• Registered Nurse Utilization

    McLaren Health Care (Pontiac, MI)
    …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses...years of acute hospital care experience + Two years utilization and/or case management experience… more
    McLaren Health Care (08/08/25)
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  • Utilization Review Nurse

    Houston Methodist (The Woodlands, TX)
    …two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...state, local, and federal programs + Progressive knowledge of utilization management , case management more
    Houston Methodist (07/12/25)
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  • RN Case Manager - Utilization

    Trinity Health (Silver Spring, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management ,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
    Trinity Health (05/13/25)
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  • Per Diem RN Case Manager,…

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager, Utilization Management /ReviewDepartment:Patient Services-Patient Care ... a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current...license as a Registered Nurse ( RN ) + A certification as a Certified Case more
    Children's Hospital Boston (06/16/25)
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  • Manager, Case Management

    Seattle Children's (Seattle, WA)
    …**Required Credentials** Current Washington State RN license. National certification in case management must be obtained within three years (3) of ... experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous … more
    Seattle Children's (06/17/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - ... 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
    Alameda Health System (07/29/25)
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  • Case Manager Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management ...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
    Beth Israel Lahey Health (05/11/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (08/02/25)
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  • Utilization Management Nurse

    Adecco US, Inc. (Minneapolis, MN)
    …**Pay** : $40.00 - $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for reviewing proposed ... Generally work is self-directed and not prescribed. . The Utilization Management Nurse works under...states . 2+ years of experience in managed care, Utilization Review, Case Management or… more
    Adecco US, Inc. (07/15/25)
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  • Utilization Review Specialist RN

    Houston Methodist (Sugar Land, TX)
    …three years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively...state, local, and federal programs + Comprehensive knowledge of utilization management , case management more
    Houston Methodist (07/29/25)
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