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Keywords: RN Utilization Review, Location: USA

Page: 28

Nurse Case Manager (RN)

to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...

Location: Rome, GA
Posted Date: 16 Jan 2026
Salary: $59030 - 77630 per year

RN-Case Coordinator

! We are searching for a talented RN-Case Coordinator Hours: 32hrs Shift: Day shift with weekend and holiday rotation; 7:30am - 4... assessment and review. Apply organization standards, standing orders and/or guidelines specific to patients diagnoses...

Location: Wareham, MA
Posted Date: 16 Jan 2026

Registered Nurse Case Manager (RN)

complex cases 4. Responsible for utilization management. a. Performs Interqual review of acute and outpatient admissions.... Responsible for clinical review of all acute and outpatient services for appropriateness based on Interqual. This individual...

Company: Tenet Healthcare
Location: Turlock, CA
Posted Date: 16 Jan 2026

RN Acute Case Manager - System Care Management - Per Diem

with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management... also performs Utilization Management throughout the continuum of care in collaboration with other internal and external offices...

Company: Guthrie
Location: Troy, PA
Posted Date: 16 Jan 2026

Nurse Case Manager (RN)

to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...

Location: Marietta, GA
Posted Date: 16 Jan 2026
Salary: $59030 - 100000 per year

RN, Clinical Educator

, and utilization review reporting Strong assessment and organizational skills Demonstrated successful track record of working... Qualifications include: Current RN license in good standing BSN/MSN preferred Minimum two years of staff development or nursing...

Company: Bayada
Location: Saddle Brook, NJ
Posted Date: 16 Jan 2026

Care Manager I (RN) : Care Management

Management like discharge planning, utilization review, and/or providing psychosocial support. May review records to assess... The Care Manager (RN) coordinate patients' needs through the continuum of care which can include from pre-admission...

Company: Hoag
Location: Newport Beach, CA
Posted Date: 16 Jan 2026

Case Manager - RN PRN Premium

Job Category: Clinical_Support Job Description: The Case Manager 1 directs the utilization review of patient charts... and latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment plans...

Posted Date: 16 Jan 2026

RN Case Manager I - Inpatient- PT

. Please review the following instructions prior to submitting your job application: Provide all of your employment history.... Once recruitment has closed, applications will no longer be accepted. After you apply, we will review...

Posted Date: 16 Jan 2026

Dialysis Clinical Manager Registered Nurse - RN

with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...

Posted Date: 16 Jan 2026

Dialysis Clinical Manager Registered Nurse - RN

with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...

Location: Milford, MA
Posted Date: 16 Jan 2026
Salary: $90000 - 150000 per year

RN Case Manager-Thomas & Lyon Longevity Clinic

, and support their appropriate utilization of health services. The RN Care Manager will work with the individual patient... Below you will find the details for the position including any supplementary documentation and questions you should review before applying...

Location: USA
Posted Date: 16 Jan 2026

Registered Nurse (RN) - NICU - Nights

(United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...

Posted Date: 16 Jan 2026

Medical Case Manager I (RN)

, other healthcare providers, attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review... in a high-volume, fast-paced, team-oriented environment. Experience as a RN, Medical Case Manager is ideal, or a clinical...

Company: CorVel
Location: Columbia, MO
Posted Date: 16 Jan 2026
Salary: $62306 - 93123 per year

RN Complex Case Manager-Hybrid Lebanon OR Abingdon, Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott, Tazwell, Washington, Wise)

an RN Complex Case Manager Hybrid in Lebanon OR Abingdon, Virginia (Counties: Buchanan, Dickinson, Lee, Russell, Scott..., Tazwell, Washington, Wise) to join our growing team. Job Summary: The RN Complex Case Manager will: Provide in-home...

Location: Lebanon, VA
Posted Date: 16 Jan 2026

Clinical Documentation Specialist RN

as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient... as a leader of positive change. The Clinical Documentation Specialist RN facilitates improvement in the overall quality...

Posted Date: 16 Jan 2026

Global insurance Clinical Care Manager - Bilingual Japanese RN - Remote

. Growing together The Global insurance Clinical Care Manager - Bilingual Japanese RN will perform prospective, concurrent... and any associated case review and documentation. You'll enjoy the flexibility to work remotely * from anywhere within the...

Location: Tampa, FL
Posted Date: 16 Jan 2026
Salary: $72800 - 130000 per year

RN Clinical Reviewer / IDR - Remote to Office-Based Setting

in a Med-Legal review setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical...Job Description: RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293) Location...

Posted Date: 16 Jan 2026
Salary: $50 per hour

Clinical Documentation Specialist RN

as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient... as a leader of positive change. The Clinical Documentation Specialist RN facilitates improvement in the overall quality...

Posted Date: 16 Jan 2026
Salary: $95555.2 per year

Registered Nurse RN - Clinical Documentation Specialist - CDIP CCDS Required - Mon - Fri Day - 100% Remote

. Minimum Job Qualifications Licensure or other certifications: Current RN Licensure in the State of Georgia. Educational...: Experience in Healthcare Utilization and Revenue Management. Other: Job Specific and Unique Knowledge, Skills and Abilities...

Posted Date: 16 Jan 2026