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Keywords: RN Utilization Review, Location: USA

Page: 44

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: 07 Jan 2026

RN Case Manager

/Surgical experience preferred Managed care experience preferred Case management experience preferred Utilization review...Job Description: Summary Join Our Team at Mercy Medical Center – Now Hiring an RN Case Manager! Mercy Medical...

Location: Baltimore, MD
Posted Date: 07 Jan 2026

Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)

Qualifications: Pref Bachelor’s Degree Nursing Pref 1 year Case management or utilization review experience within the last three... of the health care team in the management of specific patient populations. The RN case manager role integrates the functions...

Location: USA
Posted Date: 07 Jan 2026

Dialysis Clinical Manager Registered Nurse - RN

and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks... as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory...

Posted Date: 07 Jan 2026

Registered Nurse (RN) -Acute Care, Cardiac Telemetry, LVAD/Heart Failure, FT, Nights

and on-call work. Bonus Eligible This position is eligible for a $7,500 sign-on bonus. Please review details . Prisma Health... within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written...

Posted Date: 07 Jan 2026

Operating Room RN

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

Posted Date: 07 Jan 2026

Care Transitions RN

when requested. Performs utilization review activities, including preadmission screening, insurance verification...GENERAL SUMMARY: The Care Transitions RN conducts day-to-day activities for the clinical, psychosocial...

Company: Bryan Health
Location: Lincoln, NE
Posted Date: 07 Jan 2026

Pediatric Cardiology RN Clinical Coordinator

an effective process for inventory control and medication supply utilization. 4)Proactively manages staff schedules to minimize use... with physicians/providers daily to review staff issues and to address and resolve operational/clinical concerns. Solicits feedback...

Location: Park Ridge, IL
Posted Date: 07 Jan 2026

RN, Case Manager (Part time), Forbes

coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves... as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer guidelines. Adheres...

Company: Highmark Health
Location: Monroeville, PA
Posted Date: 07 Jan 2026

Care Coordinator (RN) PRN, Augusta, GA

Collaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide... States of America) Job Summary: The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs...

Location: Augusta, GA
Posted Date: 07 Jan 2026

Patient Care Coordinator RN - Care Coordination - Part-Time (.6 FTE/WEO)

with physicians per Utilization Review process. Applies InterQual criteria for continued stay review to effectively manage length.... Job Description Job Duties Complex care review of patient status Develops an understanding of referral sources for assigned caseload...

Location: USA
Posted Date: 06 Jan 2026

Dialysis Clinical Manager Registered Nurse - RN

and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks... as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory...

Posted Date: 06 Jan 2026

RN Care Manager

and approaches. Participate actively in team meetings, quality improvement projects, and utilization review discussions. Evaluate...Overview: The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient-centered care...

Company: TEEMA GROUP
Location: Oceanport, NJ
Posted Date: 06 Jan 2026
Salary: $85000 - 95000 per year

RN Case Manager

/Surgical experience preferred Managed care experience preferred Case management experience preferred Utilization review...Job Description: Summary Join Our Team at Mercy Medical Center – Now Hiring an RN Case Manager! Mercy Medical...

Company: Stella Maris
Location: Baltimore, MD
Posted Date: 06 Jan 2026

Clinical Manager Registered Nurse - RN - Dialysis

and complies 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...

Posted Date: 06 Jan 2026

RN Care Manager

and approaches. Participate actively in team meetings, quality improvement projects, and utilization review discussions. Evaluate...Overview: The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient-centered care...

Company: TEEMA GROUP
Location: Lakehurst, NJ
Posted Date: 06 Jan 2026
Salary: $85000 - 95000 per year

Staff Nurse (RN), Adult Emergency Department - Full Time, Nights

to be based in the greater Chicagoland area. A staff nurse is a registered professional nurse (RN) who manages patient centered... transition from hospital to home. Provides cost-effective care by appropriate utilization of time, supplies and personnel...

Posted Date: 05 Jan 2026

Staff Nurse (RN), Adult Emergency Department - Full Time, Nights

to be based in the greater Chicagoland area. A staff nurse is a registered professional nurse (RN) who manages patient centered... transition from hospital to home. Provides cost-effective care by appropriate utilization of time, supplies and personnel...

Posted Date: 05 Jan 2026

RN Care Coordinator - Inpatient Specialty Program - 8-Hour Days - $5,000 Hiring Incentive

evidence based review guidelines to conduct utilization review as is appropriate to match the payor Investigates, processes... review to determine the appropriateness of services rendered and to ensure that quality care is delivered in a cost-effective...

Company: Cedars-Sinai
Location: Beverly Hills, CA
Posted Date: 05 Jan 2026

RN Case Manager - Days

in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient... in the writing of treatment plans with other program staff and physicians. Assist in utilization review process...

Company: Integris Health
Location: Oklahoma City, OK
Posted Date: 04 Jan 2026