RN Supervisor - Clinical Review & Utilization
Comagine Health
COMAGINE HEALTH is seeking a Supervisor, Clinical Review based in Alabama. This role requires an active RN license and involves the supervision of clinical staff conducting utilization reviews. A successful candidate will have at least 3 years of clinical experience, 1 year in a supervisory role, and knowledge of medical management processes. The company offers a supportive work environment focused on improving healthcare delivery and patient outcomes. #J-18808-Ljbffr
$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Seattle, WA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Seattle, WA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work- ...and Territorial Epidemiologists is looking for a Clinical Review Supervisor to oversee clinical staff conducting utilization reviews. This fully remote position requires... ...development. Qualifications require an active RN license, a minimum of 5 years of clinical experience...SuggestedRemote work
$52.26 - $81.13 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well‑developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and...SuggestedDaily paidShift work- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs,... ...authorization and review processes. Candidates must have a strong clinical nursing background with 5 years of experience and hold...SuggestedRemote work
- ...Providence Swedish Medical Center in Seattle is seeking a Utilization Review Nurse with a strong clinical background and skills in Utilization Management. The... .... A Bachelor's Degree in Nursing and a Washington RN license are required, along with three years of clinical...
- ...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical necessity...Daily paidLive inRemote workShift workDay shift
$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that... ...expense, determine medically appropriate services and define clinical criteria for decision making. The role includes...Hourly payLocal areaRemote work- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Full timeRemote work
- ...Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the... ...nursing experience, possess current LPN or RN compact licensure, and have strong communication and clinical assessment skills. The position offers competitive...Remote work
- ...Role This role requires that the employee is an active RN and based in Alabama. The Supervisor, Clinical Review plays a critical role in providing operational supervision of clinical staff who conduct utilization review and/or specialty reviews. The Clinical Review supervisor...Contract workRemote work
- ...healthcare organization is seeking a Care Manager RN for a remote role primarily serving the... ...This per diem position involves crucial utilization management activities, ensuring... ...Washington RN license along with 3 years of clinical experience. The role offers competitive hourly...Hourly payDaily paidRemote workDay shift
$51.43 - $79.84 per hour
...United Cerebral Palsy of Georgia is seeking a Care Manager RN for a remote position requiring residency in Washington state. The role includes performing UR reviews and maintaining UM efficiency while collaborating across departments. You must hold a BSN and a Washington...Hourly payRemote workDay shift$29.05 - $67.97 per hour
...Molina Healthcare in Bellevue, Washington, is looking for a Registered Nurse (RN) with at least 2 years of clinical nursing experience. You will utilize your clinical knowledge to review documentation for medical necessity and appropriate levels of care. The position...Hourly pay$80.2k - $125.6k
...serve through our Healthsource blog: We have an opening for a Utilization Review Nurse! The Utilization Review Nurse performs prospective... ...and protocols to determine the medical appropriateness of the clinical requests from providers. The incumbent partners with Medical...Work experience placementMonday to Friday$2,065.88 - $2,160.88 per week
GQR Healthcare is seeking a travel nurse RN for an Acute Care Case Management role in Seattle, Washington. This position involves managing cases and performing utilization reviews within acute care settings to ensure high-quality patient care. The role offers competitive...Weekly payDay shift$101.74k - $163.8k
...Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP002821 Posted... ...management inpatient medical necessity reviews and transitions of care (TOC) efforts,... ..., you: Hold a current, unrestricted RN license in the State of Washington. Have...Full timeTemporary workPart timeWork experience placementWork at officeRemote workTrial periodFlexible hours- ...Job Description - RN Shift Coordinator D/N - 7East Medical Care... ...managing and evaluating unit based clinical care and ensuring that... ...discharge and all clinical issues. Utilize multidisciplinary approach to... ...Stop, Think, Act and Review in order to self-check behavior...Full timeFor contractorsWork experience placementShift workRotating shift
$29.05 - $67.97 per hour
...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted in state...Hourly payWork experience placementWork at office$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing... ...relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in...Hourly payWork experience placementWork at office$102k
...Operations & Maintenance has an outstanding opportunity for a Utility Shutdown Manager. Work Schedule 100% FTE Monday - Friday Day... ...The hiring process will consist of a scored evaluation and oral review of the applicant’s training and experience and knowledge of standard...Full timeTemporary workFor contractorsWork at officeRemote workMonday to FridayShift workDay shift$110k - $125k
...RN Clinical Manager - Home Healthcare (Full‑time, days) Associate or bachelor's degree in nursing. Current RN license, specific to the... ...and aides. Organizes clinical operations for the care center. Reviews requests for services and determines patient eligibility/suitability...Full timeImmediate startRelocation packageShift work- ...Dialysis Clinical Manager - Registered Nurse - RN page is loaded## Dialysis Clinical Manager - Registered Nurse... ...completion of the Annual Standing Order Review and Internal Classification of... ...clinic financials including efficient utilization of supplies or equipment and...Hourly payWork experience placementWorldwide
$95.51k - $152.73k
...designated health system known for clinical excellence, collaboration,... ...complex care settings. The Supervisor of Heart Care provides... ...medical record (EMR) subjective, reviews and edits patient social and... ...Oversees hiring and training of RN’s and Medical assistants. Responsible...Immediate startFlexible hoursShift work- ...asynchronous messaging. Job Summary The Clinic Manager (CM) is an essential part of the... ...maximizing client outreach and increasing clinic utilization. Identifies and recommends actions to... ...nursing program. Active nursing license (RN). Minimum three years of clinical...Relief
- ...patients and health services to be rendered Develops, evaluates, reviews, revises, and implements policies and procedures; goals and... ...treatment, assuring case conferences are conducted, reviewing clinical and progress notes, periodic patient evaluations, and determining...
$145k - $160k
...exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership... ...in hospice care, home health, or clinical operations management. If you're a natural... ...goals and standards for performance; reviews and monitors progress regularly and redirects...Daily paidFull timeContract workTemporary workPart timeInterim roleWork at officeLocal areaImmediate start- ...Overlake Hospital Medical Center in Bellevue, WA is seeking a full-time RN Clinical Coordinator for the Senior Health Clinic. This role focuses on individualized care for geriatric patients, utilizing evidence-based nursing standards. The ideal candidate has a minimum of...Full time
- ...in an environment that allows you to thrive both personally and professionally. Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess the medical necessity and quality of healthcare services through prospective, concurrent...Full timeContract workRemote work
- King County is seeking a Hospital and Mental Health Residential Treatment Utilization Management Supervisor to manage the Utilization Management of Hospital & Mental Health Residential Treatment. This leadership role requires a Master's Degree in a relevant field and 2+...
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