• University Health (Boerne, TX)
    …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... POSITION SUMMARY/RESPONSIBILITIES Care Coordinator will be instrumental in assisting the department...clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF… more
    Joboru (12/08/25)
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  • University Health (Pleasanton, TX)
    …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice...the State of Texas to practice as a registered nurse is required. National certification in related field is… more
    Joboru (12/08/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... UTILIZATION REVIEW NURSE SUPERVISOR...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
    The County of Los Angeles (10/06/25)
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  • RN Admissions Coordinator

    PeaceHealth (Eugene, OR)
    **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric Mental Health Nursing… more
    PeaceHealth (12/05/25)
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  • Staff Utilization Coordinator

    University of Utah Health (Salt Lake City, UT)
    …and trust that are integral to our mission. EO/AA_ + The Staff Utilization Coordinator is responsible for providing healthcare operational support services, ... team. + Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based...staff based on census and workload, adhering to the Nurse Utilization Policy. + Assist Hospital Supervisor… more
    University of Utah Health (12/02/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (09/27/25)
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  • Behavioral Health Care Coordinator - ABA,…

    Health Care Service Corporation (Albuquerque, NM)
    …decision making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** ** Utilization review experience.** **3 years clinical experience in ... Summary** This position is responsible for ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) for medical… more
    Health Care Service Corporation (12/03/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah, or obtain one...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
    University of Utah Health (10/02/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt… more
    Saint Francis Health System (11/14/25)
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  • Utilization Management Registered…

    Katmai (Fort Carson, CO)
    **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... Operations Manual (TOM) access to care standards for appropriate utilization of services. Perform utilization management/ review...within the last four (4) years as a registered nurse in utilization management. + One (1)… more
    Katmai (11/26/25)
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  • Community Nurse Coordinator (40…

    State of Connecticut, Department of Administrative Services (Hartford, CT)
    Community Nurse Coordinator (40 Hour) Hybrid Recruitment...been in the areas of client care plans or utilization review . NOTE: For state employees this ... + Experience with critical Incident review + Experience with clinical utilization review + Experience with Medicaid long term services and supports… more
    State of Connecticut, Department of Administrative Services (12/06/25)
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  • Supervising Community Nurse

    State of Connecticut, Department of Administrative Services (Hartford, CT)
    Supervising Community Nurse Coordinator (40 Hour) Hybrid Recruitment # 251203-1539FP-001 Location Hartford, CT Date Opened 12/5/2025 09:15:00 AM Salary $99,806 - ... of the General Experience must have been at the level of Community Nurse Coordinator . PREFERRED QUALIFICATIONS + Experience providing consultation on healthcare… more
    State of Connecticut, Department of Administrative Services (12/06/25)
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  • Clinical Nurse Coordinator Derby ER…

    HCA Healthcare (Wichita, KS)
    …your career path, we encourage you to apply for our Clinical Nurse Coordinator Derby ER Room opening. We review all applications. Qualified candidates will ... Do you have the career opportunities as a Clinical Nurse Coordinator Derby ER Room you want...the assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. +… more
    HCA Healthcare (12/03/25)
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  • Clinical Nurse Coordinator Inpatient…

    HCA Healthcare (Denver, CO)
    …growth, we encourage you to apply for our Clinical Nurse Coordinator Inpatient Surgery opening. We promptly review all applications. Highly qualified ... Nurses!** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current employer?… more
    HCA Healthcare (11/26/25)
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  • Clinical Nurse Coordinator Medical…

    HCA Healthcare (Denver, CO)
    …we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Oncology and access programs to assist with every stage ... affordable to gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and continue to learn! **Job Summary… more
    HCA Healthcare (11/10/25)
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  • Clinical Nurse Coordinator Medical…

    HCA Healthcare (Las Vegas, NV)
    …you, we encourage you to apply for our Clinical Registered Nurse Coordinator - MedSurg opening. Our team will promptly review your application. Highly ... their positions. Join our Team as a(an) Clinical Registered Nurse Coordinator - MedSurg and access programs to...performance issues that need attention + You maintain effective utilization and maintenance of labor, equipment and supplies and… more
    HCA Healthcare (10/25/25)
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  • Registered Nurse Service Line…

    HCA Healthcare (St. Petersburg, FL)
    …you, we encourage you to apply for our Registered Nurse Service Line Coordinator OR opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Service Line Coordinator OR and access...satisfaction for your patients. + You will ensure effective utilization of resources, standards of care, and operating procedures.… more
    HCA Healthcare (12/09/25)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services ... modalities, community standards, and professional nursing standards. Essential Skills + Utilization management and review experience. + Strong multi-tasking,… more
    Actalent (12/11/25)
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  • Clinical Nurse Coordinator

    HCA Healthcare (Wichita, KS)
    …step in your career path, we encourage you to apply for our Clinical Nurse Coordinator Postpartum opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a Clinical Nurse Coordinator Postpartum you want in your...with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels Assists… more
    HCA Healthcare (12/03/25)
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  • Clinical Nurse Coordinator Surgical…

    HCA Healthcare (Wichita, KS)
    …career path, we encourage you to apply for our Clinical Nurse Coordinator Surgical Oncology opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) Clinical Nurse Coordinator Surgical Oncology you want in...with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels +… more
    HCA Healthcare (11/10/25)
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