• Travel - Registered Nurse (RN) - Case…

    Northwell Health (Poughkeepsie, NY)
    …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria ... collaboration with the health care team + Conducts chart review for appropriateness of admission and continued length of...and continued length of stay; Facilitates throughput + Conducts clinical reviews and interacts with third party payers to… more
    Northwell Health (11/01/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to April 1, 2015. Minimum...of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (10/16/25)
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  • Registered Nurse - Case Management

    Prime Healthcare (Bristol, PA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... accredited school of nursing and a current state Registered Nurse license + Grandfathered prior to April 1, 2015....of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. +… more
    Prime Healthcare (10/03/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a*Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite. ... *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising staff… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • Clinical Program Coordinator RN, Medicare…

    Providence (Beaverton, OR)
    …Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review , Prior Authorization, Medical Audits, Appeals or ... best people, we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care… more
    Providence (10/24/25)
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  • Registered Nurse , RN Case Manager

    Prime Healthcare (Inglewood, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care nursing… more
    Prime Healthcare (11/27/25)
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  • Registered Nurse , RN- Case Manager

    Prime Healthcare (Inglewood, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care nursing… more
    Prime Healthcare (10/24/25)
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  • Clinical Documentation Integrity…

    Beth Israel Lahey Health (Burlington, MA)
    …Candidates must be local to New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with ... of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to providers as supported by medical record documentation to… more
    Beth Israel Lahey Health (10/30/25)
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  • Pediatric Clinical Documentation Specialist…

    AdventHealth (Orlando, FL)
    …year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy… more
    AdventHealth (12/03/25)
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  • Clinical Document Specialist III

    AdventHealth (Orlando, FL)
    …and 3 years of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact State Licensure + NP - Nurse ... year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more
    AdventHealth (12/03/25)
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