Utilization Review Nurse (RN) — Elevate Patient Care
Career Center
American Health Plans, a division of American Health Partners Inc., seeks a Utilization Review Nurse to assess medical necessity and quality of care. You will support the Clinical Services Department and Medical Director, ensuring compliance with regulatory guidelines while coordinating care for plan members. The role requires RN licensure with UR experience; CCM is a plus. The position offers comprehensive benefits and opportunities to collaborate with nurses and physicians across multiple #J-18808-Ljbffr Career Center
$63k - $73k
...your career with us, experience our caring culture, and enjoy work-life balance.... ...’s no limit to what you can achieve. Utilization Review Nurse (RN) As a nurse at Sedgwick, you can build... ...rewarding career while advocating for patients in a nontraditional clinical setting....SuggestedWork experience placementLocal areaRemote workFlexible hours- New York Health (NYH) is seeking a Registered Nurse (RN) who is bilingual in Spanish/English to support urology... ...administering ADT and injections, bladder care, catheter changes, pre/intra/post-op assistance, patient education, and clinical documentation in the EMR....SuggestedShift work
- ...Health System is seeking a Registered Nurse specialized in Wound/Ostomy to assess, plan, and evaluate care for GI, GU, and skin wounds. The role includes direct patient care, consulting across units, and... ...team. Candidates must have an RN license in New York and a BSN, with...SuggestedFull timeDay shift
- Wellstar Health System, Inc. in Georgia is seeking an RN Clinical Nurse to join an interdisciplinary team delivering high-quality, patient-centered care. You will work under Nurse Managers and contribute to evidence-based practice as part of WellStar's Shared Governance...SuggestedDaily paid
- White Glove Placement, Inc. seeks a Registered Nurse (RN) - Transfer Center Coordinator in Brooklyn, NY. You will coordinate patient transfers and support patient flow across a large hospital network, using strong clinical judgment and communication to prioritize needs....SuggestedShift work
$65 per hour
...Job Title: Registered Nurse (RN) – Case Management Location: New York,... ...RN Case Manager will coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while maintaining... ...planning. Conduct utilization review to ensure appropriate level of...Hourly payWeekly payLocal areaShift work- ...Location: Fully remote (PA RN License or Compact including PA Required... ...a skilled and detail-oriented Utilization Review RN with a valid PA license (... ...and appropriateness of care Apply evidence-based criteria to assess patient treatment plans and services...Full timeContract workRemote work
- ...Currently seeking a Utilization Management RN . Please see details... ...active PA license or a Nurse Licensure Compact to... ...medical record review to determine medical... ...providers, advocate for patients, and ensure compliance... ...to ensure appropriate care settings. Report utilization...Immediate startRemote workDay shift
- ...has an opening for a Utilization Review Nurse, and we want to hear... ...relationships with clients, patients, employers, providers... ...clinical judgment, careful listening, and... ...active and unencumbered RN license in one or more... ...be part of our new Elevate program designed to recognize...Full timeTemporary workFlexible hours
$85k - $95k
...and pre-admission reviews to determine medical... ...and level of care. Evaluate clinical... ...ensure appropriate utilization of services according... ...care efficiency, patient outcomes, and cost... ...years of clinical nursing experience (medical... ...Registered Nurse (RN) licensure Prior...Shift work- ...Are you an RN looking to transition into or grow your career in Utilization Review? We're seeking a clinically strong... ...-oriented Registered Nurse to join our Utilization... ...for nurses with acute care experience who enjoy... ...providers to support quality patient care and appropriate...Temporary workRemote work10 hours per weekShift workWeekend workAfternoon shift
- ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare... ...risk by improving patient care to reduce emergency... ...Program JOB SUMMARY: The Utilization Review Nurse is to assess the... ...unrestricted Registered Nurse (RN) license EQUAL...Full timeTemporary workLocal area
- ...Maimonides Medical Center is looking for a dedicated Nurse who will provide direct nursing care under supervision. Candidates should possess a current NYS RN license and, ideally, a BSN. Responsibilities include patient care, communication with colleagues, and critical...
- ...Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility case... ...appropriate, cost-effective care at the right level. Requirements include a CA LVN/RN license, minimum 3 years in...Remote work
$612 - $680 per week
...Registered Nurse (RN) | Occupational Location: New York, NY Agency: All Medical... ...health status of employees. Coordinate patient care Provide immunizations... ...each experience with us is simplified, elevated, and impactful, for you and your patient...Weekly payFull timeContract workLocumImmediate start- ...Woodbury Country Club in Woodbury, New Jersey is seeking a compassionate Full Time DAY Shift Nurse to join our healthcare team. As an RN you will deliver high-quality, patient-centered care to residents, collaborate with an interdisciplinary team, and contribute to treatment...Full timeDay shift
- ViziRecruiter,LLC. seeks a Registered Nurse to uphold the nursing standards defined by the... ...are preferred to have at least 1 year of RN experience and Basic Life Support... ...looking to make a significant impact in patient care while advancing your nursing career, apply...
- Jefferson Health in Cherry Hill, NJ is seeking a registered nurse to deliver patient-centered care using the nursing process, aligned with diverse patient... ...have a specialized nursing diploma; BSN preferred, and RN licensure in NJ or PA; BLS certification required. #J-18...Night shift
- Hone Health in the United States is seeking an RN Clinical Navigator to support doctors and patients, reviewing and triaging issues, and collaborating with the customer... ...environment. The role focuses on virtual care for hormone therapy, weight loss, thyroid concerns...Remote job
- Jefferson Health Plans is seeking a registered nurse to provide patient-centered care using the nursing process at Albert Einstein Medical Center in Pennsylvania... ...continuously pursuing professional development. Active RN license in PA is required. #J-18808-Ljbffr Jefferson...Daily paidNight shift
- Allegheny Health Network is seeking a Registered Nurse for a full-time float position in Westfield, NY. The RN will assess patient needs, plan and evaluate care, and work within an interdisciplinary team to ensure high-quality outcomes. The role emphasizes leadership, patient...Full time
- ...Sciences University is seeking a part-time Registered Nurse 1 for Labor & Delivery. The nurse will deliver direct patient care, monitor mothers and newborns, administer... ...a multidisciplinary team. The role requires NYS RN licensure, familiarity with Article 139, and a commitment...Part time
$90k - $98k
A boutique dermatology practice in New York is seeking a Registered Nurse (RN) to provide exceptional patient care and assist in cosmetic procedures. The ideal candidate will have 1-2 years of EMR experience in a medical setting and a strong focus on dermatology. Responsibilities...Full time- ...Hospital Ada is seeking a registered nurse for the Med Surg 3N unit on the night... ...applying the nursing process, ensuring patient safety, and coordinating care with multidisciplinary teams.... ...accredited nursing program, an active RN license in the hiring state or compact...Night shift
- Amerita is hiring a Registered Nurse to provide 1:1 infusion nursing care in patients' homes in Manhattan, NY. You will assess patients, implement Plans of Care,... ...policies and state regulations. The role requires an RN license, 1 year of experience, and CPR certification,...Flexible hours
- ...delivering inpatient, outpatient, and emergency care to diverse communities in Queens and the Rockaways. The Per Diem RN role supports patient-focused care across multiple clinical... ...an active New York State Registered Nurse license, a Bachelor’s in Nursing preferred...Daily paidDay shift
- ...Services, is seeking a Home Health Registered Nurse to join our Demorest, GA team. This full-time role focuses on 1:1 patient care in the home, with flexible scheduling and... ...multidisciplinary team. The ideal candidate holds an RN license in good standing, has at least 1 year...Full timeFlexible hours
- Kennedy University Hospitals, Inc is seeking a registered nurse for ambulatory care. The role emphasizes patient- and family-centered care, collaboration with... ...documentation in a fast-paced ambulatory setting. A current RN license is required in the practice state. #J-18808-...
- Magenta Care LLC is seeking a dedicated Home Infusion RN to deliver high-quality patient care in the Sugar City, ID area. The role requires travel to clients within a 1-2 hour radius of Sugar City, with per diem travel pay and competitive hourly compensation. The ideal...Hourly payDaily paid
- Jefferson Health Northeast seeks a professional Registered Nurse to provide patient- and family-centered care using the nursing process. You will collaborate with... ...communication is required. Active Pennsylvania RN license and commitment to safety and quality improvement...Night shift
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