Utilization Management RN - Care Coordination & Approvals
Johns Hopkins Medicine
Johns Hopkins Medicine is seeking a skilled nurse to evaluate medical necessity and coordinate care for authorization decisions at Howard County Medical Center. You will review records, collaborate with providers and payors, and advocate for patients to optimize utilization and avoid denials. Ideal candidates hold a BSN, active RN license, CPR certification, and 5+ years of clinical nursing experience. This day-shift, part-time role offers exposure to complex cases and a supportive, #J-18808-Ljbffr Johns Hopkins Medicine
- ...time schedule. The role involves evaluating medical necessity, coordinating with providers and payors, and advocating for patients to optimize care coordination. Qualified candidates will have a BSN, an active RN license, CPR certification, and at least 5 years of clinical...SuggestedPart timeDay shift
$42.82 - $71.16 per hour
...individual to have acute Utilization Review experience and must... ...status and level of care by utilizing the nationally approved guidelines. Collaborates... ...discipline including risk management quality safety and infection... ...Licenses and Certifications RN - Registered Nurse -...SuggestedReliefShift workWeekend workWeekday work$102.61k - $197k
...Manager of Appeals Complaints and Grievances Responsible... ...the role will need to utilize advanced technical... ...troubleshoots issuers coordinates testing for system upgrades... ...with an MCO (Managed Care Organization) required... ...and Certifications RN - Registered Nurse - State...Suggested2 days per week- Kaiser Permanente is seeking a Patient Care Coordinator to oversee care coordination for acute inpatients. The role collaborates with physicians, nursing staff, and case managers to ensure safe discharges and cost-effective outcomes. The PCC facilitates transitions with...Suggested
$79.22k - $118.83k
...seeking a Registered Nurse in Columbia, Maryland to provide nursing care in home health settings. Responsibilities include developing care... ...health professionals. The ideal candidate will have an active RN license, great communication skills, and experience in home health...Suggested- ...Independently provides and coordinates care provided to patients... ..., and to the nurse manager for the totality of work... ...the unit # Utilizes and integrates evidence... ...must be formally approved CE's) or successful completion... ...• Current Maryland RN licensure is required...Full timeTemporary workWork experience placementTrial periodShift workNight shiftRotating shift
- ...effective and quality patient care. Conducts clinical reviews, coordinates with healthcare... ...healthcare providers to resolve utilization issues, support... .... Documents utilization management activities and outcomes... ...) in nursing (Required) RN - Registered Nurse License...Day shift
$2,162 per week
...Registered Nurse (RN) | Telemetry Location: Columbia, MD Agency: FlexCare... ...nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout... ...to provide the highest level of patient care possible. For clinicians, we open...Full timeContract workLocal areaImmediate startShift workNight shift$115k - $165k
...Overview Winter Haven Pain Management Center is seeking a dedicated... ...comprehensive pain management care to a diverse patient population... ..., and occipital nerve blocks, utilizing ultrasound guidance when required. Manage the coordination of care by making referrals to...Full timeShift work$120k - $220k
...Overview The Suncoast Pain Management Center is actively seeking a... ...ourselves on providing comprehensive care tailored to each patient's... ...suffering from chronic pain, utilizing cutting-edge treatment... ...orthopedics, and radiology. Coordinate comprehensive evaluations and...Full time- MedStar Health in Columbia, MD is seeking an experienced Utilization Review professional. The role requires acute care UR experience, RN licensure, and the ability to cover four weekend shifts per month plus in-person training. You will work with physicians, social workers...Shift workWeekend work
- ...Senior Living in Olney, MD is seeking a Coordinator of Health & Wellness (LPN/LVN) to provide... ...restorative, support, and preventive care in line with state laws. You will lead assessments, care plans, and medication management while supervising CNAs and supporting residents...Flexible hours
$89.07k - $162.8k
...Case Management Team Member ***Work days are set for Wednesdays and... ...Thursdays each week, experienced utilization review candidates highly... ...Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates...Temporary workPart time- Capital City Nurses, a Care Advantage Inc. company, seeks a dynamic Registered Nurse (Home Care Supervisor) to lead our Personal Care... ...patient care in the community. You will oversee caregivers, coordinate with physicians, and ensure regulatory compliance while enjoying...Full timeMonday to Friday
- Optum Home & Community Care, part of the Optum family, is transforming care delivery. The RN Case Manager - HouseCalls works remotely, providing education, advocacy and coordination for members with an EST or CST schedule and a compact RN license. In a telephonic call...Remote job
- CIEL OLNEY LLC in Olney, Maryland seeks a licensed Registered Nurse to collaborate with physicians and care teams. You will administer IVs and medications, monitor vital signs, and help plan and adjust patient care for seniors in our community. This exempt, on-site role...Local area
- ...Maryland The Center's management company, AMSURG is a... ...highest standards of patient care and quality. Through... ...privacy and dignity Utilizes the nursing process to... ...state board of nursing approved Registered/Professional... ...as a Registered Nurse (RN) Required. Required...Hourly payDaily paidLocal areaMonday to FridayFlexible hoursShift work
$55 per hour
...BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a... ...or Client Services Manager Follow up with... ...Case management and coordination Accurately document... ...services provided, utilizing a state-of-the-art... ...an accredited and approved nursing program, as...Weekly payFull timePart timeLocal areaFlexible hoursNight shift$55 per hour
...BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a... ...or Client Services Manager Follow up with... ...Case management and coordination Accurately document... ...services provided, utilizing a state-of-the-art... ...an accredited and approved nursing program, as...Weekly payLocal areaNight shiftWeekend work$120k - $220k
...to provide advanced nursing care in an outpatient office setting... .... Order, interpret, and manage the results of diagnostic tests... ..., managing follow-ups and coordinating with other healthcare providers... ...outcomes. Strong background in utilizing electronic health record (EHR...Full timeWork at office$80k
...fast‑paced start‑up with an innovative care management position that is transforming the delivery... ...). Requirements Must have 2 years of RN experience in ONE of the following: Dialysis... ...progress on all care management goals Coordinate with dialysis providers to ensure transitions...Work at officeLocal areaRemote workMonday to FridayFlexible hoursNight shiftWeekend work- ...Independently provides and coordinates care provided to patients... ..., and to the nurse manager for the totality of work... ...to the unit 3. Utilizes and integrates evidence... ...hours must be formally approved CE’s) or successful completion... ...• Current Maryland RN licensure is required...Full timeTemporary workWork experience placementTrial periodShift workNight shiftRotating shift
$38 - $60 per hour
...and Healthcare Center as an RN Supervisor! Proudly supported... ...quality, and compassionate resident care. Guided by our core values of... ...: Supervise and coordinate nursing care activities to ensure... ...or care needs. Assist in managing multiple residents and prioritize...Part timeLocal areaMonday to FridayShift workWeekend work- ...RN Supervisor - Charge Nurse At Residences at Vantage Point, caring for people is our passion. We believe in serving the needs and wants of older adults – caring for them just as we'd care for a member of our own family. We offer our employees a competitive hourly...Hourly payTemporary workShift workWeekend work
$142.06k - $288k
...Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing... ...workflow design, adoption, change management, measurement, optimization, and scale.... ...quality and safety, productivity, workload, utilization, and cost effectiveness . Use data and...Remote job- ...RN Weekend Supervisor, Saturday and Sunday Job Summary We are seeking a dedicated... ...be responsible for providing exceptional care to our residents, leading a team of... ...resident care and facility operations Coordinate with other resident services to ensure that...Local areaWeekend work
- ...responsible to the Nurse Manager and is directly supervised by the RN in the operating rooms to... ...maintain a safe patient care environment. Maintains... ...required. Recognizes and utilizes appropriate lines of... ...shift, unless overtime is approved by the Area or Facility Supervisor...Weekly payWork at officeLocal areaShift work
$74.21k - $134.6k
...Position Provides nursing care preventive health information... ...Collaborates with NP/PA Risk Management WC TPA and medical providers to... ...terms of established outcomes to coordinate treatment plan ensure... ...Licenses and Certifications RN - Registered Nurse - State Licensure...Temporary work- Greater Maryland Pain Management in Odenton, MD is seeking a qualified... ...will provide direct nursing care for pain management patients... ...delivering professional care, coordinating with physicians and families,... ...excellent IV start skills. MD RN license and active BLS are...Part time
$37.61 - $60.18 per hour
...Health Registered Nurse (RN) Build a Career. Make... ...skilled nursing care in the comfort of patients... ...Leadership Accessible managers who understand the field... ...documentation and seamless care coordination—less time charting,... ...Graduate of an approved Nursing education program...Hourly payDaily paidFull timeTemporary workLocal areaImmediate startRelocation packageShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management RN - Care Coordination & Approvals. Be the first to apply!




