• Registered Nurse Utilization

    LifePoint Health (Louisburg, NC)
    …valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* ... Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound… more
    LifePoint Health (05/15/25)
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  • RN Utilization Review Care…

    Trinity Health (Athens, GA)
    **Employment Type:** Part time **Shift:** **Description:** The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary team that ... in denials management and auditing duties as assigned. Participates in the Utilization Review Committee as assigned. Maintains good rapport and cooperative… more
    Trinity Health (07/31/25)
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  • Utilization Review RN (1.0…

    St. Peters Health (Helena, MT)
    The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator ... for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse...are utilized effectively and efficiently and engages the UR RN Coordinator with improvement ideas when deviations… more
    St. Peters Health (06/21/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts...needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
    San Antonio Behavioral Health (05/28/25)
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  • Central Transfer Coordinator - LPN

    St. Bernard's Medical Center (Jonesboro, AR)
    …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... + JOB REQUIREMENTS + Education + LPN required, RN preferred. Must possess a degree in nursing, with preference given to a bachelor's degree. + Experience + Minimum… more
    St. Bernard's Medical Center (07/26/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... Two (2) years of experience as a registered nurse , of which one year must...involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN more
    The County of Los Angeles (05/22/25)
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  • Managed Care Coordinator

    Elderwood (Cheektowaga, NY)
    …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The… more
    Elderwood (07/04/25)
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  • RN Utilization Review Full…

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review Full Time...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… more
    Tenet Healthcare (07/31/25)
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  • Registered Nurse 1 Psychiatric, (NY…

    New York State Civil Service (Orangeburg, NY)
    …to hire a Registered Nurse 1, Psychiatric, to serve as a Utilization Review Coordinator (URC). Candidates from outside or within State Service can ... NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 1 Psychiatric, (NY HELPS), Rockland...Proficiency in Microsoft Excel is preferred. URCs at RCPC review electronic and paper clinical medical records for inpatient… more
    New York State Civil Service (07/23/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Lorain, OH)
    …a Collective Bargaining Unit Position.** **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse ( RN ) is responsible ... to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to...of Science Nursing (required) **Work Experience** 3 years of Registered Nurse ( RN ) clinical experience… more
    Bon Secours Mercy Health (07/22/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Lorain, OH)
    …for clinical and operational excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse ( RN ) is responsible ... to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to...of Science Nursing (required) **Work Experience** 3 years of Registered Nurse ( RN ) clinical experience… more
    Bon Secours Mercy Health (05/19/25)
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  • Registered Nurse ( RN

    CommuniCare Health Services Corporate (Cincinnati, OH)
    Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... RN Mobile MDS Coordinator for its skilled nursing facilities throughout our Midwest...visits to facilities for intervention, audit and training + Review resident clinical records for coverage, utilization ,… more
    CommuniCare Health Services Corporate (07/31/25)
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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 ... Digestive Health Program; Bariatrics, Colorectal, Reflux, GI, and General Surgeries. The coordinator will work closely with the surgeons and their office staff to… more
    AdventHealth (07/23/25)
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  • Registered Nurse Home Care…

    HCA Healthcare (Asheville, NC)
    …you to apply for our Registered Nurse Home Care Coordinator CarePatners opening. We promptly review all applications. Highly qualified candidates will ... worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse Home Care Coordinator with CarePartners. This… more
    HCA Healthcare (07/14/25)
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  • Registered Nurse - Care…

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    Summary This is a recruitment for a Registered Nurse Care Coordinator - Detail, as a temporary unpaid detail not to exceed 120 days. In this opportunity, you ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Muskogee, OK)
    …and Improvements Needed for Veterans Act of 2016. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Registered Nurse (Community Care…

    Veterans Affairs, Veterans Health Administration (Anchorage, AK)
    Summary The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach to receiving, triaging, and ... visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Three to five years of Registered Nurse Experience Case management experience Physical… more
    Veterans Affairs, Veterans Health Administration (07/23/25)
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  • Managed Care Coordinator

    State of Montana (Helena, MT)
    …reimbursement rates, criteria for levels of care and utilization review is preferred. **Title:** *Managed Care Coordinator * **Location:** *Helena* ... *MANAGED CARE RN * *REHABILITATIONS AND PROGRAMS* *HELENA, MT* *MISSION -...degree in Nursing * 2 years' experience as a registered nurse . * Additional experience in specialized… more
    State of Montana (07/15/25)
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  • Bed Planning Coordinator Registered

    Emory Healthcare/Emory University (Atlanta, GA)
    …and leadership programs + And more **Description** We're seeking an **Bed Planning Coordinator Registered Nurse ** provides 24/7 coverage for the Capacity ... critically thinking to manage appropriate patient flow, working closely with the Transfer Services RN Coordinator and Patient Flow Coordinator to manage the… more
    Emory Healthcare/Emory University (07/18/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... and improve positive outcomes for your patients as a Registered Nurse RN Case Manager....a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
    HCA Healthcare (07/26/25)
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