• 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 Nurse with us, you'll have the...for case management scope of services including: Utilization Management services supporting medical necessity and… more
    Tenet Healthcare (12/03/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... and Barnstable counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions...and Serve Your Community!** **In your role as a Utilization Review & Denials Management more
    Beth Israel Lahey Health (12/14/25)
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  • Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts ... three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State… more
    Houston Methodist (11/02/25)
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  • Registered Nurse Utilization

    Catholic Health (Kenmore, NY)
    …Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review , as an active member of the Middle ... in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with...facilitate movement of the patient through the continuum. The Utilization Review RN identifies and… more
    Catholic Health (12/17/25)
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  • RN Utilization Mgmt I

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's ... payors as applicable. + Completes daily work lists for utilization review meeting the time frames set...management experience. Licensure Requirement: Current licensure as a Registered Nurse ( RN ) as issued… more
    Covenant Health Inc. (12/18/25)
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  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …reviews with accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour ... **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's...Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A minimum… more
    Cedars-Sinai (01/02/26)
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  • Utilization Review RN

    St. Peters Health (Helena, MT)
    The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other ... the patient/family, physicians, and the interdisciplinary team, the UR RN ensures the care delivery systems at SPH are...licensure in the State of Montana. Certification in Case Management and/or Utilization Review desired.… more
    St. Peters Health (12/11/25)
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  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent ... Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review... Case Manager - 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
    Cedars-Sinai (01/02/26)
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  • Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating ... nursing*( RN ) experience or * 2 years of recent* utilization review , utilization management.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …174223 Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments ... outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to BH HODs effective… more
    UnityPoint Health (11/07/25)
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