RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
The Valley Health System
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital. Benefit Highlights Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Challenging and rewarding work environment Job Description To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team. Qualifications Education: Graduate of an accredited school of nursing. Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs. Technical Skills: Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr
$36.96 - $44 per hour
...Job Description: Case Manager RN - Sanford, FL Employment Type: Full-Time Schedule: Days | Monday-Friday + Rotating... ..., care transitions, resource utilization, and patient advocacy while... ...Coordination Nurse, Utilization Review RN, Discharge Planning Nurse, Transitional...Full timeHourly payRelocation packageMonday to FridayShift workWeekday work- ...Recovery Hospital (LTACH) Case Manager (PRN) Requires a... ...is responsible for utilization reviews and resource management... ...patient specific, safe and timely discharge plan.... ...discipline either as a Nurse (RN /LPN/ LVN)or a... ...could lead to potential full-time opportunities...Full timeDaily paidPart timeReliefShift workWeekday work
- Case Manager / PRN ( RN / RT / SW / LPN ) Position at Select Specialty Hospital... ...patient‑specific, safe and timely discharge plans. Perform verification of utilization criteria reviews. Coordinate with payor... ...Senior level Employment Type Full‑time Job Function Health Care...Full timeReliefShift workWeekday work
- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt... ...physicians, specialists, case managers, and other members of... ...care team to facilitate timely and effective care... ...Current, unrestricted RN license (State license... ...waiting period, eligible full-time employees have...Full timeTemporary workSummer workWork at officeFlexible hours
$35 - $40 per hour
...Job Title: RN Case Manager - Medicare Advantage Job Description This role... .... + Manage new referrals by reviewing clinical information,... ...platform, ensuring accurate and timely documentation of all interactions... ...operational expectations. + Utilize strong triage skills to...SuggestedContract workTemporary workWork at officeRemote workMonday to Friday- ...healthcare agency. We are currently looking for a Clinical Case Manager to join our team. This is a full-time position in an office setting. Description for... ...include but are not limited to: Review of RN's OASIS Assessments to Ensure Completion and Accuracy...Full timeWork at office
$85k
...Clinical Case Manager – Home Health (RN) Position Overview We are seeking an... ...clinical case management, reviewing OASIS documentation, ensuring... ...Insurance ~ Paid Time Off ~ Paid Holidays... ...Available Schedule Full-Time Monday – Friday...Full timeWork at officeWork from homeMonday to Friday$68.13k - $119.52k
...Insurance Paid Time Off from Day One... ...Benefits Schedule: Full time Shift: Day... ...necessity reviews. Maintain thorough... ...requirements and manages concurrent and pre... ...house patients, utilizing daily commercial... ...Utilization Management or Case Management [... ...Nurse (RN) [Required] Basic...Full timeWork experience placementLocal areaShift work$2,070 per week
...Registered Nurse (RN) | Case Manager Location: Orlando, FL Agency: Core Medical Group Pay: $2,070 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 8/10/2026 About the Position Contract to Temp...Full timeHourly payWeekly payContract workTemporary workShift workDay shift- ...Case Manager Are you ready for a Case Management role... ...vision plans for both full-time and part-time employees... ...department operations. Review/analyze case... ...record Participate in utilization review process: data collection... ...(for example, RN, SW, OT, PT, ST, and Rehabilitation...Full timeContract workPart timeFlexible hours
$36.96 - $44 per hour
...Job Description Job Description We are seeking an experienced Case Manager RN to join a leading acute care hospital in Sanford, Florida . Schedule Full-Time Day Shift Monday–Friday Rotating weekends (every other Saturday, possibly every 3rd Saturday...Full timeRelocation packageMonday to FridayDay shift- ...Job Description We are seeking an experienced Registered Nurse Case Manager to join a collaborative healthcare team. In this role, you will... ...activities and patient progress Qualifications Active RN License (or APRN) Associate Degree in Nursing or RN Diploma...Full timeRelocation packageMonday to FridayDay shift
$44 per hour
...healthcare team as a Registered Nurse Case Manager and play a critical role in coordinating... ...Qualifications Active Registered Nurse (RN) license or APRN license required... ...wellness programs, and more. Schedule: Full-Time - Day Shift Shift Options: ~8:00 AM...Full timeHourly payRelocation packageMonday to FridayShift workDay shiftWeekday work$2,070 per week
...Registered Nurse (RN) | Case Manager Location: Orlando, FL Agency: Core Medical Group Pay: $2,070 per week Shift Information... ...or allied travel family, our recruiting team takes the time to get to know you and learn what's most important to you. That...Full timeHourly payWeekly payDaily paidPermanent employmentContract workTemporary workRelocationShift workDay shift- ...Job Description Job Description Summary Case Manager RN opportunity supporting patients and families throughout their healthcare journey... ...-case Relocation Assistance: Case-by-case Shift ~ Full-Time Days ~ Monday–Friday ~ Every other Saturday (potentially...Full timeRelocation packageMonday to FridayShift workWeekend workWeekday work
$34 - $44 per hour
...Job Description Job Description Job Title: RN Case Manager – Acute Care Hospital Job Summary: RN Case Manager coordinates patient... ...coverage ~ Mental health and counseling support ~ Paid time off + family leave ~401(k) with employer match ~ Tuition assistance...Full timePermanent employmentRelocationShift workRotating shiftDay shift- ...needs and nephrology partner availability. Employment Type: Full‑Time Responsibilities This position functions autonomously and in... ...the healthcare delivery system for ESRD and CKD patients. The RN Case Manager coordinates care between the patient, family, physician, provider...Full timeRemote workHome officeMonday to Friday2 days per week1 day per week
- ...Sturtevant St, Orlando, Florida, 32806, United States of America RN Case Manager - Position Highlights Location: Orlando, FL - Hybrid -... ...and nephrology partner availability. Employment Type: Full-Time This position functions autonomously and in...Full timeMinimum wageRemote workHome officeMonday to Friday2 days per week1 day per week
$72k - $75k
...Scope: The Case Manager manages an individual caseload using the Case... ...to, authorization of services, review of treatment plans for medical... ...Good organizational skills and time management Excellent verbal... ...: Independently manages a full case load while maintaining URAC...Full timeTemporary workHome office$62k - $74k
...Scope: The Chronic Condition Case Manager will have direct responsibility for managing an... ...English. ~ Good organizational skills and time management ~ Excellent verbal and... .... ~ Continuously gather, update and review information to include (but not limited...Full timeTemporary workHome office$36.96 - $44 per hour
...Job Description Job Description Details:- Position Name: Case Manager Registered Nurse (RN) Type: Full Time/Permanent - Direct Hire Location: Sanford, FL, US Available Shifts: ~ Day Shift ~ Monday–Friday with rotating weekends ~ Shift options include...Full timePermanent employmentRelocation packageMonday to FridayShift workDay shift$72k - $81k
...Scope: The Case Manager manages an individual caseload using the case... ...to, authorization of services, review of treatment plans for medical... ...MedWatch reimburses for renewals of RN licenses outside of primary... ...case in the computer. Prepare timely reports to the payer to detail...Full timeTemporary workWork at officeRemote workWork from homeHome office$10k
...Disability Insurance ~ Paid Time Off from Day One ~403... ...Schedule: Full time Shift: Day (United... ...safety issues, and symptom management. Collaborates with physicians... ...Registered Nurse (RN) [Required] Basic... ...state law. Applicants may review general information...Full timeWork experience placementWork at officeLocal areaRelocation packageFlexible hoursShift work$63.74k - $95.26k
...to fill a Medical Case Manager position in the Orlando... ...referral source Utilizes their medical and... ...as utilization review or managed care is... ...Strong interpersonal, time management, and organizational... ...Experience as an RN Medical Case... ...is available for full-time regular employees...Full timeMinimum wageWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shift- ...RN Case Manager Orlando, FL Region Now Hiring: RN Case Manager... ...Responsibilities Reviews case records and... ...including productivity, time management and QA standards... ...with physicians. Utilizes clinical expertise and... ...available to eligible full-time employees....Full timeWork at officeLocal areaImmediate start
$60k - $70k
...the Telephonic Nurse Case Manager (LPN) role at Davies... ...delivery of high quality, timely, cost-effective medical... ...injury. This role is a full-time, home-based... ...savings by coordination and utilization of all services,... ...Call Registered Nurse (RN) Remote 1099 Contractor...Full timeTemporary workFor contractorsRemote workWork from home- ...Now Hiring: Full-Time RN Unit Manager (Day Shift)! Are you a passionate and experienced RN ready to take the next step in your leadership... ...of subordinate nurses engaged in quality assurance and utilization review activities. Participates in clinical risk...Full timeDaily paidLocal areaImmediate startShift workDay shift
- Position: Remote Registered Nurse (RN) Case Manager Location: Orlando, FL... ...throughout treatment to facilitate a timely and successful patient... ...triage, Call Center Utilization Management, Call Center Case... ...within. Exceptions will be reviewed on a case-by-case basis to assess...Remote jobTemporary workWork at officeImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work
- ...Case Management Director Career Opportunity Highly regarded... ...vision plans for both full-time and part-time... ...procedures, and objectives. Review operations to ensure a... ...in nursing (BSN) with RN licensure. • For other... ...experience, including Utilization Review and Discharge...Full timePart timeLocal areaFlexible hoursNight shiftWeekend workDay shiftAfternoon shiftWeekday work
- ...Director of Case Management Greater Nashville, Tennessee... ...and optimal Resource Utilization. The Director manages... ...financial outcomes. The RN Director requires executive... ....com. Visit for full details and additional... ...– Executive Search Review Member of the...
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