• Utilization Review RN

    Providence (Mission Hills, CA)
    **Description** RN - Utilization Review ...+ Associate's Degree in Nursing. + Upon hire: California Registered Nurse License + 2 years of ... This position is Remote (Working from Home 100%) and Per -Diem, When working a shift it will be a... Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently… more
    Providence (06/17/25)
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  • RN Utilization Review

    HonorHealth (AZ)
    …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (06/11/25)
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  • RN Utilization Review

    Guthrie (Binghamton, NY)
    …health care services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests ... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and...pay range for this position is $31.00 - $45.26 per hour. #LI-RB1 Joining the Guthrie team allows you… more
    Guthrie (04/05/25)
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  • Registered Nurse ( RN )…

    Dartmouth Health (Lebanon, NH)
    …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. * FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week * Shift:Day * Job ID:32442 Dartmouth… more
    Dartmouth Health (06/19/25)
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  • Registered Nurse

    Ascension Health (Baltimore, MD)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (05/17/25)
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  • Case Manager Registered Nurse

    RWJBarnabas Health (Livingston, NJ)
    Case Manager Registered Nurse ( RN ), Case Management ( per diem)Req #:0000191479 Category:Nursing Status: Per Diem Shift:Day Facility:Cooperman Barnabas ... NJ 07039 Job Title: Case Manager Registered Nurse ( RN ), Case Management ( per ...on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care,… more
    RWJBarnabas Health (03/29/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    Summary The Utilization Management (UM) Registered Nurse ( RN ) is responsible for UM reviews for patients who receive hospital care. Responsibilities An ... UM Registered Nurse is responsible for UM reviews...in NUMI following VACO UM process and then InterQual review process. Facilitates and coordinates admissions to the most… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
    …of care. Follows procedures per established policies and guidelines. Responsibilities The Utilization Management (UM) Registered Nurse ( RN ) executes ... leadership, experience, and creative approaches to management of complex utilization processes. Practical experience in the application of UM...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/18/25)
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  • Registered Nurse ( RN ), Main…

    Penn Medicine (Lancaster, PA)
    …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
    Penn Medicine (05/28/25)
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  • Registered Nurse RN Care…

    AdventHealth (Bolingbrook, IL)
    …skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associate's degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
    AdventHealth (06/18/25)
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  • Registered Nurse ( RN )…

    Glens Falls Hospital (Glens Falls, NY)
    per week, can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options ... condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the Interdisciplinary Team… more
    Glens Falls Hospital (05/08/25)
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  • Registered Nurse 3…

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Corrections and Community Supervision, Department of Title Registered Nurse 3 - Utilization Temp/Hourly Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning.Substitution: a bachelor's… more
    New York State Civil Service (06/17/25)
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  • Registered Nurse ( RN ) Case…

    Ochsner Health (New Orleans, LA)
    …case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from ... and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
    Ochsner Health (04/30/25)
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  • Registered Nurse ( RN ) Case…

    Community Health Network (Indianapolis, IN)
    Registered Nurse ( RN ) Case Manager - North Job Ref 2501284 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem Facility ... PRN RN Case Manager opportunity available. The Registered Nurse Case Manager is responsible for...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… more
    Community Health Network (04/11/25)
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  • RN - Registered Nurse Case…

    Geisinger (Danville, PA)
    …identity theft protection, universal life and pet and legal insurance Registered Nurse Case Manager Hours: 40 hours per week; Days Weekends and On-Call: ... a rewarding, lasting career by joining us as a RN Case Manager - Care Coordinator for the Geisinger...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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  • Registered Nurse RN - Case…

    Trinity Health (Ann Arbor, MI)
    …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
    Trinity Health (06/11/25)
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  • Registered Nurse ( RN ), Care…

    Beth Israel Lahey Health (Wakefield, MA)
    …care system considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) ... in healthy behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources, promotes quality and… more
    Beth Israel Lahey Health (05/30/25)
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  • Travel - Registered Nurse

    Health Advocates Network (Harrisburg, PA)
    Health Advocates Network is currently seeking a ** Registered Nurse ( RN )DC- Short-Term** to work at a correctional facility in **Selinsgrove, PA.** These are ... nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse...is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review more
    Health Advocates Network (06/18/25)
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  • Registered Nurse RN Case…

    Banner Health (Phoenix, AZ)
    …excellence and the happiness, satisfaction, wellbeing and fulfilment of their employees. As the Registered Nurse RN Case Manager Care Coordination, you will ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
    Banner Health (06/01/25)
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  • RN - Registered Nurse Case…

    Geisinger (Wilkes-Barre, PA)
    …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...rewarding, lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that… more
    Geisinger (04/03/25)
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