• RN Supervisor I - Emergency Department…

    UNC Health Care (Goldsboro, NC)
    …of an accredited program of professional nursing required. Licensure/Certification Current Registered Nurse licensure in North Carolina. BLS certification ... organizes work to ensure appropriate distribution of assignments and efficient utilization of teammates, equipment and facilities during assigned shifts. 2.… more
    UNC Health Care (10/16/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
    Stony Brook University (10/23/25)
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  • RN Case Manager

    HCA Healthcare (Gainesville, FL)
    …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an RN Case Manager with HCA Florida North Florida Hospital you can be a… more
    HCA Healthcare (12/06/25)
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  • Bilingual RN Case Manager

    Access Dubuque (Dubuque, IA)
    …also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, implement, and ... Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1...Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:**… more
    Access Dubuque (12/14/25)
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  • Clinical Denials Prevention & Appeals Specialist…

    Nuvance Health (Danbury, CT)
    …the time of review . If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient ... in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4… more
    Nuvance Health (09/25/25)
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  • RN Patient Flow Coordinator

    HCA Healthcare (Gainesville, FL)
    …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... the opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
    HCA Healthcare (11/26/25)
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  • RN Case Manager - Care Coordination - Full…

    University of Southern California (Arcadia, CA)
    …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case ... meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: facilitation of… more
    University of Southern California (11/19/25)
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  • Case Manager, RN - Case Management

    Northwell Health (Staten Island, NY)
    …case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps ... utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of...Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State.… more
    Northwell Health (12/20/25)
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  • RN Clinical Lead-Internal Medicine-Albany,…

    Trinity Health (Albany, NY)
    …RN Clinical Lead - the practice of the profession of nursing as a registered professional nurse is defined as diagnosing and treating human responses to ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Clinical Lead - Albany Internal Medicine** If...Hospital Admission or specialty consults and obtains records. + Review and reconcile medication list to ensure accurate and… more
    Trinity Health (12/08/25)
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  • Quality Assurance Coordinator - RN

    Prime Healthcare (Weslaco, TX)
    …to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN Coordinator for our Performance Improvement ... Overview QUALITY ASSURANCE RN COORDINATOR We are seeking a Quality Assurance...Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core… more
    Prime Healthcare (12/02/25)
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