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Keywords: RN - Utilization Review Coordinator, Location: USA

Page: 19

REGISTERED NURSE - CASE MANAGER

throughput while supporting a balance of optimal care and appropriate resource utilization. The RN CM Care Coordinator... candidates will have the following job responsibilities: The RN CM Care Coordinator will facilitate the interdisciplinary plan...

Posted Date: 18 Sep 2025

Case Management Specialist ARRMC (Case Management)

and interventions, utilization review and denials management activities as defined by the RN Discharge Coordinator and RN Utilization... Qualifications Experience 3 years of experience in administrative functions in care coordination and/or utilization management...

Company: Asante
Location: Medford, OR
Posted Date: 18 Sep 2025
Salary: $23.28 - 32.02 per hour

Director of Medical Management

Coordinator RNs, Medical Management Coordinators. Manages the daily concurrent review process through department staff, including... of progressively responsible experience in medical management, or utilization review within a healthcare plan, ACO, or provider system...

Posted Date: 14 Sep 2025

Home Health Nurse II

to come. Kimberly Quality Coordinator RN In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary... in Departmental Quality Assurance activities and Utilization Review activities as requested. Self-Development Selects...

Location: Santa Clara, CA
Posted Date: 13 Sep 2025

Care Coordination Assistant - Main Campus- Days

, the Care Coordination Assistant supports the Utilization Review function of Care Coordination by serving as a liaison... between the RN Care Coordinator and external payers, monitoring work queues, submitting of timely information, etc. Licensure...

Location: Richmond, VA
Posted Date: 12 Sep 2025

Charge Nurse I - Surgery

:30am-3:00pm. At least 2-years of Circulator experience in Ortho or Neuro, preferred. Previous Charge RN or Coordinator... documentation and data review. Essential Functions and Responsibilities: Uses the nursing process and physician orders to develop...

Location: USA
Posted Date: 11 Sep 2025

MDS Nurse Transition Leader

certifications and recertification's for residents/elders Facilitate the weekly Medicare/therapy Utilization Review Meetings Act... with appropriate coordinator. Generate/update Monthly MDS Calendar and Notification Process for Support Staff Provide coaching...

Location: Lebanon, OH
Posted Date: 10 Sep 2025

COORD QUALITY & CARE MGMT

Overview: Coordinator - Quality and Care Management, Quality Management Full Time, 80 Hours Per Pay Period, Day... member of Covenant Health! Position Summary: The Coordinator of Quality and Care Coordination Services is responsible...

Company: Covenant Health
Location: Oak Ridge, TN
Posted Date: 10 Sep 2025

MDS Nurse Transition Leader

's for residents/elders Facilitate the weekly Medicare/therapy Utilization Review Meetings Act as the therapy liaison Provide.... Responsibilities MDS Effectively complete the MDS and Care Plans Discuss elder observations/concerns with appropriate coordinator...

Location: Toledo, OH
Posted Date: 10 Sep 2025

MDS Nurse Transition Leader

's for residents/elders Facilitate the weekly Medicare/therapy Utilization Review Meetings Act as the therapy liaison Provide.... Responsibilities MDS Effectively complete the MDS and Care Plans Discuss elder observations/concerns with appropriate coordinator...

Location: Columbus, OH
Posted Date: 10 Sep 2025

MDS Nurse Transition Leader

's for residents/elders Facilitate the weekly Medicare/therapy Utilization Review Meetings Act as the therapy liaison Provide.... Responsibilities MDS Effectively complete the MDS and Care Plans Discuss elder observations/concerns with appropriate coordinator...

Location: Dayton, OH
Posted Date: 10 Sep 2025

Research Nurse II

activities. Implement and conduct quality control processes to ensure the highest data standards. Develop clinical review data... review plan and edit check specifications. Utilize CTO quality improvement tools & process control to facilitate improvement...

Posted Date: 08 Sep 2025

Surgical Technologist III, Labor & Delivery, Full-Time, Days

, as required. In conjunction with Unit leadership Review needs for prior cases for accuracy and completion, Charge Nurse and Central Sterile... appropriate utilization of supplies based on assessed needs, standard of care and surgeon’s preference cards Demonstrates...

Posted Date: 07 Sep 2025

Case Manager

Overview: Come join us as The Case Manager at Blue Heron Senior Living to make a difference! (RN or LPN... Coordinator. Exhibiting working knowledge of Medicare requirements. Exhibiting working knowledge of insurance programs including...

Company: Blue Heron
Location: Wesley Chapel, FL
Posted Date: 07 Sep 2025

Surgical Technologist III, Labor & Delivery, Full-Time, Days

, as required. In conjunction with Unit leadership Review needs for prior cases for accuracy and completion, Charge Nurse and Central Sterile... appropriate utilization of supplies based on assessed needs, standard of care and surgeon’s preference cards Demonstrates...

Posted Date: 06 Sep 2025

Care Coordination Assistant - Main Campus Care Coordination - Weekends

, the Care Coordination Assistant supports the Utilization Review function of Care Coordination by serving as a liaison... between the RN Care Coordinator and external payers, monitoring work queues, submitting of timely information, etc. Licensure...

Location: Richmond, VA
Posted Date: 05 Sep 2025

Home Health Nurse II

. Everything I do has the potential to impact a family’s health for generations to come. Kimberly Quality Coordinator RN In Hawaii... in Departmental Quality Assurance activities and Utilization Review activities as requested. Self-Development Selects...

Posted Date: 05 Sep 2025

Clin Research Nurse Coord

Overview: Registered Nurse Coordinator, Oncology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift... – and beat – the disease. Position Summary: The Clinical Research Nurse Coordinator promotes good clinical practices in the...

Company: Covenant Health
Location: Knoxville, TN
Posted Date: 31 Aug 2025

Care Coordination Assistant - Patient Transfer Center/OCC - Day or Evening

, the Care Coordination Assistant supports the Utilization Review function of Care Coordination by serving as a liaison... between the RN Care Coordinator and external payers, monitoring work queues, submitting of timely information, etc. Licensure...

Location: Richmond, VA
Posted Date: 30 Aug 2025

Home Health Nurse II - On Call

to come. Kimberly Quality Coordinator RN In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary... Inpatient Lactation Consultant As an RN/IBCLC in Maternal Child, I’m meeting families at a pivotal time — I’m there to help...

Location: Santa Rosa, CA
Posted Date: 29 Aug 2025