• Baptist Health Care (Gulf Breeze, FL)
    Job Description The Utilization Review Nurse acts as a patient and organizational advocate. An autonomous role that coordinates, negotiates, procures ... of resources across the continuum of care. The Utilization Review Nurse assists the...years broad based nursing experience Required Licenses and Certifications Registered Nurse Licensed State of Florida or… more
    Upward (07/05/25)
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  • Saint Francis Health System (New Haven, CT)
    …benefit offerings. Nights Shift: 7p - 7a Sunday and Monday Job Summary: The Registered Nurse I ( PRN ) assesses, plans, implements and evaluates nursing ... Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 2 years related experience.… more
    Upward (07/15/25)
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  • Transitions LifeCare (Raleigh, NC)
    …and the American Nurses Association's Code of Ethics. Requirements what you need Registered Nurse with current NC license; BSN preferred. Minimum 1-year recent ... Job Summary This is a PRN professional position. This position is responsible for...policies, procedures, and process guidelines related to the admission nurse role, as well as keeping up-to-date on team/departmental… more
    Upward (07/14/25)
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  • Acadia Healthcare (Texarkana, AR)
    Riverview Behavioral Health searching for an RN for the Admissions department! Riverview is the premier psychiatric center in Texarkana, Arkansas, where children, ... suffering from behavioral health and chemical dependency issues. Full time and PRN positions available. Riverview Behavioral is part of the Acadia Healthcare system,… more
    Upward (07/19/25)
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  • Wellstar Health System (Austell, GA)
    …in the healthcare industry, and in people's lives. Work Shift Day (United States of America) RN PRN - Days - Float - Acute Care -MedSurg. Minimum 10 years of ... care experience Required Job Summary: JOB SUMMARY: a brief description of the job.The RN Clinical Nurse is a proactive member of an interdisciplinary team of… more
    Upward (07/17/25)
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  • Baptist Health (Alabaster, AL)
    …as an advocate for patient's health care needs. *Performs admission and concurrent utilization review in compliance with review requirements for Managed ... contracts, governmental payors (ie Medicare, Medicaid, and Champus) and departmental review policies; adheres to Utilization Management Plan. *Communicates in… more
    Upward (07/17/25)
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  • Encompass Health (Tallahassee, FL)
    …accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review , and ... Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review /analyze case management reports, including Key Care Indicators, and… more
    Upward (06/20/25)
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  • Intermountain Healthcare (Logan, WV)
    …needs in area(s) of responsibility. Completes documentation as required. Performs utilization review activities to provide patient appropriate, timely, and ... will be verified. Case management Certification. Experience in Case management, Utilization review , and/or discharge planning. Physical Requirements: Ongoing… more
    Upward (07/18/25)
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  • Hope At Home Health Care (Warren, MI)
    …applicants only)! We currently have a position available for an experienced Home Health Care Registered Nurse ! An RN with ICU, PICC Line, Wound Care, and ... to our clients in their homes. WHY BE A PRN RN WITH HOPE AT HOME Earn...within the Tri-County area (Oakland, Macomb & Wayne). A Registered Nurse administers skilled nursing care to… more
    Upward (06/24/25)
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  • Franciscan Missionaries of Our Lady Health System (Lafayette, LA)
    …and analysis of annual financial goals of targeted population. Performs effective utilization review techniques to work with physicians, third party payors ... admissions, procedures and continued stay. Meets with treatment team to provide utilization review information, discusses issues pertaining to continued stay,… more
    Upward (07/16/25)
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  • Tenet Health (Memphis, TN)
    …Health. Other acute care areas include Emergency Room, Critical Care, Med/ Surge and Telemetry. RN Case Manager PRN Days Position Summary The RN Case Manager ... patient care experience. Preferred: Acute hospital case management experience. Certification Required: RN . Must be currently licensed, certified or registered to… more
    Upward (07/07/25)
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  • St. Tammany Health System (Covington, LA)
    …- Fri PRN (as needed) with rotating weekend requirements JOB SUMMARY: The Registered Nurse is responsible for the coordination of clinical activities for the ... limited to, use of the nursing process in the utilization of skills in organization, planning, implementing, evaluating, and...Practice Act and follow hospital policies and procedures. The Registered Nurse also complies with hospital and… more
    Upward (07/17/25)
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  • Providence Medical Center (Kansas City, KS)
    …and concurrent reviews in a timely manner utilizing criteria approved by the Utilization Review Committee. Determines priorities for the order in which patients ... Overview We are seeking a Case Manager RN at Providence Medical Center . Shift's Available:...an accredited school of nursing and a current state Registered Nurse license. Grandfathered prior to April… more
    Upward (07/17/25)
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  • Utilization Review Nurse

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (07/12/25)
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  • Utilization Review Registered

    BJC HealthCare (St. Louis, MO)
    … experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** PRN **Req ID** : 86873 **Pay Range:** $32.80 -...in St. Louis. + Have both Missouri and Illinois RN licenses. + If candidate only has one … more
    BJC HealthCare (07/12/25)
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  • Registered Nurse ( RN

    LifePoint Health (Hickory, NC)
    * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment ... outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources,...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager PRN more
    LifePoint Health (07/16/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Miami, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? ... you want to work as a(an) Registered Nurse RN Case Manager PRN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (07/14/25)
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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 )…

    LifePoint Health (Warrenton, VA)
    …local law./ / / **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager PRN * **Location:** *Virginia-Warrenton* ... The RN Case Manager monitors and manages patient care...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge planning, and… more
    LifePoint Health (07/12/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …purpose-minded team. All while understanding thattogetherwe are even better. Schedule: PRN Shift:Days The community you'll be caring for:AdventHealth Carrollwood ... support a well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
    AdventHealth (07/18/25)
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