• Contra Costa County, CA (Martinez, CA)
    …of experience 06 How many years of full-time experience do you have as a Utilization Review Nurse , Discharge Planner, or Case Management Nurse in a ... full-time , or its equivalent, experience as a Registered Nurse in a managed care organization...years of which must have included experience as a Utilization Review Nurse , Discharge Planner,… more
    Upward (07/19/25)
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  • Broward Health (Fort Lauderdale, FL)
    …Point Shift: Shift 1 FTE: 1.000000 Summary: Performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the ... approved Utilization Review Plans. Works with medical and...Two Years Credentials: Essential: * Basic Life Support * Registered Nurse Level II Background Required Grant… more
    Upward (07/11/25)
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  • Life Care Center of Kirkland (Kirkland, WA)
    …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse ( RN ) license in good standing throughout employment ... Director& a New Wage Scale! Come check us out. RN Care Manager/Resident Care Manager to work Full-time...in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred… more
    Upward (07/20/25)
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  • Team Select Home Care (Greenwood, IN)
    *PRN, Part Time , Full Time *Flexible Hours *Weekly...and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality… more
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  • NorthShore (Arlington Heights, IL)
    …Complex Care Management Program - Days Location: 3040 Salt Creek Lane, Arlington Heights, IL Full Time : 40 hours/week Hours: Monday - Friday (8:30 am -5:00 pm), ... care nursing certification is preferred. Experience: Minimum three (3) years of utilization review , discharge planning, case management or disease management… more
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  • Optum (New Berlin, WI)
    …Must have strong analytical, critical thinking and organizational skills Knowledge of Utilization Review , Medicare Requirements processes as well as State and ... for more than a century. Explore opportunities across the full spectrum of care as you help us improve...Federal regulations pertaining to Utilization Review and Discharge Planning The salary… more
    Upward (07/21/25)
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  • Geisinger (Wilkes Barre, PA)
    Job Title: RN - Graduate Registered Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing &...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
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  • Optum (Portland, ME)
    …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... etc.; serves as an educational resource to all Health System staff regarding utilization review Assumes roles in assessment physical, psychosocial, & economic… more
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  • Hidalgo County, TX (Edinburg, TX)
    Salary: $77,409.00 Annually Location : Edinburg, TX Job Type: Regular Full Time Job Number: 2024-02639 Department: Hidalgo County - Sheriff Opening Date: ... of experience with Electronic Medical Records (EMR). Certificates, Licenses and Registration: Must be registered as a Registered Nurse by the State of Texas… more
    Upward (07/18/25)
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  • Coffeyville Regional Medical Center (Coffeyville, KS)
    …most suitable course of action. The RN Case Manager assures appropriate utilization review and may interact with insurance companies and external sources to ... pride in our friendly and caring staff. The Infusion RN /Infusion Services Case Manager focuses on assuring proper care...needed to get the care ordered by physicians. The Registered Nurse is a professional who cares… more
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  • Yale New Haven Health (New London, CT)
    …Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse ( RN ) assesses, plans, implements, evaluates and supervises ... regarding care for patients. EXPERIENCE N/A LICENSURE Valid State of Connecticut Registered Nurse license SPECIAL SKILLS BLS certification required. ACLS… more
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  • Veterans Health Administration (Memphis, TN)
    …Current Permanent employees of Memphis VA Medical Center only Videos Duties Registered Nurse - Utilization Management Inpatient Care Coordinator (UMICC) ... Management (UM) Inpatient Care Coordinator is a professional registered nurse who is responsible and accountable...of position you hold and whether your position is full-time , part- time or intermittent. Contact the hiring… more
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  • UnitedHealth Group (Anniston, AL)
    registered clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... we are changing health care one patient at a time . Moreover, have a genuine passion and energy to...to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot… more
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  • Providence Health & Services (Medford, OR)
    Full-Time / Day Shift The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes ... population focus. Duties also include complex discharge planning and utilization review . Providence caregivers are not simply...we must empower them. Required Qualifications: Upon hire: Oregon Registered Nurse License. 3 years Acute care… more
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  • Atlantic Health System (Morristown, NJ)
    Job Description Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time GIP hospice Registered Nurse to work Monday - Friday from ... $5,000 Reports to: Assistant Manager Job Qualifications/Experience: Current NJ RN License NJ driver's license in good standing. Nursing...Prescription Coverage (22.5 hours per week or above for full-time and part- time team members) Life &… more
    Upward (07/09/25)
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  • Compu-Vision Consulting, Inc. (Canton, 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
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  • Wellstar Health System (Marietta, GA)
    …themselves to making a difference in the healthcare industry, and in people's lives. Registered Nurse Oncology Float-Marietta Shift: FT Day **Sign on & ... certifications are required upon hire unless otherwise stated. Reg Nurse (Single State) or RN - Multi-state...patient care activities. Delegation skills required as Georgia Georgia Registered Professional Nurse Practice Act allows and… more
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  • Northwestern Memorial Healthcare (Huntley, IL)
    …and all other regulatory and accreditation standards. A clinically competent, registered , professional nurse who prescribes, delegates and coordinates nursing ... Required: Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS)… more
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  • Solaris HealthCare Osceola (Kissimmee, FL)
    …relate to the MDS process. Contacts support when indicated Attends Medicare or Utilization Review meeting as required Corrects and ensures completion of final ... Development Special Activities/Attributes Education Currently licensed as an LPN or RN in this state; RN preferred. CPR certified. Experience At least 1 year of… more
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  • FC Compassus LLC (Olympia, WA)
    …*Provides home care information/education at meetings with hospital service, utilization review /discharge planners/case managers, patients and patient's families ... Epic EMR experience. Certifications, Licenses, and Registrations Active and unencumbered Registered Nurse license in state(s) of employment required. Current… more
    Upward (07/14/25)
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