RN Supervisor, Clinical Review & Utilization Leadership
COMAGINE HEALTH
COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of clinical experience and at least 1 year in a supervisory role. Strong leadership, analytical, and communication skills are crucial. The position offers a remote work option along with comprehensive benefits, enhancing work-life balance and professional development. #J-18808-Ljbffr COMAGINE HEALTH
- ...Epidemiologists is seeking a Clinical Review Supervisor to provide operational... ...clinical staff conducting utilization reviews and specialty review... ...health care and effective leadership in a remote work environment... ...possess a currently active RN license and 5 years of direct...SuggestedRemote job
- ...that the employee is an active RN and based in Alabama. The Supervisor, Clinical Review plays a critical role in providing... ...of clinical staff who conduct utilization review and/or specialty reviews... ...1 year of supervisory or team leadership experience in a clinical...SuggestedContract workRemote work
$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating... ...involves reviewing medical records, assessing clinical documentation, and collaborating with... ...Improvement Active Nevada RN license required Minimum 3 years of...SuggestedRelocation package- A healthcare provider is hiring a Utilization Review Nurse for an on-site position in Las Vegas, Nevada. This role involves reviewing patient admissions... ...with payer guidelines. Candidates should have an active RN license in Nevada, over 5 years of acute care nursing...Suggested
- ...individualized discharge and providing proficient timely utilization management services to ensure that maximum... ...: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred...SuggestedDaily paidLocal area
- ...healthcare organization in Las Vegas seeks a Registered Nurse (RN) with a BSN to oversee acute care nursing responsibilities. The role includes coordinating a multi-disciplinary team, providing leadership, and ensuring optimal patient care. The ideal candidate must have...
$63 per hour
...Job Description Job Description Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility Details... ...school Experience Required: ~5 years acute-care clinical RN experience ~ Minimum 1 year in: ~ Utilization...Hourly payFull time$15k
...Job Description Job Description The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate... ...necessity and compliance with payer guidelines Analyze clinical documentation to verify appropriate resource utilization...Relocation package- ...looking for a Director of Clinical Services who can lead clinical... ...standards before downstream review 4. Be an escalation leader... ...guidance Coordinate with leadership on high-risk cases,... ...performance Experience with utilization review, quality assurance, and...Work at officeLocal area
- ...healthcare solutions provider in Las Vegas is seeking a full-time Clinical Review Coordinator to ensure efficient case review processes, support... .... The ideal candidate will have a degree in nursing, current RN or LPN licensure, and experience with Medicare Quality...Full timeFor contractors
$41.38 - $69.02 per hour
...RN Utilization Management Nurse (InPatient) – California HMO Virtual... ...California HMO is responsible for review of the most complex or... ...assessment of member’s clinical presentation to determine whether... .... Collaborates with leadership in enhancing training and orientation...Full timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per week- ...Fusion HCR is hiring! Direct Hire - Utilization Review Nurse, this is an onsite position, working... ...experienced Utilization Review Nurse (RN) to review patient admissions for medical... .... This role works closely with clinical teams to ensure efficient resource utilization...
- ...care. Position Summary: Reviews patient admissions for appropriateness... ..., efficiency of resource utilization and compliance with third... ...(5) years of acute hospital clinical nursing experience, one (1)... ...with co-workers, supervisor, staff in other work units and...Daily paidWork at officeShift workWeekend work
- ...University Medical Center of Southern Nevada is seeking a Registered Nurse for a per diem position focused on Utilization Management. This role involves reviewing patient admissions and ensuring adherence to standards and payer regulations. Candidates must possess a...Daily paid
- ...of Southern Nevada (UMC) is seeking a Registered Nurse with extensive experience in acute hospital care and Utilization Management. The role involves reviewing patient admissions, analyzing medical charts, and ensuring compliance with third-party payer requirements. The...Daily paid
- ...organization in Las Vegas is seeking a Registered Nurse to review patient admissions for appropriateness and... ...ideal candidate will have at least five years of clinical nursing experience, including three years in Utilization Management. Responsibilities include analyzing...Relocation packageShift workWeekend work
$40 - $63 per hour
A healthcare services provider is seeking a full-time Utilization Review Nurse for a permanent onsite role in Las Vegas, NV. The successful... ...include a valid nursing license in Nevada and five years of clinical nursing experience with a focus on Utilization Management. This...Hourly payPermanent employmentFull time$5,000 per month
...Friday 8am-5pm Are you a clinical hospice leader looking for a... ...strong cross-functional leadership experience. ~ Mentorship... ...coach and develop clinical supervisors and nursing staff, leaving a... ...Conducts regular performance reviews for clinical staff. ~ Ensures...Work at officeMonday to FridayFlexible hours$93.9k - $117.3k
...possible care for the participants through Utilization Review and Utilization Management services,... ...and insurance Unrestricted active RN License in the State of Nevada Preferred... ...analytical skills Communicate clinical information to non-clinical individuals...Temporary workWork experience placementWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursWeekend work$51.46 - $77.2 per hour
...range. As a Children's Hospital Clinical Support Coordinator RN PRN, your voice to influence patient... ...required ~1+ years experience in a leadership role preferred ~1+ years experience... ...Coordinator RN PRN opening . We review all applications. Qualified candidates...Hourly payTemporary workReliefFlexible hoursNight shift$46.75 - $69.46 per hour
...volunteering in our communities. As a Clinical Support Coordinator (PRN) with... ...~2+ years experience as an RN required ~1+ years experience in a leadership role preferred ~1+ years experience... ...organization that invests in you! We are reviewing applications for our Clinical...Hourly payFull timeTemporary workPart timeReliefFlexible hoursNight shift$2,500 per month
...that advances performance, and clinical expertise that builds trust... ...for assuring an efficient case review process through the... ...policies, standards of care, and utilization review criteria applicable to... ...licensure as a Registered Nurse (RN) or Licensed Practical Nurse...Full timeContract workPart timeFor contractorsShift work- ...facility in Las Vegas is seeking a Registered Nurse (RN) to join their team. The role involves utilizing the nursing process to deliver and supervise... ...position offers opportunities for growth and a supportive leadership environment, emphasizing flexibility and employee...Flexible hours
- ...Position Description: The RN Case Manager performs... ...Assess hospice patients utilizing the Nursing Assessment and LCD... ...experience as a Registered Nurse in a clinical care setting and one (1) year... ...Electronic Health Record, and review, assess, record or type data quickly...Full timeReliefWork at officeFlexible hours
- ...meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides... ...stress testing is preferred. License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS,...Full timePart timeLocal areaShift workNight shift
- ...their nursing team. This role involves shaping clinical practices, mentoring staff, and ensuring... ...standards. The ideal candidate will have an RN license in Nevada, a BSN preferred, and a minimum of three years of leadership experience in behavioral healthcare. A full...
- ...extensive experience in Utilisation Management. The role involves reviewing patient admissions and ensuring compliance with care standards... ...a valid nursing license and a minimum of five years of clinical experience, including Utilisation Management or similar areas....
- ...collaboration, and impactful leadership. Join us in leading... ...with a focus on system-wide clinical improvement, peer collaboration... ...management domains including Utilization Management, Case Management,... ...safety initiatives. Review member cases for appropriateness...Remote workWeekday work
- ...an experienced Assistant Director of Nursing (ADON) to join our leadership team. You will ensure the highest standard of nursing care while... ...enhancing patient care. The ideal candidate must have a current RN license in Nevada, a Bachelor's degree in nursing, and at least...
$92.6k - $127.4k
...and company policy.**** As Clinical Manager , you will manage... ...location. Receive case referrals. Review available patient... ...feedback and recommendations by Utilization Review staff. Upon completion... ...options, clinical certifications, leadership development programs and...Full timeTemporary workApprenticeshipImmediate startRelocation packageFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Supervisor, Clinical Review & Utilization Leadership. Be the first to apply!
- prn registered nurse Las Vegas, NV
- pediatric rn Las Vegas, NV
- home health rn Las Vegas, NV
- nurse rn Las Vegas, NV
- med surg medical surgical rn registered nurse Las Vegas, NV
- ob gyn rn Las Vegas, NV
- cath-lab rn Las Vegas, NV
- non clinical rn Las Vegas, NV
- registered nurse pharmacy Las Vegas, NV
- rn network Las Vegas, NV



