Health (Lanham, MD)
    …Life Support (ACLS) within 6 months of date of hire. Current licensure as a registered nurse by the Maryland Board of Nursing. American Heart Association CPR for ... recommendations based on analysis of patient responses to interventions. Nurse -Patient Family Relationships: Demonstrates the ability to assess the… more
    job goal (01/10/26)
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  • Luminis Health (Lanham, MD)
    …by a registered nurse ; (b) Refer to oneself or practice as a registered nurse ( RN ) or licensed practical nurse (LPN); (c) Be considered ... shall practice only under the direct supervision of a registered nurse who is physically present on...charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging… more
    job goal (01/10/26)
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  • Luminis Health (Lanham, MD)
    …Nursing Professional Development Certification preferred. Minimum of three as a Registered Nurse in acute care setting. Required License/Certifications: American ... Certification required. Professional Organization Membership required. Current licensure as a registered nurse by the Maryland Board of Nursing. Adherence… more
    job goal (01/11/26)
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  • Luminis Health (Lanham, MD)
    …to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members ... . Assists others in prioritizing patient care. 2. 2. Nurse -Patient Family Relationships . Expertly provides direct patient care.... As part of unit leadership is responsible for review and implementation of the Joint Commission standards in… more
    job goal (01/11/26)
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  • Luminis Health (Lanham, MD)
    …to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members ... environmental changes. .Assists others in prioritizing patient care. 2.2. Nurse -Patient Family Relationships .Expertly provides direct patient care to patients… more
    CollegeRecruiter (01/11/26)
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  • Utilization Review Nurse Supervisor…

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

    Abbott (Kansas City, MO)
    …a schedule of **Monday-Friday, 8:00 AM - 5:00 PM** . The position of Clinical Review Nurse is within our Toxicology division located at our **Kansas City, MO** ... site within Workplace Solutions. In this role, the **Clinical Review Nurse ** is responsible for accuracy and...assigned. **Required Qualifications** + Associate degree in nursing + Registered Nurse License required + 3-5 years'… more
    Abbott (12/09/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board… more
    The County of Los Angeles (12/27/25)
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  • Quality/Utilization Review Nurse

    George C. Grape Community Hospital (Hamburg, IA)
    …infection control, and payers to resolve care coordination issues. Qualifications: * Education: Registered Nurse ( RN ) license required; BSN preferred. * ... Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity,… more
    George C. Grape Community Hospital (11/25/25)
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  • Medical Records Review Nurse

    System One (Baltimore, MD)
    Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224 Type: Contract, 5 mos with chance of extension Compensation: Based on experience starting ... occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour shifts… more
    System One (01/06/26)
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  • UM Prior Authorization Review Nurse

    UCLA Health (Los Angeles, CA)
    Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established… more
    UCLA Health (01/01/26)
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  • Clinical Review Nurse (Remote)

    Actalent (St. Louis, MO)
    Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are ... seeking an experienced Registered Nurse to join our team within...to gather additional information when needed. + Document all review decisions clearly, accurately, and in compliance with regulatory… more
    Actalent (01/11/26)
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  • Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …+ Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience ... the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria… more
    UNC Health Care (11/20/25)
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  • Utilization Review Nurse

    Actalent (Atlanta, GA)
    …PM (Rotating weekends) About the Role We are seeking a detail-oriented and compassionate Utilization Review Registered Nurse ( RN ) to join our team. In ... Utilization Review RN (Critical Care) Location: Buckhead, GA (On-Site Position) Schedule: Monday-Friday, 8:30 AM-5:00… more
    Actalent (01/10/26)
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  • Quality Review Nurse (Hybrid)

    CareFirst (Baltimore, MD)
    …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... **Resp & Qualifications** **PURPOSE:** The role of the Nurse , Quality Review Utilization Management (UM) is to evaluate clinical quality and procedures within… more
    CareFirst (12/30/25)
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  • Staff Nurse - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for ... performance review /*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of Minnesota. **Title:** *Staff … more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Registered Nurse - Case…

    STG International (Rockville, MD)
    STGi is currently seeking a Registered Nurse -Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case review process… more
    STG International (01/06/26)
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