• RN - Utilization Review

    Ascension Health (Austin, TX)
    **Details** + **Department:** Utilization Review + **Schedule:** PRN Day shift + **Location:** Remote - Must live within 60 miles of Texas Administrative ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
    Ascension Health (05/14/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote , Home Health Coding, Coder, ... immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work...Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be… more
    BAYADA Home Health Care (04/02/25)
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  • Utilization Review Registered

    BJC HealthCare (St. Louis, MO)
    RN experience providing care for hospitalized patients - 2 years of Utilization Review experience reviewing hospital admissions for medical necessity - Must ... team! This is a great opportunity for a local remote position. There is no communication with patients. This...Brentwood, MO 63144) - Have both Missouri and Illinois RN licenses (if a candidate only has one license,… more
    BJC HealthCare (05/14/25)
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  • Registered Nurse ( RN ) Case…

    Ochsner Health (New Orleans, LA)
    …case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from ... and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
    Ochsner Health (04/30/25)
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  • Registered Nurse ( RN ) Case…

    Community Health Network (Indianapolis, IN)
    Registered Nurse ( RN ) Case Manager - North Job Ref 2502503 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility ... full-time RN Case Manager position available. The Registered Nurse Case Manager is responsible for...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… more
    Community Health Network (05/06/25)
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  • Registered Nurse RN Case…

    Banner Health (Greeley, CO)
    …the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in ... RN Case Manager, your work will be primarily remote with in clinic rounding every other month in...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
    Banner Health (05/01/25)
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  • Clinical Registered Nurse

    Sharecare (Pierre, SD)
    …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
    Sharecare (05/10/25)
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  • Registered Nurse RN

    Banner Health (AZ)
    …weekend days for Health Fairs will be required to attend. **The Primary Location will be remote . The expectation is that the RN will need to travel and support ... arts and attractions, golf and original Southwest-inspired dining. The RN will be responsible for providing support to the...8-430pm with 30 minute lunch (this role is 90% remote and 10% in person meetings/education of providers in… more
    Banner Health (05/15/25)
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  • Registered Nurse ( RN

    Bon Secours Mercy Health (Greenville, SC)
    …utilizing the nurse triage algorithms. Assists with the evaluation and review of all incoming ambulatory oncology referrals and may be asked to assist ... are recognized for clinical and operational excellence. **This position will work remote , following an initial on-site training period (approx. 90 days). The work… more
    Bon Secours Mercy Health (03/15/25)
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  • Utilization Management RN

    AdventHealth (Altamonte Springs, FL)
    … **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
    AdventHealth (05/14/25)
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