• RN Case Manager PRN

    HCA Healthcare (Summerville, SC)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
    HCA Healthcare (11/12/25)
    - Related Jobs
  • Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals ... Registration, MiVisit Business services, clinics and ancillary departments. + Review patient medical records and utilize clinical and regulatory knowledge… more
    University of Michigan (12/13/25)
    - Related Jobs
  • RN Structural Heart (TAVR) Coordinator…

    University of Southern California (Arcadia, CA)
    …Education: Bachelors Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of Registered ... outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and...RN experience in assigned area of Nursing. A registered nurse with current RN more
    University of Southern California (12/11/25)
    - Related Jobs
  • RN Interventional Radiology

    HCA Healthcare (Kansas City, MO)
    …quality care in the most compassionate way. A Diagnostic Imaging Registered Nurse provides patient care through utilization of the nursing process. Unlock ... obtained within 30 days of employment start date + ( RN ) Registered Nurse + ...RN Interventional Radiology opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (11/22/25)
    - Related Jobs
  • RN Case Manager Lead

    HCA Healthcare (Wichita, KS)
    …initiatives **Qualifications:** **Required:** + Current Licensure in the State of Kansas as a Registered Nurse ( RN ) or Current Multi-State Licensure as a ... Registered Nurse ( RN ) + Current Basic Life Support...care experience preferred + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (12/13/25)
    - Related Jobs
  • RN Provider Appeals Coordinator (Hybrid)…

    Henry Ford Health System (Troy, MI)
    Nurse ! We are a team of Registered Nurses (3 and counting) and Utilization Review Coordinators (4) that review appeals for medical necessity using ... Microsoft Word. Excel and Access preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with current...) with current Michigan licensure. PREFERRED EXPERIENCE: + Prior Utilization review experience in a health insurance… more
    Henry Ford Health System (12/23/25)
    - Related Jobs
  • RN Case Manager

    HCA Healthcare (Dublin, GA)
    **Description** **Introduction** Do you have the career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want in your current role? We invest in ... ! **Job Summary and Qualifications** **We are seeking a Registered Nurse ( RN ) Case Manager...is highly preferred.** + **Certification in Case Management or Utilization Review is preferred.** + **InterQual experience… more
    HCA Healthcare (12/23/25)
    - Related Jobs
  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …active FL RN license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
    - Related Jobs
  • RN Case Manager Lead

    HCA Healthcare (Derry, NH)
    …+ Associate Degree in Nursing, Bachelors strongly desired, Master preferred + Active NH Registered Nurse license or compact state Registered Nurse ... supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager Team... Case Manager Lead opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (12/05/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts high-acuity, timely, ... ensuring data integrity and compliance. * Participate in quality improvement, policy review , and education related to NICU and special populations utilization more
    CVS Health (12/19/25)
    - Related Jobs