• House Supervisor (Casual Call, Variable…

    Bozeman Health (Bozeman, MT)
    …and transfer of patients, appropriately guiding physician understanding of admission Utilization Review InterQual criteria + Facilitate and communicate the ... The PRN House Supervisor position will help in filling vacancies due...of education and experience considered + Current Montana Registered Nurse (RN) licensure + American Heart Association Basic Life… more
    Bozeman Health (07/08/25)
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  • RN Registered Nurse Care Manager

    AdventHealth (Tampa, FL)
    …RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; ... physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (09/27/25)
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  • RN Supervisor I - 3rd Floor Progressive…

    UNC Health Care (Goldsboro, NC)
    …cardiac care and develop further in their careers. Summary: The Supervisor , Clinical Operations-Nursing oversees the performance, daily operations, programs, and ... and that team members deliver quality care to patients and their caregivers. The Supervisor functions as a resource to the department and uses the nursing process of… more
    UNC Health Care (07/24/25)
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  • RN Evening Supervisor

    NHS Management, LLC (Pleasant Grove, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... along the way. We are in search of a qualified Registered Nurse Shift Supervisor : + Assists in maintaining resident care standards by supervising and directing… more
    NHS Management, LLC (09/20/25)
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  • Hannick RN Supervisor

    Catholic Charities Family Community Services (Newark, NY)
    …record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as ... **Hannick RN Supervisor ** **Job Details** **Level** Experienced **Job Location** Hannick...Valid and clean NYS Driver's License. Valid Registered Professional Nurse (RN) License required **Experience:** At least two years… more
    Catholic Charities Family Community Services (09/10/25)
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  • Supervisor , Clinical Documentation…

    Trinity Health (Livonia, MI)
    …specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work assignments ... direct reports perform clinical validation as part of the review process and remain current on CDI strategies. Maintains...Must possess one of the below: + Current Registered Nurse (RN) License + Registered Health Information Administrator (RHIA)… more
    Trinity Health (08/26/25)
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  • RN Case Manager: University Hospital (Care…

    University of Michigan (Ann Arbor, MI)
    …position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance ... software, such as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management** + Conduct clinical … more
    University of Michigan (09/16/25)
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  • Treatment Team Leader Developmental Disabilities

    New York State Civil Service (Sherrill, NY)
    …policy, treatment, and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees, ... Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * If you are currently… more
    New York State Civil Service (09/27/25)
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  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
    Sharp HealthCare (07/09/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
    LA Care Health Plan (07/16/25)
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