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Keywords: RN Utilization Review, Location: USA

Page: 15

RN, LSW, LISW, Care Manager

’s plan of care and review on an ongoing basis Provide ongoing coaching to drive effective utilization of established... What You Will Bring: Must hold an active Registered Nurse (RN) License and/or be a Licensed Social Worker (LSW/LISW) in the state...

Company: Caregiver Homes
Location: Dayton, OH
Posted Date: 24 Jan 2026
Salary: $82281 per year

RN Care Manager – Emergency Department - RNERSJ

through discharge Perform utilization review and discharge planning Collaborate with physicians, nurses, social workers... experience Strong background in care coordination, utilization review, and discharge planning ASN/ADN from an accredited...

Company: NavitasPartners
Location: Mount Vernon, NY
Posted Date: 24 Jan 2026
Salary: $58 - 61 per hour

MDS Coordinator - RN - Full-Time

records, and personalized assessments for use in the evaluation of quality of care and utilization review for the purpose...Accura HealthCare of Aurelia has the opportunity to welcome a MDS Coordinator (RN) to join our team! Our MDS...

Location: Aurelia, IA
Posted Date: 24 Jan 2026

Case Manager Registered Nurse (RN)

, or Utilization Review preferred Reporting Structure Reports to the Director of Case Management For more details reach...Position Title: Case Manager Registered Nurse (RN) Location: Tallahassee, Florida Shift Details: Evening Shift...

Company: NavitasPartners
Location: Tallahassee, FL
Posted Date: 24 Jan 2026

Case Manager Registered Nurse (RN)

, or Utilization Review preferred Reporting Structure Reports to the Director of Case Management For more details reach...Position Title: Case Manager Registered Nurse (RN) Location: Tallahassee, Florida Shift Details: Evening Shift...

Company: NavitasPartners
Location: Havana, FL
Posted Date: 24 Jan 2026

Director of Case Management (RN) | Dayton LTACH

Overview Are you an experienced Director of Case Management (RN) seeking a rewarding career that aligns... Paid Benefit Time Responsibilities Coordination of the hospital-wide case management program. Oversee review...

Company: PAM Health
Location: Dayton, OH
Posted Date: 24 Jan 2026

RN Care Manager – Emergency Department - RNERSJ

through discharge Perform utilization review and discharge planning Collaborate with physicians, nurses, social workers... experience Strong background in care coordination, utilization review, and discharge planning ASN/ADN from an accredited...

Company: NavitasPartners
Location: Brooklyn, NY
Posted Date: 24 Jan 2026
Salary: $58 - 61 per hour

Charge Nurse (RN) - General Surgery - Operating Room

Immediate need for a talented Charge Nurse (RN) - General Surgery - Operating Room. This is a Permanent, Full-time... leadership opportunity with long-term potential and is located in Douglasville, Georgia(Onsite). Please review the...

Posted Date: 24 Jan 2026
Salary: $32 - 58 per hour

Case Manager Registered Nurse (RN)

, or Utilization Review preferred Reporting Structure Reports to the Director of Case Management For more details reach...Position Title: Case Manager Registered Nurse (RN) Location: Tallahassee, Florida Shift Details: Evening Shift...

Company: NavitasPartners
Location: Quincy, FL
Posted Date: 24 Jan 2026

RN Care Coordinator - Emergency Department

patient records on assigned unit for medical necessity of acute hospital stay and LOS assignment. Performs utilization review..., promotes effective utilization and monitoring of healthcare resources and assumes a leadership role with the interdisciplinary...

Posted Date: 24 Jan 2026

RN Staff - Full time - NICU

, but are not limited to, use of the nursing process in the utilization of skills in organization, planning, implementing, evaluating... and Pediatrics as needed. Minimum Qualifications: Successfully completed Board Certified Nursing Program. Current LA RN licensure...

Posted Date: 24 Jan 2026

Senior Manager Workers Compensation / RN

reconciliation, posting, and compliance activities. 3. Review and maintain compliance with state and federal workers' compensation... and performance guarantees are met. 2. Review, interpret, and analyze metrics and reports provided by business partners, including...

Company: Emory Healthcare
Location: Atlanta, GA
Posted Date: 24 Jan 2026
Salary: $59.48 per hour

RN Case Manager - Medicine

. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care. We're also looking to you to help... solver with a: BSN or MSN (ASN accepted for current UCLA Health Nursing staff) CA RN License and BLS certification Recent...

Company: UCLA Health
Location: Los Angeles, CA
Posted Date: 24 Jan 2026

RN-Cobb-6S Oncology -FT Days

on bonus and relocation assistance for eligible candidates Job Summary: The RN Clinical Nurse is a proactive member... Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported...

Location: Austell, GA
Posted Date: 24 Jan 2026

HOSPITAL LIAISON RN : EXCELA HEALTH HOME HEALTH & HOSPICE

and physician utilization of clinical services and specialties. Review report of volume by referring physicians to target response...Description : Looking for an RN to fill our Hospital Liaison Coordinate and utilize services by obtaining...

Posted Date: 24 Jan 2026

Supervisor, Clinical RN - OB/GYN

and is engaged in volume visit targets. Maintains an effective process for inventory control and medication supply utilization... daily to review staff issues and to address and resolve operational/clinical concerns. Solicits feedback regarding staff...

Location: Mokena, IL
Posted Date: 24 Jan 2026

Registered Nurse (RN)-Denials and Appeals, FT, Days

with the Utilization Review / Outcomes Management department. Represents Prisma Health when interacting with payors in acuity...-patient or physician coding experience, revenue cycle and/or utilization management experience preferred In Lieu...

Posted Date: 24 Jan 2026

Registered Nurse (RN) Case Manager

, utilization review, discharge planning, or community health nursing. Utilization review and discharge planning experience... is preferred. Active RN License or approved compact license with NJ endorsement required. BLS from the American Heart Association...

Location: Newark, NJ
Posted Date: 24 Jan 2026
Salary: $50 - 65 per hour

RN Case Manager

worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel. Identifies... clinical software system per Clinical Operation department's policy. Monitors utilization of all services for fraud waste...

Company: MedStar Health
Location: Baltimore, MD
Posted Date: 24 Jan 2026
Salary: $89065 per year

Senior Manager Workers Compensation / RN

) and Quality teams on OSHA log reconciliation, posting, and compliance activities. 3. Review and maintain compliance with state... service level agreements and performance guarantees are met. 2. Review, interpret, and analyze metrics and reports provided...

Company: Emory Healthcare
Location: Atlanta, GA
Posted Date: 24 Jan 2026