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Registered Nurse (RN) Utilization Management
4W

4610 West Georgia Medical Center, Inc.

Registered Nurse (RN) Utilization Management

Compensation not listed

Posted 3 days ago

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a...

Troup County, Georgia
Case Manager (RN) - PRN/Supplemental

$35 - $50/hr

Posted 4 days ago

The Case Manager works under the direction of the clinical director of care management, providing coordination of care for patients at Luminis Health to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, will identify (using quantitative and qualitati...

Lanham, Maryland
Utilization Management Coordinator
University of Maryland Medical System logo

University of Maryland Medical System

Utilization Management Coordinator

Compensation not listed

Posted 4 days ago

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient’s need for outpatient or inpatient care as well as the appropriate level of care. The role requires...

Glen Burnie, Maryland
Utilization Reviewer (RN)-Full Time, Days, 8 AM - 4 PM, Emergency Department, Atlantic Health Overlook Medical Center

$42 - $74/hr

Posted 6 days ago

1. Provides timely and thorough clinical information to insurance companies and other intermediaries to secure payer authorizations and avoid denials or reduction in level of care. 2. Performs daily surveillance of observation cases and works with PA discussing any barriers to progression of care or discharge. 3....

Morristown, New Jersey
Utilization Management Denials Nurse

$34 - $55/hr

Posted 6 days ago

Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Job Duties: 1. Chart Review: Reviews the medical record by applying utilization revie...

Annapolis, Maryland
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day

$79,720 - $108,709/yr

Posted 11 days ago

The Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records...

UM Nurse RN-Onsite
3110 Kennestone Hospital, Inc. logo

3110 Kennestone Hospital, Inc.

UM Nurse RN-Onsite

Compensation not listed

Posted 11 days ago

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a...

Cobb County, Georgia
Physician Advisor (PRN)
Mid-Atlantic Permanente Medical Group PC logo

Mid-Atlantic Permanente Medical Group PC

Physician Advisor (PRN)

$93 - $93/hr

Posted 13 days ago

The Mid-Atlantic Permanente Medical Group (MAPMG) is a leading group of over 1,800 physicians in Maryland, Virginia, and Washington, D.C., exclusively caring for Kaiser Permanente patients. We invite applications for a part-time Physician Advisor at our Regional Office in Washington, DC. Unlike other U.S. health...

Washington, District of Columbia
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ

$39 - $51/hr

Posted 14 days ago

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center,...

Pennington, New JerseyHopewell, New Jersey
Case Manager, RN- ED Care Coordination

Compensation not listed

Posted 27 days ago

The Case Manager RN is responsible for ensuring patient progression through the acute episode of care and facilitating a safe, timely, and sustainable transition plan across levels of care. In collaboration with physicians and the interdisciplinary team, the Case Manager RN develops, implements, and monitors...

Tampa, Florida
Physician Advisor (PRN)

$93 - $93/hr

Posted 1 month ago

The Mid-Atlantic Permanente Medical Group (MAPMG) is a leading group of over 1,800 physicians in Maryland, Virginia, and Washington, D.C., exclusively caring for Kaiser Permanente patients. We invite applications for a part-time Physician Advisor at our Regional Office in Washington, DC. Unlike other U.S. health...

Washington, District of Columbia
Registry Social Work Care Manager

$45 - $45/hr

Posted 1 month ago

Overview Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We...

Atlanta, Georgia
LTSS Svc Coord-RN Clinician (US)

Compensation not listed

Posted 1 month ago

2026-10-05 LTSS Svc Coord-RN Clinician (US) LTSS Svc Coordinator- RN Clinician Location: Topeka, KS Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This...

Topeka, KansasWichita, Kansas
Utilization Review RN II, Care Coordination, Full-Time, Days

$66 - $99/hr

Posted 1 month ago

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of...

Greenbrae, California
Physician Advisor
University of Massachusetts Medical School logo

University of Massachusetts Medical School

Physician Advisor

$185,000 - $250,000/yr

Posted 1 month ago

Under the general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinic...

Westborough, Massachusetts
Rn case manager-Case management

Compensation not listed

Posted 1 month ago

Overview Case Manager is responsible for chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of resources and optimal outcomes. Responsible for coordinating the patient's plan of...

Merrillville, Indiana
Clinical Documentation Improvement Specialist

$47 - $70/hr

Posted 1 month ago

About Us Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional; three urgent care facilities; nearly 30 primary care and specialty care offices in multiple locations throughout...

Camden, New Jersey
RN Case Manager
Colquitt Regional Medical Center logo

Colquitt Regional Medical Center

RN Case Manager

Compensation not listed

Posted 1 month ago

The Utilization Review nurse works with the multidisciplinary team including physicians, staff and payers to ensure patient's progress along the continuum of care in an efficient and cost-effective manner that ensures quality outcomes. They utilize established guidelines to support appropriate level of care throughout...

Moultrie, Georgia
Physician Advisor Liaison
St. Luke's University Health Network logo

St. Luke's University Health Network

Physician Advisor Liaison

Compensation not listed

Posted 6 months ago

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and...

Allentown, Pennsylvania