• Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively...to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of… more
    Houston Methodist (11/02/25)
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  • House Supervisor Registered Nurse

    Community Health Systems (Crestview, FL)
    …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... As a Registered Nurse at Santa Rosa Medical...nights and weekends_** **Job Summary** The Supervisor, House - RN provides critical leadership during assigned shifts to oversee… more
    Community Health Systems (12/10/25)
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  • Registered Nurse - Care…

    Lawrence General Hospital (Methuen, MA)
    …made below the top of the range to support future salary growth. The RN Care Manager collaborates with physicians, nurses, and other clinical staff/directors to ... experience in an acute care setting with discharge planning, continuing care, care management , and utilization review preferred. + Strong verbal and written… more
    Lawrence General Hospital (12/13/25)
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  • Registered Nurse - Intensive…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    Summary The Intensive Community Mental Health Program (ICMHR) Registered Nurse ( RN ) is a member of the Behavioral Health Care Service Line whose role is to ... of care and minimizing health care costs. Responsibilities The registered nurse provides care and counseling of...the purpose of improving care to patient groups, maximizing utilization of resources and enhancing the case management more
    Veterans Affairs, Veterans Health Administration (12/12/25)
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  • Registered Nurse - Clinical…

    Cedars-Sinai (Los Angeles, CA)
    …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
    Cedars-Sinai (09/18/25)
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  • Registered Nurse Supervisor…

    Trinity Health (Syracuse, NY)
    …a strong orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes ... to the operational management of the unit to promote and support an...+ Improved staffing, including the integration of a **dedicated RN onsite virtual nurse ** . + The… more
    Trinity Health (11/15/25)
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  • RN Utilization Review - Case…

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management services supporting medical necessity and...case management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM)… more
    Tenet Healthcare (12/03/25)
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  • Registered Nurse Case Manager

    Northwell Health (Sleepy Hollow, NY)
    …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
    Northwell Health (12/06/25)
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  • Registered Nurse - Wound Ostomy

    Trinity Health (Mishawaka, IN)
    …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility...for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN… more
    Trinity Health (12/08/25)
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  • Transition of Care CM - Registered

    CVS Health (Oklahoma City, OK)
    …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... team-based approach to providing outstanding patient care. Transitional Care Manager is an integral part of the team. The...stay and identify any barriers to discharge. + Assist Utilization Management team with access to external… more
    CVS Health (11/28/25)
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