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Keywords: Utilization Management RN, Location: USA

Page: 3

RN Utilization Management Concurrent Review

utilization management to patients, families, and other members of the care team as needed. Maintains current knowledge of health...Hampton, Virginia Overview Responsible for the judicious management of health system resources through advocacy...

Posted Date: 06 Sep 2025

RN Case Manager - BSN - AS Utilization Management - Concord - Full Time - 8 Hour - Days

nursing practice with specialized focus on care coordination, compliance, transition management, education, and utilization...Job Description: The role of the inpatient case manager is one of patient advocate of appropriate utilization...

Company: John Muir Health
Location: USA
Posted Date: 06 Sep 2025

URGENT Hiring - Utilization Management Nurse (RN UM)

Hiring an RN UM - Utilization Management Nurse to work in a Skilled Nursing Facility facility in Concord, New Hampshire... RN UM- Utilization Management Nurse Must have at least 1 year experience Contract: 9-13 weeks Start: ASAP These...

Company: HiredFirst
Location: Concord, NH
Posted Date: 03 Sep 2025
Salary: $2400 - 2403 per week

RN - Utilization Review / Case Management

skills Excellent interpersonal and communication abilities Familiarity with utilization management, payer authorization... with our patients and teammates. Job Summary The RN-Case Manager is responsible for assessing, planning, coordinating...

Company: ScionHealth
Location: Lawton, OK
Posted Date: 31 Aug 2025

RN System Director Utilization Management - Primarily Remote

continuum and utilization review and management. The position develops and leads the Utilization Management operations, strategy... and implementation of the Utilization Management model and tactics. The position is responsible for assuring success in financial...

Company: Tufts Medicine
Location: Burlington, MA
Posted Date: 27 Aug 2025

Utilization Management RN

Registered Nursing License 4+ years of experience in utilization management 3+ years of NICU, Peds experience Familiarity... based on physician certification Gathers clinical information to conduct continued stay utilization review activities...

Location: Danbury, CT
Posted Date: 23 Aug 2025
Salary: $74000 - 124000 per year

Utilization Management RN - Per Diem

Utilization Management RN for Fremont Hospital! The Utilization Management RN is responsible for but not limited to the... admissions for continued stay reviews including completion of certifications. The Utilization Management RN will interface...

Posted Date: 20 Aug 2025

Utilization Management RN - Per Diem

Utilization Management RN for Fremont Hospital! The Utilization Management RN is responsible for but not limited to the... admissions for continued stay reviews including completion of certifications. The Utilization Management RN will interface...

Location: Fremont, CA
Posted Date: 20 Aug 2025

Centralized UR RN - Case Management Utilization Review

of care including the appropriate length of stay, patient status management, resource utilization and discharge planning... with charge capture and reimbursement analysts as necessary. Is an active member of the Utilization Management Committee. Work...

Company: Health First
Location: Melbourne, FL
Posted Date: 14 Aug 2025

RN Utilization Management Initial Review-Part-Time-Mid Shift-Onsite Position

. Communicates effectively and professionally regarding modality. Provides education regarding utilization management to patients... Center in the Emergency Department working 12 hour shifts. Shift: 11am-11pm Responsible for the judicious management...

Posted Date: 10 Aug 2025

Utilization Review RN Kirkland, Washington | Department: Care Management | Job Type: Per Diem

for new and innovative ways to improve. Job Summary: The RN in our Care Management department specializes in assessing... a degree in Nursing Three (3) years of experience as an RN with a combination of acute care and/or case management experience...

Company: EvergreenHealth
Location: Kirkland, WA
Posted Date: 30 Jul 2025
Salary: $47.7 - 76.31 per hour

Utilization Management Clinician I (RN)

environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical... in Utilization Management and Managed Care, preferred. Essential functions and Roles and Responsibilities: Conduct review...

Posted Date: 17 Jul 2025

Utilization Management, RN - Full-Time

Job Summary: Interacts with the Interdisciplinary staff to complete the process of utilization management. Education... required with prior experience preferred in utilization management. Knowledge of managed care practices preferred with minimum of five...

Posted Date: 30 Sep 2025

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 27 Sep 2025

Case Management Utilization RN-PD Day

interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning... for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...

Posted Date: 27 Sep 2025

Utilization Management Specialist, ED (RN required) - VTHH (Hybrid)

preeminent programs in patient care, education, and research. Organization: Utilization Management 10 Job Summary... admission status is ordered. The nurse conducts initial admission based on utilization review medical necessity criteria. Refers...

Posted Date: 24 Sep 2025

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 24 Sep 2025

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 23 Sep 2025

RN, Utilization Management, Health Plans

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: 21 Sep 2025
Salary: $85000 per year

Utilization Review (RN), Case Management

performs comprehensive patient assessments and interviews, resource management, utilization management, discharge planning... preferred Case management / utilization review experience preferred Literate in software and information systems...

Posted Date: 23 Aug 2025