• Utilization Review Nurse

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    Utilization Review Nurse ( 37 .5 Hour) Office/On-Site Recruitment # 251114-5612XC-001 Location Middletown, CT Date Opened 11/18/2025 12:00:00 AM Salary ... (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) is now hiring for the position of Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612XC&R1=&R3=) to… more
    State of Connecticut, Department of Administrative Services (11/19/25)
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  • Utilization Review RN

    Ascension Health (Nashville, TN)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... Weekend rotations + **Hospital:** Ascension St Thomas + **Salary:** $ 37 .77 - $53.32 an hour **Benefits** Paid time off...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
    Ascension Health (11/19/25)
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  • Nurse Practitioner APN Fellow

    Hackensack Meridian Health (Hackensack, NJ)
    **The post-graduate internal medicine fellowship for Nurse Practitioners is designed to provide Advanced Practice Nurses an opportunity to engage in both didactic ... the top medical centers in the nation. During the year-long fellowship, the Nurse Practitioner will rotate through a variety of patient care settings, including an… more
    Hackensack Meridian Health (11/10/25)
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  • Public Health Program Nurse (NY Helps)

    New York State Civil Service (Albany, NY)
    …experience include but are not limited to: Experience in discharge planning, utilization review , treatment plan development for individuals in community or ... Yes Agency Health, Department of Title Public Health Program Nurse (NY HELPS) - 07370 Occupational Category Health Care,...Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37 .5 Workday From 9 AM To 5 PM Flextime… more
    New York State Civil Service (11/08/25)
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  • VPS Psychiatric Nurse Practitioner

    City of New York (New York, NY)
    …discuss with the Medical and Mental Health Directors when needed and regarding utilization off MHL Section 9. 37 authority. 7. Attend office meetings, supervisory ... CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical… more
    City of New York (11/07/25)
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  • Bone Marrow Transplant (BMT) Nurse

    Rush University Medical Center (Chicago, IL)
    …learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). **Pay Range:** $ 37 .50 - $62.21 per hour Rush salaries are determined by ... each case. **Summary:** The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse ...practices and multi-disciplinary teams as to promote the effective utilization of services and coordination of care for patients… more
    Rush University Medical Center (11/18/25)
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  • Public Health Program Nurse (NY Helps)

    New York State Civil Service (Albany, NY)
    …experience include but are not limited to: Experience in discharge planning, utilization review , treatment plan development for individuals in community or ... Yes Agency Health, Department of Title Public Health Program Nurse (NY HELPS) - 47963 Occupational Category Administrative or...Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37 .5 Workday From 8 AM To 5 PM Flextime… more
    New York State Civil Service (11/13/25)
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  • Complex Care Nurse Manager

    Lawrence General Hospital (Lawrence, MA)
    …appropriate referrals and facilitates appropriate discharge plans. + Works in conjunction with Utilization Review Nurse , Social Worker and Clinical Care ... pay transparency and equity. The base salary range is $ 37 .90 - $81.44 excluding fringe benefits and potential bonuses....setting with discharge planning, continuing care, care management, and utilization review . + Five years clinical nursing… more
    Lawrence General Hospital (10/13/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Working ... Pacific Med Center Van Ness **Position Overview:** Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and… more
    Sutter Health (11/07/25)
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  • Sr. Nurse Practitioner (Emergency Medicine)…

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... support in response to emergency situations. + Prepare chart documentation for review and counter signature by the physician. + Determine differential diagnosis. +… more
    Johns Hopkins University (11/04/25)
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  • Nurse Practitioner (Emergency Medicine)…

    Johns Hopkins University (Baltimore, MD)
    …support in response to emergency situations. + Prepare chart documentation for review and counter signature by the physician. + Determine differential diagnosis. + ... consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. +...**Minimum Qualifications** + Master's Degree in Nursing. + Registered Nurse license and Certified as a Nurse more
    Johns Hopkins University (11/04/25)
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  • Sr Nurse Practitioner (Emergency Medicine…

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... support in response to emergency situations. + Prepare chart documentation for review and counter signature by the physician. + Determine differential diagnosis. +… more
    Johns Hopkins University (11/04/25)
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  • Respiratory Registered Nurse

    Quality Center for Rehabilitation and Healing (Lebanon, TN)
    …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... Schedule . 5 days a week 37 .5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory… more
    Quality Center for Rehabilitation and Healing (10/23/25)
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  • Public Health Nurse

    Allegan County (Allegan, MI)
    …per hour, depending on previous experience, full time Future Earning Potential: up to $ 37 .06 per hour Excellent Benefits Plan: Health benefits begin on the first of ... administration, lab draws, culture and urine collection. Education: -Licensed Practical Nurse (LPN) or Associates Degree RN required -Bachelor's Degree RN (BSN)… more
    Allegan County (09/13/25)
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  • Nurse Case Manager

    Nuvance Health (Carmel, NY)
    …years RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... Location: Carmel-PHC 670 Stoneleigh Avenue Work Type: Full-Time Standard Hours: 37 .50 FTE: 1.000000 Work Schedule: Day 10 Work Shift: This is a Monday thru Friday… more
    Nuvance Health (09/10/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (CA)
    …an intensive care unit (ICU) or emergency room. Previous experience in Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/02/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (San Diego, CA)
    …care unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/16/25)
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  • Care Review Clinician (RN) Night Shift

    Molina Healthcare (Los Angeles, CA)
    California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (10/18/25)
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  • Case Manager PreService & Retrospective…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …difference, join us. The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and ... health care services, application of criteria to ensure appropriate resource utilization , identification of referrals to a Health Coach/case management, and… more
    Blue Cross and Blue Shield of Minnesota (10/23/25)
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  • RN Acute Case Manager - System Care Management…

    Guthrie (Binghamton, NY)
    …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining ... levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
    Guthrie (08/27/25)
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