- Island Health (Anacortes, WA)
- Island Health is seeking an experienced Utilization Review Registered Nurse for our hospital in Anacortes, WA. Work Schedule: 0.1 FTE / 0 hours per week ... Reimbursement Employee Assistance Program Employee Recognition Events And More! Utilization Review Registered Nurse Job Responsibilities: Identifies… more
- Medical Solutions (Omaha, NE)
- A facility in Detroit, MI is seeking its next amazing RN ( Registered Nurse ) to work in Case Management ( Utilization Review ). Read on if this sounds like ... your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam, travel… more
- VCU Health (Richmond, VA)
- The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review . ... team, including physicians, social workers, discharge planning assistants and payers. The Utilization Review RN performs reviews of current inpatient services,… more
- Surgery Partners (Altoona, WI)
- APPLICATION DEADLINE: 07/26/2025 Job Summary: The Registered Nurse - Utilization Review oversees and coordinates utilization review functions. ... ensuring physician and nurse documentation meet set standards Understand utilization review /case management rules and guidelines to ensure compliance The… more
- Capital Health (Trenton, NJ)
- …Three years of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials: Registered Nurse ... review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Performs… more
- Franklin Woods Ctr (Rosedale, MD)
- …seeking a skilled and detail-oriented Registered Nurse - Utilization Management (UM) to review healthcare services, ensure clinical appropriateness, and ... Franklin Woods Ctr Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Utilization ...(RN) license in the state of practice. Experience in utilization management, case management, or clinical review … more
- DHR Health (Edinburg, TX)
- …compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: The Utilization Review Supervisor coordinates, supervises and is accountable ... as projects and initiatives that can help the department's financial goals. The Utilization Review Supervisor develops programs for their staff in required… more
- Sonder Health Plans, Inc. (Atlanta, GA)
- …for you to join us. Sonder Health Plans is looking for a full-time Utilization Management Nurse to make sure our health services are administered efficiently ... management experience and acute clinical nursing experience *Active Georgia Registered Nursing license *Pre-authorization and Concurrent review experience… more
- Iconma LLC (Detroit, MI)
- Our Client, a Health Insurance company, is looking for a Registered Nurse - Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform ... which may include acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative… more
- WVU Medicine (Ranson, WV)
- …Below, you'll find other important information about this position. The professional registered nurse has the authority, responsibility, and shift accountability ... delivery of nursing care through the use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical knowledge skills, and… more
- Healthcare Staffing Plus (Boston, MA)
- The registered nurse , adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional ... and their families across the health care continuum. The registered nurse is accountable for clinical, educational,...recommended script in the patient medical record for provider review and approval. Schedule appointments for the primary care… more
- Prisma Health (Columbia, SC)
- …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... a sign-on bonus of $7,500 for external candidates. Please review details here. Prisma Health Heart and Vascular Institute...registered nurse experience, will accept successful completion… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- …groups, communities, and populations." Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent ... of collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a sequential… more
- Veterans Health Administration (Altoona, PA)
- Summary The Registered Nurse (RN) Home Telehealth (HT) Care Coordinator manages care for a panel of patients throughout the continuum of care to assure care is ... assess variances and project needs. Identifies and assesses resource utilization and safety issues, taking appropriate action. Core elements...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Wellstar Health System (Roswell, GA)
- …conferences, interdisciplinary rounds, and patient/family education Collaborates effectively with the utilization review nurse , patient's physicians and the ... North Fulton Hospital has an opportunity for a Senior Registered Nurse (RN) Care Coordinator - PRN...needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates… more
- Veterans Health Administration (Syracuse, NY)
- …& qualified candidates will be referred for consideration as vacancies are available. The Nurse Inpatient Staff Registered Nurse (RN) is responsible for ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- WVU Medicine (Martinsburg, WV)
- …patient care outcomes. Performs the duties and responsibilities within the scope of a Registered Nurse (RN) - Level I, as defined within the job description. ... Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced … more
- Methodist Health System (Omaha, NE)
- …Intensive Care Unit (ICU) experience. License/Certifications Required: Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to ... or handling excreta from patients who have received hazardous medications. 9. Review , delegate and evaluate plans for appropriate utilization of staff… more
- Wellstar Health System (Roswell, GA)
- …people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in MedSurg - Cardiac Telemetry. Full-Time Night Shift ... The RN Clinical Nurse is a proactive member of an interdisciplinary team...diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of… more
- 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 and… more
