Find your dream job now!

Click on Location links to filter by Job Title & Location.
Click on Company links to filter by Company & Location.
For exact match, enclose search terms in "double quotes".

Keywords: RN Utilization Review, Location: USA

Page: 42

Supvsr Clinic - RN

)Maintains an effective process for inventory control and medication supply utilization. 4)Proactively manages staff schedules...)Provides support to the onboarding of new physicians/providers 2)Rounds with physicians/providers daily to review staff issues...

Location: Aurora, IL
Posted Date: 09 Jan 2026

RN Case Manager

, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments...

Posted Date: 09 Jan 2026

Care Manager RN - Case Management - Part time Day - Remote

, medical staff and medical center personnel. Provides payor/utilization review organizations with concurrent retrospective... utilization review required for reimbursement. Providence caregivers are not simply valued - they're invaluable. Join our team...

Posted Date: 09 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: 08 Jan 2026

Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Long Term Living Expert)

medical records Experience in utilization review, case management, quality improvement, compliance, or claims review... of the traditional bedside setting to review and audit claims, support program integrity initiatives, and advocate...

Location: Harrisburg, PA
Posted Date: 08 Jan 2026
Salary: $40 per hour

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...

Posted Date: 08 Jan 2026

Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Hospice Expert)

medical records Experience in utilization review, case management, quality improvement, compliance, or claims review... timely and accurate hospice utilization determinations. Make authorization determinations within RN scope of practice...

Location: Harrisburg, PA
Posted Date: 08 Jan 2026
Salary: $40 per hour

Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Medical Assistance Expert)

medical records Experience in utilization review, case management, quality improvement, compliance, or claims review... – Utilization Review / Program Integrity) Conduct clinical utilization reviews by evaluating medical records, treatment plans...

Location: Harrisburg, PA
Posted Date: 08 Jan 2026
Salary: $40 per hour

Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Medical Assistance- Med Surg Hospitalization Expert)

medical records Experience in utilization review, case management, quality improvement, compliance, or claims review... Assistance Inpatient Utilization Review & Discharge Planning) Conduct clinical utilization reviews for medical–surgical...

Location: Harrisburg, PA
Posted Date: 08 Jan 2026
Salary: $40 per hour

RN - Admissions Acute

assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients... and their benefit/resource utilization. Responsibilities Review medical documentation for all admissions, complete medication...

Location: Madison, WI
Posted Date: 08 Jan 2026

RN Case Manager

is implemented in a timely basis and identify the expected length of stay (ELOS). The RNCM participates in the Utilization Review... RN Case Manager (RNCM) will be responsible for all aspects of case management for an assigned group of patients...

Company: Calvary Hospital
Location: The Bronx, NY
Posted Date: 08 Jan 2026
Salary: $119091 - 142803 per year

Manager, Case Management (RN or LCSW)

resource utilization Serve as a subject-matter expert for clinical and social work case management practices Review staff...Manager, Case Management (RN or LCSW) Location: Savannah, Georgia Compensation: Up to $105,000 Relocation: Case...

Company: She Recruits
Location: Savannah, GA
Posted Date: 08 Jan 2026
Salary: $105000 per year

RN Case Manager

, or long-term care facilities Utilization Review: monitor the use of hospital resources and services to ensure appropriate... any further, we do have some deal-breakers. You must have: Valid State RN License BSW or other Bachelor degree in a related...

Company: Prime Healthcare
Location: Gadsden, AL
Posted Date: 08 Jan 2026

Case Manager RN - Our Lady of the Angels

Job Category: Clinical_Support Job Description: The Case Manager 1 directs the utilization review of patient charts... department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies...

Posted Date: 08 Jan 2026

Registered Nurse (RN) Case Manager - Resource and Care Management (Days)

and data. *Knowledge of utilization review guidelines, case management principles, and regulatory and accreditation standards...Job Description: $10,000 Sign On Bonus The role of the RN Case Manager is to ensure that each patient is treated...

Company: Tanner Health
Location: Villa Rica, GA
Posted Date: 08 Jan 2026

RN Case Manager

, or long-term care facilities Utilization Review: monitor the use of hospital resources and services to ensure appropriate... any further, we do have some deal-breakers. You must have: Valid State RN License BSW or other Bachelor degree in a related...

Company: Prime Healthcare
Location: Gadsden, AL
Posted Date: 08 Jan 2026

Per-Diem Cardiac Rehab RN; Registered Nurse

Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department... According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The...

Posted Date: 08 Jan 2026

Director of Trauma Program (RN)

Director of Trauma Program (RN) Location: Ft. Walton Beach, FL Compensation: $115,000 – $135,000 base salary... readiness. Key Responsibilities: Develop and implement processes to optimize financial performance and resource utilization...

Company: She Recruits
Posted Date: 08 Jan 2026
Salary: $115000 - 135000 per year

Per-Diem Cardiac Rehab RN; Registered Nurse

Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. 8. Performs... Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual...

Posted Date: 08 Jan 2026

ECMO Specialist - RN - Cardiac ECMO Part-time Nights

Career Areas Growth and Expansion ECMO Specialist - RN - Cardiac ECMO Part-time Nights Location Chicago, Illinois... Specialist - RN reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate...

Location: Chicago, IL
Posted Date: 08 Jan 2026