12,622 Utilization Review RN Jobs Nationwide

Case Manager Job Description This role involves supporting patients as they transition between different care settings, ensuring continuity...

Job Description This role involves supporting patients transitioning between various care settings, ensuring continuity and quality outcomes...

Actalent is hiring UM nurses!Job Description The Utilization Management Nurse (UMN) plays a crucial role in optimizing the utilization of healthcare...

Job Title: PAC Nurse Job Description The PAC Nurse position involves telephonic responsibilities focused on recommending discharge plans,...

Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our...

Manages the day to day utilization management function of a team or teams of clinicians ensuring the accurate and timely prior authorization of...

Practices professional nursing by the performance of both independent nursing functions and delegated medical functions in accordance with...

Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification...

Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations...

Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according...

Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations...

Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities...

Responsibilities** As an RN Care Coordinator at St. Bernardine Medical Center, you will play a vital role in guiding patients through their care...

We are so glad you are interested in joining Sutter Health! **Organization:** SSRRH-Sutter Santa Rosa Reg Hospital **Position Overview:** Coordinates...

We are so glad you are interested in joining Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible...

Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time**...

Overview** **California Rehab Institute** ***A partnership between Cedars-Sinai, UCLA Health and Select Medical*** Century City / Los Angeles...

JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees...

JOB DESCRIPTION** **Job Summary** The **Delegation Oversight Nurse** is responsible for ensuring that Molina Healthcare's UM delegates are...