• RN Utilization Review

    Sanford Health (Rapid City, SD)
    …provide care coordination, transitional care planning, facilitation and coordination of discharge needs. Enhances the quality of clinical outcomes and patient ... patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients… more
    Sanford Health (10/08/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Bronx, NY)
    …2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planningORCandidates within State Service ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York...requirements of non-competitive promotion are met.Promotional Field consists of Registered Nurse 1 Psychiatric (including all language… more
    New York State Civil Service (10/02/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43...general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or… more
    Ventura County (09/21/25)
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  • RN Case Management - Discharge

    Logan Health (Kalispell, MT)
    …all applicable Logan Health, State, and Federal requirements as they relate to Utilization Review , Discharge Planning, and Care Coordination processes as ... doing as an RN in Case Management: Facilitating Care Coordination and Discharge Planning + Oversee the transition of care from inpatient to outpatient settings,… more
    Logan Health (09/20/25)
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  • Inpatient Concurrent Review RN

    Dignity Health (Woodland, CA)
    …including experience in case management, utilization review or discharge planning. - Clear and current CA RN license. **Preferred Qualifications:** ... for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using InterQual… more
    Dignity Health (10/02/25)
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  • RN , Care Manager

    Whidbey General Hospital (Coupeville, WA)
    …and background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will ... + Minimum of two years current experience as an RN in utilization review , case management and/or discharge planning in a hospital inpatient acute care… more
    Whidbey General Hospital (10/01/25)
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  • Registered Nurse ( RN ) Case…

    Ochsner Health (New Orleans, LA)
    …team to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson ... discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic… more
    Ochsner Health (07/30/25)
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  • UM Prior Authorization Review Nurse

    UCLA Health (Los Angeles, CA)
    Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards,...+ Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning… more
    UCLA Health (10/03/25)
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  • RN /Case Manager-MSH-Case…

    Mount Sinai Health System (New York, NY)
    …+ Experience Requirements + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager ... a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or...Planning: a. Responsible for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates… more
    Mount Sinai Health System (09/23/25)
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  • Registered Nurse ( RN )-Case…

    Dartmouth Health (Bennington, VT)
    …currently matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management ... nursing experience and BS required. BSN preferred. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing… more
    Dartmouth Health (09/29/25)
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