RN Utilization Review Supervisor
Capital Health
Capital Health seeks an experienced Utilization Review Supervisor for 40 hours/week in Trenton, NJ. The role oversees UR staff, ensures compliant reviews, and collaborates with physicians, finance, and ED teams to optimize care and cost efficiency. Requirements include a Graduation from an accredited school of nursing and an active NJ RN license, with several years in case management or UR. The position offers comprehensive benefits and full-time hours. #J-18808-Ljbffr Capital Health
- ## RN Utilization ReviewApplylocations: Louisville, Kentuckytime type: Full timeposted on: Posted Yesterdayjob requisition id: JR 2026-1124... ...Description:****Position Summary and Purpose** The Utilization Review RN performs activities which support the Utilization...SuggestedWork at officeShift work
- ## Utilization Review RN II, Care Coordination, Full-Time, DaysApplylocations: Greenbrae, CAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: 14777 - AUTBD**ABOUT MARINHEALTH** Are you looking for a place where you are empowered to bring innovation to...SuggestedFull timeWork at officeLocal areaShift work
- MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective reviews for designated health plans in a 40-hour week on days at Greenbrae, CA. The role requires a BSN preferred, 3+ years of acute care experience, and experience...Suggested
$23.76 - $51.49 per hour
...with a OH or compact license. The Care Review Clinician will provide prior authorization... ...with ASAM, MCG or previous experience with Utilization Reviews. SCHEDULE Monday thru Friday 8:0... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedHourly payWork experience placementWork at officeMonday to Friday- Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong...SuggestedRemote job
- UofL Health is seeking an RN for Utilization Review in Louisville, KY. The role supports the Utilization Management process, reviews medical necessity, and coordinates care across interdisciplinary teams to ensure appropriate utilization and patient outcomes. The ideal...
- Personify Health is seeking a qualified RN to perform medical-necessity reviews, ensuring appropriate care levels and strict adherence to policy language and regulatory requirements. You will evaluate documentation, escalate non-certifications, and coordinate with Medical...
- Molina Healthcare is seeking a Registered Nurse with an OH or compact license to join the Care Review Clinician team. You will provide prior authorization for behavioral health services for the Ohio Medicaid population and support member care across the continuum. Key...Monday to Friday
$30 - $38 per hour
...Ready to turn clinical expertise into life-changing decisions, one review at a time? Why This Role Matters Every determination you make... ...Bring to Our Team Education & Experience: Current, unrestricted RN license in the United States or a U.S. territory (compact license...Hourly payImmediate startMonday to FridayFlexible hours- ...is searching for experienced candidates for the position of RN SUpervisor/ Unit Manager. Thank you in advance for your interest in Waterview... ...invite you to become a part of our team and look forward to reviewing your resume. Sign on bonus options and guaranteed annual...Work at officeRelocation packageFlexible hoursShift work
- ...RN Supervisor RN Supervisor needed- State-Of-The Art Nursing and Rehab Facility Qualification: Current license as an RN in NY... ...grooming and personal care needs are met on all residents. Reviews, with charge nurses, all required documentation, nursing care...Work at officeImmediate startShift work
- ...RN Supervisor Opportunity Linden Center for Nursing and Rehabilitation is looking for an RN Supervisor to join the team at our Skilled... ...identifies any issues that affect desired resident outcomes Assess, review, and maintain that daily resident care needs are met, and...Local area
$80 - $85 per hour
...Nursing Supervisor (RN) Shift: 3:00 PM – 11:00 PM Schedule: Must be available to work every other weekend Pay Rate: $80–$85 per hour... ...and oversee admissions from hospital to nursing home Review, develop, and monitor baseline and comprehensive care plans...Hourly payShift workWeekend workAfternoon shift$25 - $31 per hour
..., every appeal that lands on your desk is a moment where your review decides what happens next for a real person's care. This role... ...shouldn't be. Your accuracy and pace are what keep the entire utilization review process trustworthy. Schedule: Monday-Friday, 8:00 AM-5...Hourly payMonday to Friday$40 per hour
RN Supervisor Day & Night Shift 12-hour shift Knoxville, Tennessee Salary $40 / hr.- with differentials Day 43.00 per hour Night 44.50... ...quality nursing care is delivered which is outcome focused through utilization of the nursing process. Effectively interview the resident/...Hourly payFull timeImmediate startShift workNight shiftWeekend workDay shift- ...experience in long-term, restorative, or geriatric settings as an RN . At least 1 year of nursing management experience and a current... ...Make staffing assignments, encourage professional development, and review documentation for quality and accuracy. Resident Care...Local areaHome officeWeekend work
- Registered Nurse Supervisor Come join our team and make a difference! Sign-on Bonus up to $10... ...PA, 17754 is actively seeking a dedicated RN Supervisor to add to our growing team!... ...providing a safe, healthy environment and utilizing proper techniques and approaches. Ensuring...Daily paidRelocation package
- ...looking to hire clinically superb full time RN Supervisors . The RN Supervisors will oversee the... ...throughout the continuum of care. Utilize manual and automated information... ...adequate infection control standards. Reviews and reports all medical, accident/incidents...Full timeLocal areaRelocation package
- ...Nursing REPORTS TO: RN Manager Director of Nursing... ...coordinate the tasks of the Night Supervisors and other assigned staff.... ...supervisor is responsible to review the daily schedule. Participation... ...Must possess the ability to utilize critical thinking skills and...Interim roleReliefLocal areaShift workNight shiftWeekend workAfternoon shift
- ...Job Description Job Description Now Hiring RN Supervisor! Opportunities for Career Growth Comprehensive Health/... ...resident activities of the Nursing Department assigned. Utilizes 24 Hour Report sheet to review with incoming and outgoing RN Supervisory Staff....Immediate start
- ## RN Peer Review & Performance Improvement CoordinatorApplylocations: Louisville, Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: JR 2026-112081# **Primary Location:**JHHS - Jewish Hospital - UMC# **Address:**200 Abraham Flexner WayLouisville, KY...Shift workDay shift
$110k - $190k
...this posting allows you to express your interest in this current career opportunity at RBC. Qualified applicants may be contacted to review their resume in more detail.Job SummaryJob number: R-0000175193Date posted : 2026-06-17Profession: Audit | Compliance | Legal |...Full timeFlexible hours- ...organization that delivers care, aided by technology to help millions of people live healthier lives. The Utilization Management and Clinical Validation RN will review patient medical records, extract pertinent details, and craft defensible appeal letters per process...Remote job
$29 - $52 per hour
...start Caring. Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing compliance reviews of... ...care providers who submit claims for payment. This position will utilize information from claims data analysis, plan members, the medical...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift work- UnitedHealth Group's Optum is seeking an experienced RN for Utilization Management & Clinical Validation. You will review patient records, extract pertinent details, and craft defensible appeal letters using evidence-based literature and coding guidelines. This remote...Remote jobFlexible hours
- UnitedHealth Group is seeking an Utilization Management & Clinical Validation RN to accurately review medical records and extract case details, crafting defensible appeal letters using evidence-based literature and coding knowledge. You will work from anywhere in the U...Remote jobFlexible hours
- ...RN Supervisor - Crown Heights Center for Nursing and Rehabilitation Location: Brooklyn, NY Join Our Compassionate and Dedicated Team! The Allure Group is a consortium of six rehabilitation centers across Brooklyn and Manhattan, NY, specializing in post-acute and...Local areaFlexible hours
$105k - $130k
...RN Supervisor NOW OFFERING DAILY PAY! Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We offer frequent employee recognition meals, opportunities for all expense paid resort vacations, advancement opportunity,...Daily paid- Non-Destructive Assay Supervisor I Job Code: NDA04 Grade Level: 13 (Exempt) Non-Destructive... ...and organizes the work to ensure utilization of employees and compliance with all contract... ...personnel. Assists with developing or reviewing/updating various plans, policies, or...Contract workWork at office
$50 - $52 per hour
RN Supervisor (Overnight) Facility: Optima Care Harborview Location: Jersey City, NJ Position: RN Supervisor Schedule: Full-Time | 11:00 PM - 7:00 AM Pay Rate: $50.00-$52.00 per hour Join Our Team as an RN Supervisor! Optima Care Harborview is seeking an experienced, compassionate...Hourly payFull timeNight shift
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