UR Nurse, RN — Inpatient Review & Care Coordination
$74.29k - $111.43kNeueHealth
NeueHealth in California is seeking a Concurrent Utilization Review Nurse responsible for conducting clinical reviews to ensure the medical necessity and appropriateness of services provided under a managed care plan. The role requires 2-3 years of clinical experience, preferably in utilization review, and demands strong analytical skills and knowledge of clinical guidelines. Eligible candidates will enjoy a competitive salary of $74,286.15–$111,429.23 annually, along with comprehensive health benefits and a 401(k) savings plan. #J-18808-Ljbffr NeueHealth
$74.29k - $111.43k
...Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...members under a managed care health plan. The role involves assessing inpatient admission and continued stays, coordinating with healthcare... ...Education - Registered Nurse (RN) with an active,...SuggestedWork at office- ...organization is seeking a skilled professional to provide utilization review and coordinate care for members in California. The successful candidate will have a Nursing school degree and a California RN License. Key responsibilities include ensuring quality and cost-...Suggested
- Purpose and Scope The Inpatient RN provides direct patient care in accordance with company policies... ...interpret, adjust, and coordinate daily patient care plans... ...with FMS facility nursing staff and hospital personnel... ...on an as‑needed basis. Reviews and complies with the Code...SuggestedLocal areaShift workNight shift
$26.41 - $51.49 per hour
...California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service... ...delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed care settings. Competitive pay is offered, ranging...SuggestedHourly pay- ...Description Summary:**The RN Case Manager, in... ...plan of care for patients, determining... ...case review. This position functions... ...Science degree in Nursing preferred.**Experience... ...Modifiable)****Care Coordination*** Works with the... ...each day of the inpatient stay.* Actively leads...SuggestedDaily paidShift work
- ...in California seeks a Case Manager to facilitate care for Cal Medi-Connect program members. The role involves coordinating services alongside health plan and hospital... ...extensive knowledge in case management, a licensed RN or LVN credential, and collaboration skills. Professional...
$74.73 - $99.04 per hour
...Overview The Gastrointestinal Oncology Nurse Coordinator (RN) is a full‑time, exempt position. The... ...assistants. The team provides clinical care to patients with malignant... ...the care continuum. Collaborate with inpatient and other clinic staff to develop educational...Hourly payFull timeWork experience placementMonday to Friday- Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Qualifications Nursing school graduate. California Registered Nurse License upon hire. 3...Work at office
$2,671.2 - $3,579.2 per month
...Health Facility (PHF) is seeking nurses (RN) to provide direct client care to patients receiving inpatient psychiatric treatment in our... ...assaultive behavior, and coordinate emergency services when a patient... ...required; organize, assign, review and evaluate staff work on...Hourly payPermanent employmentFull timePart timeWork at officeTrial periodShift work$200k
...Services program office after review of the EDRP application.... ...kneeling, rapid mental and muscular coordination simultaneously, depth... ...dental, term life, long‑term care, and other federal insurance... ...Sacramento VA Medical Center (81‑bed inpatient facility with four operating...Permanent employmentFull timeContract workFreelanceInternshipWork at officeRelocation packageMonday to Friday- ...ongoing need for Registered Nurses. Our facilities include the Contra... ...hall. Recruited Assignments Inpatient Psych, Psych Emergency... ...interventions, evaluates patient care outcomes and documents all of... ...appropriate disciplines. Coordinates the care of the patient; initiates...Full timeWork at officeLocal areaShift work
- ...ongoing need for Registered Nurses. Our facilities include the Contra... ...juvenile hall. Assignments Inpatient Psych, Psych Emergency... ...interventions, evaluates patient care outcomes and documents all of... ...the appropriate disciplines. Coordinates the care of the patient;...Full timeShift work
- RN Clinical Coordinator RMG page is loaded## RN Clinical Coordinator RMGlocations... ...and regular chart reviews. **What you will do** * Ensure... ...level of accuracy of clinical care to patients from our physicians... ...Education** * Bachelors Degree, Nursing (Preferred) **Experience** *...Work at officeFlexible hours
- ...Full-Time Risk Management/Patient Relations/Quality Coordinator RN to join their Quality Department at Scripps... ...and administrative leadership to enhance patient care. The role requires performing concurrent reviews of medical records, providing real-time feedback,...Full time
- ...Executive Service Corps is seeking an RN Case Manager-Pre Access in... ...screening and facilitating admission reviews for acute patients. The ideal candidate... ..., and has experience in an acute care setting. Responsibilities include coordinating patient transfers and ensuring...
$74.56 - $90.51 per hour
...Summary and Responsibilities Day Full Time RN Care Coordinator The RN Care Coordinator is... ...collaboration with utilization management nursing physicians, ancillary departments, insurers... ...care and appropriate utilization of inpatient resources using established evidence‑...Hourly payFull time- ...consecutive Magnet designation for nursing excellence. From working with... ...a Per Diem Registered Nurse, Care Coordinator at Cedars‑Sinai you will be... .../Certifications Valid CA RN license required Certified... ...case management in the acute inpatient or outpatient settings preferred...Daily paidWork experience placementSeasonal workShift workWeekend work
- UC Irvine is looking for a Nurse Practitioner II - Trauma Service... ...focuses on the management of inpatient trauma care, requiring skills in clinical management and care coordination. The NP II will collaborate... ...position requires a current RN and NP California license, strong...
- ...America) Job Summary The Specialty Resource Coordinator - RN coordinates assigned surgical specialty... ...provides clinical leadership to staff nurses, scrub techs, OR assistants, anesthesia,... ...feedback to staff to improve clinical care and resolve nursing issues. Ensure quality...Hourly payFull timeShift work
- UC Irvine seeks a Nurse Practitioner I for the Department of Surgery to manage inpatient care. This role involves assessing health needs, coordinating clinical activities, and delivering treatment across... ...will possess valid California RN and NP licenses, along with...
- A community health organization in California seeks a Home Care Coordinator to provide nursing services and oversee care for seniors. Responsibilities include administering medications, participating in training, and ensuring quality outcomes based on participants' care...
- ...is seeking a qualified Registered Nurse to provide professional nursing care to patients. The role includes administering... ...assessing patient conditions, and coordinating care with other disciplines.... ...clinical experience and a current RN license in Kansas. The position requires...
- Job Summary Clinical Nurse II is responsible for the... ...family‑centered patient care utilizing the nursing... .... The role directs and coordinates nursing care for patients... ...in a pediatric inpatient hospital; Transport Team... ...Registered Nurse - CA (RN). Preferred: Critical Transport...Hourly payFull timeNight shift
- Registered Nurse (RN) - Transport Team (Full Time, Nights) page is loaded##... ...exceptional and innovative care. We are responsible for the... ...for directing and coordinating nursing care for patients based... ...nursing experience in a pediatric inpatient hospital. Transport Team experience...Full timeShift workNight shift
- ...healthcare organization is seeking a Contract RN specializing in oncology to provide compassionate care to patients in a dynamic inpatient environment. Key responsibilities include... .... Ideal candidates will have oncology nursing experience and BLS certification, embodying...Contract work
$41 per hour
Geisinger is seeking a Graduate Inpatient RN in California, Missouri, offering a hiring incentive... ...patient assessments, collaborative care, and ensuring optimal patient experiences... ...Applicants must be licensed as Registered Nurses in Pennsylvania, with basic life support...Hourly payNight shiftWeekend work- ...EmPATH Registered Nurse is a skilled and experienced... ...Registered Nurse (RN) responsible for... ...of patient care. Reporting to the... ...planning, directing, coordinating, and providing... ...patient outcomes. Reviews all orders on patients... ...outpatient or inpatient psychiatric unit,...Hourly payDaily paidLocal areaShift work
- ...California seeks a Medical Management Specialist-LVN to ensure quality care for members. The role involves managing complex medical cases and applying utilization management principles to support care coordination. To be successful, candidates must have a current California...Remote job
- Fresenius Medical Care is seeking an Inpatient RN in California, MO, to provide direct patient care across various dialysis practices while collaborating with healthcare teams for quality outcomes. The ideal candidate will have at least one year of RN experience and must...
$27.61 - $53.83 per hour
...includes assessing services to ensure compliance with regulations and optimizing member outcomes through effective collaboration and review processes. Candidates should have at least 2 years of relevant healthcare experience, strong communication skills, and proficiency...Hourly payWork at office
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