• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...the County of Los Angeles, a Utilization Review Nurse is an RN more
    The County of Los Angeles (12/25/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 -… more
    The County of Los Angeles (09/27/25)
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  • Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating ... nursing*( RN ) experience or * 2 years of recent* utilization review , utilization management*nursing experience.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • RN - Utilization Review -…

    Providence (Olympia, WA)
    **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years -...or Associate's Degree in Nursing + 3 years - Utilization Review , Care Management, Quality Management, and/or… more
    Providence (12/18/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization - ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
    Prime Healthcare (12/19/25)
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  • Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …(BSN) preferred + Minimum of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit (ICU), Emergency Department (ED), ... reviews within a managed care organization preferred **Licensure** + Active and unencumbered Registered Nurse license in the District of Columbia + Valid and… more
    AmeriHealth Caritas (11/20/25)
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  • Nurse Practitioner / Physician Assistant…

    Hackensack Meridian Health (Hackensack, NJ)
    …Preferred: 1. Not Applicable. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advance Practice Nurse License. 3. ... **The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the...(APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating… more
    Hackensack Meridian Health (11/29/25)
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  • Commercial Review Specialist I

    SUNY Upstate Medical University (Syracuse, NY)
    …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients… more
    SUNY Upstate Medical University (11/18/25)
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  • Registered Nurse ( RN

    Penn Medicine (Lancaster, PA)
    …needs and be sensitive of others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) + Completion of the Nurse Residency ... be rotating shifts with start times ranging from 0900-1200, evening shift. Weekend requirements and call requirements Summary: +...American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that… more
    Penn Medicine (11/04/25)
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  • Registered Nurse II ( RN

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Registered Nurse ( RN ) II position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/12/25)
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  • Registered Nurse II - Emergency…

    Ventura County (Ventura, CA)
    …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $51.30 - $61.35 per hour ... Registered Nurse II - Emergency Department...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (10/31/25)
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  • RN Case Manager Evenings

    HCA Healthcare (Tallahassee, FL)
    …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...+ **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
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  • Medical Surgical and Telemetry Registered

    Ventura County (Ventura, CA)
    Medical Surgical and Telemetry Registered Nurse II - Float Pool -Regular and Per Diem Print ... (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4935075) Apply  Medical Surgical and Telemetry Registered Nurse II - Float Pool -Regular and Per… more
    Ventura County (11/05/25)
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  • Registered Nurse II…

    Ventura County (Ventura, CA)
    Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply  Registered ... or indirect nursing care to patients. Distinguishing Characteristics: The Registered Nurse II class is the experienced...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (11/30/25)
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  • Registered Nurse II - Pre-op/PACU

    Ventura County (Ventura, CA)
    Registered Nurse II - Pre-op/PACU Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5088990) Apply  Registered Nurse II - Pre-op/PACU ... safely regain consciousness and stabilize after surgery. PAYROLL TITLE: Registered Nurse II WHAT WE OFFER: The...and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (12/24/25)
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  • Per Diem Registered Nurse III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse III - Emergency Services - Santa Paula Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5094987) Apply  Per Diem ... Registered Nurse III - Emergency Services -...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (10/04/25)
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  • Registered Nurse Care Manager…

    Catholic Health (Buffalo, NY)
    …and Holiday Rotation Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of… more
    Catholic Health (10/08/25)
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  • RN Case Manager

    Adecco US, Inc. (Tallahassee, FL)
    …basis **Position Overview** A large acute care hospital is seeking an experienced ** Registered Nurse Case Manager** to join its Case Management team. This ... **Position Title:** Case Manager RN **Location:** Tallahassee, FL 32310 **Position Type:** Nursing...if current and compliant + Case Management, Nursing, or Utilization Review certification preferred **Benefits** + Comprehensive… more
    Adecco US, Inc. (12/18/25)
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  • Registered Nurse | Virtual…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Registered Nurse ( RN )-Virtual is responsible for providing professional nursing care with collaboration from the bedside nurse ... incidental overtime. Actively participates in the stewardship and efficient utilization of resources and needs including unit capital and...in specialty preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/15/25)
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  • Intake Coordinator- RN Lhtc/…

    Villa of Hope (Rochester, NY)
    …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... RN SUPERVISORY POSITION JOB TITLE: Intake Coordinator- RN / Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager/Health Coordinator PAY… more
    Villa of Hope (11/22/25)
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