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Keywords: Registered Nurse - Utilization Management, Location: USA

Page: 3

Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN

years hospital based nursing practice prefer experience in utilization/case management. BLS for Healthcare Providers... and/or patient populations, promoting effective utilization of resources, and assuming a leadership role in the multidisciplinary...

Posted Date: 27 Sep 2025

Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN

years hospital based nursing practice prefer experience in utilization/case management. BLS for Healthcare Providers... and/or patient populations, promoting effective utilization of resources, and assuming a leadership role in the multidisciplinary...

Posted Date: 27 Sep 2025

Utilization Review Analyst - Registered Nurse (Full Time)

time, 40 hours per week, on-site at Lahey Hospital and Medical Center. The schedule is 5 8-hour shifts. The Utilization... Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the hospital...

Posted Date: 12 Sep 2025

Utilization Review Analyst - Registered Nurse (Per Diem)

management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case...

Posted Date: 11 Sep 2025

Utilization Management RN

methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10.... EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence...

Company: Bryan Health
Location: Lincoln, NE
Posted Date: 13 Oct 2025

Utilization Management Behavioral Care Advocate - Remote

national holiday per year to be worked. Primary Responsibilities: Perform utilization management, utilization review..., social work, counseling or related field, or registered psychiatric nurse Active, unrestricted, independent license...

Company: CPS Solutions
Location: Eden Prairie, MN
Posted Date: 12 Oct 2025
Salary: $58800 - 105000 per year

Care Coordinator, Utilization Management PD

management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 12 Oct 2025

Utilization Management Behavioral Care Advocate - Remote

national holiday per year to be worked. Primary Responsibilities: Perform utilization management, utilization review..., social work, counseling or related field, or registered psychiatric nurse Active, unrestricted, independent license...

Company: CPS Solutions
Location: Eden Prairie, MN
Posted Date: 12 Oct 2025
Salary: $58800 - 105000 per year

Manager, Utilization Management

About The Role The Manager, Utilization Management (UM) will manage the Utilization Management team consisting... Management team. Serve as the primary contact for day-to-day operational escalations related to the Utilization Management...

Posted Date: 11 Oct 2025

Care Coordinator, Utilization Management

management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 11 Oct 2025

RN Utilization Management ED

or designated leader for additional review as determined by department standards. The Utilization Management Nurse is accountable... failure, cancer and other diseases. The role youll contribute: The role of the Emergency Department Utilization Management...

Company: AdventHealth
Location: Tampa, FL
Posted Date: 11 Oct 2025

Utilization Management RN

Imagine360 is seeking a Utilization Management, RN to join the team! The RN Utilization Management Nurse is responsible... by utilizing nursing education, clinical, and professional experience. The Registered Nurse will practice within the scope...

Company: Imagine360
Location: USA
Posted Date: 09 Oct 2025
Salary: $80000 - 85000 per year

Clinical Evaluation Manager - Utilization Management

and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...

Location: New York City, NY
Posted Date: 09 Oct 2025
Salary: $85000 per year

RN Utilization Management - Acute Care - Per Diem

's Hospital in Albany, NY is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN...Employment Type: Part time Shift: Day Shift Description: RN for Utilization Management - Per Diem St. Peter...

Company: Trinity Health
Location: Albany, NY
Posted Date: 09 Oct 2025

Utilization Management Specialist - FT Days

. Performs utilization management (UM) activities in accordance with UM plan to assure compliance with accreditation/regulatory... authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for patients...

Company: Sanford Health
Location: Sioux Falls, SD
Posted Date: 09 Oct 2025

Supervisor, Utilization Management

Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management... Collaborates with utilization management team to resolve complex care member issues Maintains knowledge of regulations...

Company: Centene
Location: USA
Posted Date: 09 Oct 2025
Salary: $73800 - 132700 per year

Clinical Evaluation Manager - Utilization Management

and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...

Location: New York City, NY
Posted Date: 08 Oct 2025
Salary: $85000 per year

RN, Utilization Management Coordinator

The Utilization Management Coordinator Nurse performs duties consistent with the mission, vision and values of Goshen... Management Coordination Nurse utilizes advanced clinical skills to review documentation, complete UR, serve as a resource...

Company: Goshen Health
Location: Goshen, IN
Posted Date: 07 Oct 2025

Manager Clinical Utilization Management RN (Waukesha WI)

Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...

Company: CPS Solutions
Location: Waukesha, WI
Posted Date: 04 Oct 2025
Salary: $89900 - 160600 per year

Supervisor Behavioral Health Utilization Management Review

Role Overview Under the supervision of the Manager for Utilization Management, this position is responsible... for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members...

Location: USA
Posted Date: 04 Oct 2025