Nursing Jobs

2310 AU Medical Center, Inc.New

RN Utilization Management - FT/DAY - WMCG

Compensation not listed

Posted 1 day 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...

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...

Luminis Health

Case Manager (RN) - PRN/Supplemental

$35 - $50/hr

Posted 6 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...

University of Maryland Medical System

Utilization Management Coordinator

Compensation not listed

Posted 7 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...

Luminis Health

Utilization Management Denials Nurse

$34 - $55/hr

Posted 9 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...

Mount Sinai Health System

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

$79,720 - $108,709/yr

Posted 13 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...

3110 Kennestone Hospital, Inc.

UM Nurse RN-Onsite

Compensation not listed

Posted 14 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...

Capital Health (US)

Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ

$39 - $51/hr

Posted 17 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,...

Tampa General Hospital

Case Manager, RN- ED Care Coordination

Compensation not listed

Posted 29 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...

Emory Healthcare

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...

Elevance Health

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...

MarinHealth

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...

Methodist Hospitals

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...

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...

Samaritan Health Services

Case management team rn

$40 - $60/hr

Posted 6 months ago

Samaritan Medical Center Department: 01.8740 SMC CASE Management Pay