• Utilization Review Nurse…

    Actalent (Tampa, FL)
    …complete cases. Qualifications: + 3+ years of utilization management, concurrent review , prior authorization, utilization review , case management, and ... Urgent Hiring for "Remote Clinical Review Nurses" Job Description: + Review ...discharge planning is must + Active RN Compact License is Must If you are Interested… more
    Actalent (01/10/26)
    - Related Jobs

  • RN Case Manager - Utilization…

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization - ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
    Prime Healthcare (12/19/25)
    - Related Jobs

  • RN Admissions Coordinator/…

    PeaceHealth (Eugene, OR)
    **Description** PeaceHealth is seeking a RN Admissions Coordinator/ Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... strong psychiatric nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric… more
    PeaceHealth (12/05/25)
    - Related Jobs

  • Utilization Review Specialist

    WestCare Foundation (Henderson, NV)
    … RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or ... substance use disorder Experience and Competencies: + Proven experience in conceptualizing a case and creating a clinical impression to present to all involved and approved parties, including managed care representatives + Knowledge of CPT, ICD 9 & ICD 10… more
    WestCare Foundation (11/13/25)
    - Related Jobs

  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
    US Tech Solutions (10/17/25)
    - Related Jobs

  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a ... coordinating the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of high-quality health care,… more
    UnityPoint Health (11/07/25)
    - Related Jobs

  • Utilization Management Registered…

    Katmai (Fort Carson, CO)
    …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
    - Related Jobs

  • Registered Nurse ( RN )…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... with minimum direction. + Act as a resource for utilization review stakeholders and assists team members...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (12/31/25)
    - Related Jobs

  • Registered Nurse ( RN )…

    Dartmouth Health (Lebanon, NH)
    …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total compensation… more
    Dartmouth Health (12/04/25)
    - Related Jobs

  • 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...case management experience. Licensure Requirement: Current licensure as a Registered Nurse ( RN ) as issued… more
    Covenant Health Inc. (12/18/25)
    - Related Jobs