• A-Line Staffing Solutions (Tampa, FL)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review , Retrospective ... Bilingual Long-Term Care Coordinator openings with a major health insurance company...programs Valid driver's license Preferred Skills/ Experience: Current state's RN , LCSW, LCPC, LSW, LPC licensure Home health, discharge… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Haverhill, FL)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review , Retrospective ... Long-Term Care Coordinator openings with a major health insurance company...programs Valid driver's license Preferred Skills/ Experience: Current state's RN , LCSW, LCPC, LSW, LPC licensure Home health, discharge… more
    JobGet (07/01/24)
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  • Utilization Review

    State of Indiana (Indianapolis, IN)
    Utilization Review Coordinator Date Posted:...accredited college or university. * Current licensure as a Registered Nurse ( RN ) in the State ... to the treatment team. * Development of the annual utilization review plan. * Serve as the...practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain… more
    State of Indiana (06/01/24)
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  • Utilization Review Nurse

    State of Connecticut, Department of Administrative Services (Wallingford, CT)
    Utilization Review Nurse Coordinator Hybrid Recruitment # 240624-5613FP-001 Location Wallingford, CT Date Opened 6/27/2024 12:00:00 AM Salary $86,261 - ... - has a full-time (1st shift) job opportunity for a Utilization Review Nurse Coordinator more
    State of Connecticut, Department of Administrative Services (06/28/24)
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  • Utilization Review

    Trinity Health (Livonia, MI)
    …/ MCG criteria to determine appropriate level of care. * Follows the hospital Utilization Review Plan to ensure effective and efficient use of hospital services. ... time **Shift:** **Description:** RHIT or LPN Does not require RN * Reviews assigned medical records in a timely...of the hospital to assist in complying with the utilization review processes. * Participates in UR… more
    Trinity Health (05/22/24)
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  • RN - Utilization Review

    Bitterroot Health (Hamilton, MT)
    …Bitterroot Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered Nurse position. The UR Coordinator ensures that ... BEST EMPLOYER 2022 & 2023 State of Montana "EMPLOYER OF CHOICE" 2022 RN - Utilization Review Coordinator opportunity in beautiful Hamilton, Montana!!… more
    Bitterroot Health (06/22/24)
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  • RN Registered Nurse Clinical…

    Penn State Health (Lancaster, PA)
    …Applicants PDF for more detailed steps for assistance._ **Position** RN Registered Nurse Clinical Coordinator - Operating Room **Location** ... Facilitates Team Conferences. Assists with ongoing Quality Assessment and Improvement, Utilization Review , and monthly billing. Encourages a harmonious,… more
    Penn State Health (06/08/24)
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  • Registered Nurse RN Inpatient…

    Trinity Health (Springfield, MA)
    …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... eligible for a sign-on bonus of up to $20,000. RN 's with over 3 years of experience are eligible...**Preferred Skills:** + **Experience:** 3-5 years in Case Management, Utilization review , or similar experience preferred. Hospital… more
    Trinity Health (04/16/24)
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  • Registered Nurse RN Inpatient…

    Trinity Health (Springfield, MA)
    …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Nursing BSN degree preferred. + **Experience:** 3-5 years in Case Management, Utilization review , or similar experience preferred. Hospital or community-based… more
    Trinity Health (04/18/24)
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  • Registered Nurse ( RN

    Geisinger (Danville, PA)
    …- Default Issuing Body; Valid Driver's License - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: ... Evaluates the quality of health care rendered by the System for the purpose of Peer Review pursuant of the Medicare Act, as directed by, and as a member of the… more
    Geisinger (06/02/24)
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  • Supervisor House Registered Nurse

    McLaren Health Care (Port Huron, MI)
    …morning report to Patient Care Services Manager of Nursing Support or Utilization Review /Patient Placement Coordinator . 9. Initiates continuous communication ... and evaluates bed availability in patient care departments by super census review and continuous rounding. 5. Communicates and coordinates with the managers,… more
    McLaren Health Care (04/11/24)
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  • Central Transfer Coord- RN

    St. Bernard's Medical Center (Jonesboro, AR)
    …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... + JOB REQUIREMENTS + Education + RN required. Must possess a degree in nursing, with preference given to a bachelor's degree. + Experience + Minimum of two years of… more
    St. Bernard's Medical Center (06/26/24)
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  • Registered Nurse Home Care…

    HCA Healthcare (Asheville, NC)
    …work environment where diversity and inclusion thrive? Submit your application for our Registered Nurse Home Health Clinical Coordinator CarePartners opening ... License: . Must have and maintain current licensure as registered nurse with the North Carolina Board...encourage you to apply for our Home Health Clinical Coordinator CarePartners opening. We promptly review all… more
    HCA Healthcare (05/15/24)
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  • Registered Nurse Senior (MDS…

    State of Minnesota (Minneapolis, MN)
    …to fill a full-time Registered Nurse Senior position (MDS Coordinator ). This position is responsible for the utilization and timely, accurate completion ... **Job Class: Registered Nurse Senior (MDS Coordinator...be conducted on all finalists. This may include a review of documentation related to job performance. It also… more
    State of Minnesota (06/26/24)
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  • Registered Nurse Coordinator

    HCA Healthcare (Fort Worth, TX)
    …path, we encourage you to apply for our Registered Nurse Coordinator Bed Managment opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Coordinator Bed Managment...+ BLS certification + Experience in acute care and utilization review ; ability to communicate effectivity with… more
    HCA Healthcare (06/29/24)
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  • Registered Nurse Part Time Clinical…

    PruittHealth (Fort Oglethorpe, GA)
    ** REGISTERED NURSE - CLINICAL CARE COORDINATOR 7am-7pm** **JOB PURPOSE:** Responsible for the oversight of clinical care management and care oversight of an ... years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case management, home… more
    PruittHealth (06/14/24)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Alexandria, LA)
    …and customer satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/29/24)
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  • Registered Nurse ( RN ) - FT…

    Bon Secours Mercy Health (Richmond, VA)
    …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... specialty certification **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of… more
    Bon Secours Mercy Health (06/30/24)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …year, nurses at **Chippenham Hospital** have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... benefits may vary by location._** We are seeking a ** Registered Nurse RN Case Manager**...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
    HCA Healthcare (04/05/24)
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  • Registered Nurse ( RN )DC-…

    Health Advocates Network (Erie, PA)
    Registered Nurse ( RN )DC- Short-Term **Pay Rate:** $55 / hour Minimum Qualifications Possession of a current license to practice as a registered nurse ... Resource performs as a charge nurse , staff nurse or an assessment coordinator providing nursing...is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review more
    Health Advocates Network (06/20/24)
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