RN Utilization Manager: Optimize Care & Resources
Adventist Health
Adventist Health in Roseville, CA seeks an RN with utilization review experience to assess the necessity and appropriateness of treatments and to optimize resource use. You will coordinate with care teams, insurers, and patients to ensure efficient, high-quality care while maintaining financial stewardship. Required RN licensure with at least five years acute hospital experience and two years in utilization review using Optum/Inter Qual within the last year. #J-18808-Ljbffr Adventist Health
- ...patients receive high-quality care while efficiently utilizing medical resources. Reviews patient medical... ...patient outcomes and optimizing resource allocation.... ...: ~ Registered Nurse (RN) licensure in the state... ...variances to the on-site care management teams when appropriate....SuggestedRemote jobWork experience placement
$2,101.54 per month
...Profession RN Specialty Case Manager Job ID 3... ...Job Description Care Management Program... ..., case management, utilization review, and care planning... ...a vital role in optimizing member care and... ...activities that enhance resource utilization, care...SuggestedWeekly payShift work- ...Health Plan Care Manager Manages the development, implementation, and evaluation... ...care integration, case management, utilization review, and care planning. Partners... ...improvement activities. Focuses on optimal utilization of resources and efficient delivery of high-quality...SuggestedTemporary workLocumLocal area
$1,949 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA... ...Job Title: Health Plan Care Manager Profession: RN... ...integration, case management, utilization review, and care planning... ...activities. Focuses on optimal utilization of resources and efficient delivery of...SuggestedFull timeContract workShift workDay shift$45.39 - $62.26 per hour
...connect. Job Summary Manages the development,... ...evaluation of the cavitation care management service... ..., case management, utilization review and care... ...Registered Nurse (RN) licensure in the state... ...activities related to optimal utilization of resources, efficient delivery...SuggestedFull timeWork experience placementShift work$2,101.17 per month
...Nursing Profession RN Specialty Case Manager Job ID 3815340... ...managing patient care and assisting members through... ...providers to ensure optimal care delivery. Provide... ...Participate in case management and utilization management activities....Weekly payWork at officeShift workDay shift$2,641 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA Agency... ...Nurses coordinate long-term care for their patients. Their goal... ...to treat their patients at optimal times to keep them healthy... ...Housing Department and their resources to help get you settled into...Hourly payWeekly payFull timeContract workWork experience placementWork at officeFlexible hoursShift work$60 per hour
...HOSPICE RN CASE MANAGER *** 5k sign on bonus Job details Job Type... ...License (Required) Hospice care: 1-2 years (Preferred)... ...professional nurse builds from the resources of the community to plan and... ...nursing care by utilizing all elements of nursing process...Full timeRelocation packageMonday to Friday$3,159 per week
...Case Manager Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Travel Pay: $3159 /... ...responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with...Weekly payContract workWork at officeLocal area- ...Overview: Responsible for Care Coordination and Care... ...with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely... ...continuum through effective resource coordination. The goals... ...the achievement of optimal health, access to care,...Full timeShift workWeekend work
$148.05k - $207.27k
...Organization: SCAH-Sutter Care at Home - Valley... ...Overview: An experienced RN who is responsible for the overall management of patients, including... ...regulations, ensuring the optimal degree of quality care... ...effective management of visit utilization and control of expenses....Full timeMonday to FridayShift work$78k - $85k
...leading specialty risk manager for self-insured organizations... ..., liability, managed care, and risk management... ...for performing utilization review based on medical... ...active and good standing RN license in the state of... ...~ Employee assistance resources and a supportive culture...Local areaRemote work$2,405 - $2,500 per week
...Registered Nurse (RN) | Utilization Review Location: Roseville, CA Agency: GQR Healthcare... ...the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN... ...Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $2405.68 - $2500.68...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$2,405 - $2,500 per week
...Registered Nurse (RN) | Utilization Review Location: Roseville, CA Agency: GQR Healthcare... ..., 95661! Contract - W2 Case Management/Utilization Review Registered Nurse (RN... ...Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $2405.68 - $2500.68...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work- ...RN - Case Manager Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible... ...and evaluates use of resources and services relative to plan of...
$2,495.93 - $2,590.93 per month
...Contract – W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Roseville, California Start Date: October 26, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $2495.93 – $2590.93 Duration: 13 weeks Specialty:...Hourly payWeekly payContract workTemporary workShift workDay shift$2,966 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA Agency: Cynet Health Pay... ...be responsible for managing patient care within a managed care environment. Candidates... .... Comprehensive knowledge of Utilization Review, levels of care, and observation...Full timeContract workShift work$2,950 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA Agency: Prime Staffing Pay... ...assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum...Full timeContract workShift work$2,299 - $2,656 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA Agency: National Staffing... ...55.59 Work Setting: Short Term Acute Care Hospital Anticipated Duration of Assignment... ...our insight, experience and nationwide resources to make exceptional connections every...Full timeContract workTemporary workShift work$3,080 - $3,175 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Pioneer Healthcare Services... ...: Coordinate and oversee patient care plans to ensure optimal health outcomes and efficient use of healthcare resources. Assess patients’ medical conditions,...Full timeRelocation packageShift work$3,080 - $3,175 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Pioneer Healthcare Services... ...: Coordinate and oversee patient care plans to ensure optimal health outcomes and efficient use of healthcare resources. Assess patients’ medical conditions,...Full timeRelocation packageShift work$2,950 per week
...Registered Nurse (RN) | Case Manager Location: Roseville, CA Agency: Prime Staffing Pay... ...assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum...Permanent employmentFull timeContract workTemporary workShift work- CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical necessity... ...Management department’s goals. This remote role requires RN licensure and 4+ years of clinical experience. The...Remote job
- CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills. Responsibilities include...Remote job
- Adventist Health in Roseville, CA, seeks an experienced Nursing Manager to lead the care management team. You will develop and evaluate services,... ...staff across inpatient and outpatient care planning and utilization review. Responsibilities include coordinating with...
- ...Care Manager - CA We are seeking a Care Manager - CA to join our team at Independent Living Systems (ILS). ILS, along with... ...to improve client outcomes, enhance quality of life, and optimize resource utilization within the care continuum. Minimum Qualifications:...Local area
- ...DirectorAre you a dependable and caring nurse who has a passion for... ...to have a career where you can utilize your leadership skills and... ...clinical support from our On Call RN team.Join our team at one of... ...effective schedulingProvide case management services to...Full timeFlexible hoursNight shiftAfternoon shift
- ...Registered Nurse to deliver compassionate care to patients in their homes or care... ...within our Roseville service area. The RN will work as part of an interdisciplinary team, with roles in case management, admissions, or resource coordination, and will travel as needed...Day shift
- ...Northern California. We care for patients across San... ...health with the structure, resources, and support clinicians... ...Registered Nurse Case Manager, Level 2 Anticipated Territory... ...as a Registered Nurse (RN), Level 2 Home Health Case Manager: Utilize your outstanding...Full timeLocal areaFlexible hours
- ...Roseville, CA, is seeking an experienced RN to oversee the development, implementation and evaluation of cavitation care management service lines, enhancing continuity of care... ..., and service line leadership to improve utilization, discharge planning and patient flow. #J...
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