• Case Manager and Utilization Review

    Scottish Rite for Children (Dallas, TX)
    …to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional Posting ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...accredited school of professional nursing + Hold current Texas RN license or is eligible for reciprocity and holds… more
    Scottish Rite for Children (05/23/25)
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  • 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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  • UR Coordinator

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... access the full range of their benefits through the utilization review process. Requirements + Education: Master's...LMFT or LMFT-A Preferred but not required. LVN or RN licensure also considered for this position. + Experience:… more
    Georgetown Behavioral Health Institute (03/19/25)
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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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  • 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 (Waverly, NY)
    …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS...Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities.… more
    Elderwood (06/06/25)
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  • RN Sr. - Registered Nurse

    State of Minnesota (Silver Bay, MN)
    **Working Title: RN Sr. - Registered Nurse Senior, MDS Coordinator ** **Job Class: Registered Nurse Senior** **Agency: Minnesota Department of ... Registered Nurse Senior position (MDS Coordinator ). This position is responsible for the utilization...be conducted on all finalists. This may include a review of documentation related to job performance. AN EQUAL… more
    State of Minnesota (06/11/25)
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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 (05/30/25)
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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 ... each individual is recognized. Submit your application for the opportunity below: Registered Nurse Home Care Coordinator CarePatnersCarePartners **Benefits**… more
    HCA Healthcare (05/25/25)
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  • Registered Nurse - Care…

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    Summary The North Florida/South Georgia Veterans Health System (NF/SG VAHS) is recruiting for a Registered Nurse Care Coordinator to work in the Office of ... Care at the Malcom Randall VA Medical Center. The RN Care Coordinator uses the nursing process...the community. Possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    …and customer satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for ... 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 (06/04/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (East Orange, NJ)
    Summary The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach to receiving, triaging, and ... 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 (06/13/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Manchester, NH)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse RN Case Manager...Minimum two years of experience in Case Management and/or Utilization Management Review , or relevant professional experience.… more
    HCA Healthcare (06/10/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    …interdisciplinary team. Responsibilities The Nurse 1, Level 1-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 (06/13/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
    …Veteran's Affair Healthcare System (SFVAHCS) Community Care (CC) Registered Nurse ( RN ) Clinical Coordinator independently manages Veterans' episodic ... program components to improve community care quality. Provide clinical review and expertise for the SFVAHCS CC authorization program....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/12/25)
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  • Registered Nurse RN Case Mgr

    HCA Healthcare (Port St. Lucie, FL)
    …growth, we encourage you to apply for our Registered Nurse RN Case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Mgr...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/03/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Tamarac, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Manager with HCA Florida Woodmont ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Manager...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/12/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Fort Pierce, FL)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Manager PRN? At HCA Florida Lawnwood Hospital, ... make a difference. We are looking for a dedicated Registered Nurse RN Case Manager...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/09/25)
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  • RN - Registered Nurse Case…

    Geisinger (Danville, PA)
    …indemnity insurance, identity theft protection, universal life and pet and legal insurance Registered Nurse Case Manager Hours: 40 hours per week; Days Weekends ... a rewarding, lasting career by joining us as a RN Case Manager - Care Coordinator for...Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
    Geisinger (05/01/25)
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