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Keywords: Utilization Review RN, Location: USA

Page: 3

Registered Nurse - Utilization Review - RN

, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing... management/utilization management concepts, committee work, research, and community involvement. The RN Case Manager bridges...

Company: Mayo Clinic
Location: La Crosse, WI
Posted Date: 23 Jan 2026
Salary: $65029.12 - 97626.88 per year

Utilization Review RN Remote, Kirkland, Washington | Department: Care Management | Job Type: Per Diem

on a candidate's years of relevant experience, level of education and internal equity. EvergreenHealth is seeking an experienced RN... for new and innovative ways to improve. Job Summary: The RN in our Care Management department specializes in assessing...

Company: EvergreenHealth
Location: Kirkland, WA
Posted Date: 21 Jan 2026
Salary: $47.7 - 76.31 per hour

Utilization Review RN

. Job Summary and Responsibilities: Position Summary: The RN Care Coordinator is responsible for overseeing the progression... of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role...

Location: Red Bluff, CA
Posted Date: 12 Jan 2026

Utilization Review RN

. Job Summary and Responsibilities: osition Summary: The RN Care Coordinator is responsible for overseeing the progression... of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role...

Location: Red Bluff, CA
Posted Date: 11 Jan 2026

RN Utilization Review/Discharge Planning Nurse - Days

utilization of health services, and appropriate level of care for patients during hospitalization and on a continuum after... experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing...

Company: Sanford Health
Location: Rapid City, SD
Posted Date: 27 Dec 2025

RN Utilization Review Staff Job ID

to facilitate patient transitions. Education & Requirements Experience in Utilization Management RN License Previous... and social services on a 24-hour basis, under physician-directed care and RN supervision. We service a multitude of patients...

Posted Date: 09 Nov 2025

RN- Case Manager w/ Utilization Review Experience

Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...

Company: Lamb Company
Location: Bozeman, MT
Posted Date: 23 Jan 2026

Registered Nurse RN - Utilization Review

admissions, case management, discharge planning, and utilization review. Review admissions and service requests within assigned... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary...

Company: Ascension
Location: Chicago, IL
Posted Date: 23 Jan 2026

RN- Case Manager w/ Utilization Review Experience

Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...

Company: Bestica
Location: Bozeman, MT
Posted Date: 18 Jan 2026

RN- Case Manager w/ Utilization Review Experience

Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...

Company: Boston Services
Location: Bozeman, MT
Posted Date: 18 Jan 2026

Utilization Review RN

and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis... preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge...

Company: Capital Health
Location: USA
Posted Date: 08 Jan 2026

Utilization Review RN

and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis... preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 24 Dec 2025

RN - Care Coordinator - In-patient - Utilization Review

with consortium wide team supporting inpatient Care Coordination and Utilization Management Coordinate local CAH Swing Bed.... Ensure ongoing documentation supports Utilization Management functions and communicate with payors appropriately. Provide...

Posted Date: 24 Dec 2025

Utilization Review Team Lead (RN)

’s. Job Description Participates as a team leader to proactively support efforts that ensure effective and efficient utilization review services... or insurance related utilization review Preferred Qualifications Bachelor of Science in Nursing Previous experience...

Posted Date: 19 Dec 2025

RN - Utilization Review - *EVENINGS

Job Category: Health Information Management Job Description: The Utilization Review (UR) Nurse... or Associate's Degree in Nursing 3 years - Utilization Review, Care Management, Quality Management, and/or Discharge planning...

Posted Date: 19 Dec 2025

Clinical Support Manager (temporary) Utilization Review RN/LPN

in nursing or LPN certification preferred or related field 3+ years of experience in utilization review in emergency or acute... processes and triage for other potential issues related to physician advisor case review or hospitalist teams). Triage case...

Company: Sound Physicians
Location: USA
Posted Date: 27 Nov 2025
Salary: $40 per hour

RN Case Manager - Utilization Review

outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience...

Posted Date: 20 Dec 2025

RN Case Manager - Utilization Review

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing...

Company: Prime Healthcare
Location: Lynwood, CA
Posted Date: 20 Dec 2025

RN Coordinator-Utilization Review/Full Time/Remote

GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization...) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...

Posted Date: 22 Jan 2026

Utilization Review Clinician - Behavioral Health

in: Must have an active GA Behavioral Health Licensure: LCSW, LMHC, LPC, LMFT, LMHP, or RN Strong Behavioral Health Utilization Review.... We are seeking a Utilization Review Clinician - Behavioral Health to join our team! The ideal candidate will bring expertise...

Company: Centene
Location: Atlanta, GA
Posted Date: 24 Jan 2026
Salary: $27.02 - 48.55 per hour