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  • $80.7k - $125.09k

     ...OVERVIEW The RN Patient Navigator coordinates and facilitates patient care activities...  ...of services and efficient utilization of resources, improve coordination of care...  ...prior to discharge. Conducts clinical review process according to Utilization Management... 
    Suggested
    Full time
    Shift work
    Weekend work

    Mercyhealth Wisconsin and Illinois

    Janesville, WI
    6 days ago
  •  ...Inpatient Utilization Review RN Osceola Medical Center is committed to implementing behavior standards as a foundation for how we hire, develop, and retain our team members. By intentionally selecting candidates whose values and behaviors align with these standards,... 
    Suggested
    Live out
    Work at office
    Monday to Friday
    Flexible hours

    Osceola Medical Center

    Osceola, WI
    5 days ago
  • $57 per hour

     ...Now Hiring: Utilization Review Nurse (Pediatrics) Pay: $57/hour Type: Contract through the end of 2026, with possible extension Schedule: Monday...  ...: Texas We are seeking an experienced Registered Nurse (RN) to join our team in a Utilization Review capacity. This role... 
    Suggested
    Contract work
    Immediate start
    Monday to Friday
    Shift work
    Weekend work

    Medix

    Wausau, WI
    1 day ago
  • $3,060 per week

     ...Country Nurses is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job...  ...Essential Duties and Responsibilities: Utilize the nursing process and critical thinking...  ...through continuous learning; support peer review and feedback; participate in professional... 
    Suggested
    Shift work
    Day shift

    Cross Country Nurses

    Janesville, WI
    5 days ago
  •  ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD...  ...clinic financials including efficient utilization of supplies or equipment and regular profits...  ...of an accredited School of Nursing (RN). Current appropriate state licensure.... 
    Suggested

    Fresenius Medical Care

    Hayward, WI
    1 hour ago
  •  ...as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical...  ...concerns, issues, and questions including the review of patient satisfaction surveys. •...  ...policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and... 
    Suggested
    Temporary work
    Work at office

    Fresenius Medical Care

    Milwaukee, WI
    1 hour ago
  •  ...RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage... 
    Suggested
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday
    Weekend work
    Weekday work

    Network Health

    Menasha, WI
    3 days ago
  • $35.5 - $53.25 per hour

     ...holidays. This position is NOT infusion. The team RN role will be supporting our outpatient oncology clinic with telephone triage, results review, care coordination, etc. Pay Range: $35.50 - $53.25 Utilizing the nursing process, provides ongoing care according... 
    Suggested
    Daily paid
    Full time
    Temporary work
    Part time
    Flexible hours
    Shift work
    Weekend work

    Advocate Aurora Health

    Germantown, WI
    4 days ago
  • $29.62 - $45.31 per hour

     ...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...  ..., Handbooks, etc.) Critically assess and prepare all cases for RN/MD review of coverage (medical necessity, eligibility, network status... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Shift work

    Providence Health & Service

    Oregon, WI
    2 days ago
  •  ...the right time? In this role, you will review clinical documentation to determine medical...  ...system; apply evidence‑based criteria to utilization management reviews; document clinical...  ...as required by the Oregon contract (e.g., RN or behavioral health licensure such as LCSW... 
    Suggested
    Full time
    Contract work
    Remote work
    Work from home

    Comagine Health

    Oregon, WI
    4 days ago
  •  ...Manager, Health Plan Utilization Management - RN Marshfield, WI Job Summary Oversee health plan utilization management department operations including prior authorization, and concurrent review focusing on improving care quality and outcomes across a diverse member... 
    Suggested
    Full time
    Part time
    Work from home

    Marshfield Clinic

    Marshfield, WI
    4 days ago
  • Dialysis Clinical Manager Registered Nurse - RN page is loaded## Dialysis Clinical...  ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD...  ...Manages clinic financials including efficient utilization of supplies or equipment and regular... 
    Suggested
    Worldwide

    CH01 CHE Fresenius Medical Care (Schweiz) AG

    Wisconsin
    5 days ago
  • $71.1k - $97.8k

     ...Become a part of our caring community The Utilization Management Registered Nurse uses clinical...  ...processing time frames. (i.e. 10 reviews per day?) You will communicate with providers...  ...: Must hold Compact Registered Nurse (RN) license in your state of residence... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    Humana

    Madison, WI
    1 day ago
  • $35.5 - $53.25 per hour

     ...knowledge of devices, the effects of devices and utilizes critical thinking skills. Highly...  ...function. Performs an independent daily review of remote transmission of the devices...  .... Licensure: Nurse, Registered (RN), in the State of Wisconsin CPR certification... 
    Suggested
    Daily paid
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Advocate Aurora Health

    Kenosha, WI
    5 days ago
  • $21 per hour

     ...placement maintaining aseptic technique utilizing measures that prevent patient discomfort...  ...Undergraduate Degree in Nursing Current RN (Registered Nursing) license PICC Certification...  ...laws. For further information, please review the Know Your Rights notice from the... 
    Suggested
    Daily paid
    Full time
    Part time
    Relief
    Flexible hours

    TridentCare

    Milwaukee, WI
    1 day ago
  •  ...Minimum of one (1) year experience as an RN in an acute care setting or equivalent...  ...data Validate, refine and modify data Utilize all data to identify and document current...  ...and establish realistic goals of care Review plan of care on a regular basis to evaluates... 
    Part time

    Professional Case Management

    Wisconsin
    7 days ago
  • $2,245 per week

     ...Voca Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel...  ...Beloit.ESSENTIAL DUTIES AND RESPONSIBILITIES Utilizes the nursing process and collaborates with...  ...activities and decisions and peer review process.  About Voca Healthcare As a... 
    Shift work
    Night shift

    Voca Healthcare

    Hanover, WI
    2 days ago
  • $2,665 per week

     ...Health Advocates Network - Nursing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Janesville, Wisconsin...  ...transparent Travel Cardiac Cath Lab Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,... 
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work
    Rotating shift

    Health Advocates Network - Nursing

    Janesville, WI
    5 days ago
  • $218k - $280k

     ...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites...  ...should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official... 
    Full time
    Part time
    Relocation package
    Flexible hours

    LifeStance Health

    Port Washington, WI
    5 days ago
  •  ...staff of RNs, CNAs, and childcare teachers utilize a team based approach to provide direct...  ...MAR (medication administration record) , review discharge orders, and physician orders as...  ...planning activities. Collaborates with RN Supervisors to reconcile medications. Collaborates... 
    Full time
    Part time
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Centers for Independence

    Milwaukee, WI
    4 days ago
  • $78k - $85k

     ...seeking a talented individual for a Nurse Reviewer - Itemized Bill Review role to perform...  ...industry standards. Perform level‑of‑care and utilization reviews by analyzing medical records and...  ...; complete required CEUs to maintain RN licensure. Attend training and scheduled... 
    Full time
    Work from home
    Flexible hours

    Gainwell Technologies

    Wisconsin
    13 hours ago
  • $38.2 - $57.3 per hour

     ...Program (NRP) required within 6 months of hire date ~ Experienced RN desired, not currently accepting new grads Pay Range: $...  ...patient and family. Actively coordinates the discharge plan utilizing an interdisciplinary approach. Applies evidence-based practice... 
    Daily paid
    Full time
    Temporary work
    Part time
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Advocate Aurora Health

    Milwaukee, WI
    2 days ago
  •  ...Summary The Endoscopy RN delivers and manages the care of patients undergoing therapeutic...  ...that are not REAL ID compliant cannot be utilized as an acceptable form of identification...  ...more about federal benefits. Review our benefits Eligibility for benefits... 
    Permanent employment
    Full time
    Temporary work
    Part time
    Seasonal work
    Immediate start
    Remote work
    Relocation package
    Day shift

    VETERANS HEALTH ADMINISTRATION

    Milwaukee, WI
    3 days ago
  •  ...collaboratively to develop strategies to meet the learning needs of the patient and family. ~Actively coordinates the discharge plan utilizing an interdisciplinary approach. Applies evidence-based practice to deliver patient care. Consistently incorporates nursing and... 

    Advocate Health

    Milwaukee, WI
    3 days ago
  • $39.58 per hour

     ...according to operation, state and regulatory standards Completes supervisory visits based on compliance and regulations to include review of plan of care, caregiver competency assessment, and completion of required documentationImplements nursing support for individuals... 
    Daily paid
    Flexible hours

    All Ways Caring

    Oregon, WI
    1 day ago
  •  ...program eligibility, application process and expectations please review the Nurse Corp Loan Repayment page. JOB SUMMARY The...  ...professionalism, self-development, and teamwork. The individual utilizes the nursing process to assess, plan, implement and evaluate comprehensive... 
    Immediate start
    Relocation package
    Shift work
    Day shift

    Marshfieldclinichealthsystems

    Marshfield, WI
    12 hours ago
  •  ...Medical Records - Field Reviewer Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides...  ...requirements Qualifications 1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals... 
    Permanent employment
    Full time
    Live in
    Work from home

    Altegra Health

    Milwaukee, WI
    4 days ago
  • $34.45 - $51.68 per hour

     ...activities, may include shared governance.Utilizes clinical expertise and guidance to other...  ...practice activities and decisions and peer review process.Education And/Or...  ...guidelines)Certification/LicensureLicensed as an RN in state of practiceApproved CPR/BLS certification... 

    Mercy Health

    Lake Geneva, WI
    1 day ago
  •  ...Provider Level BLS certification AHA Provider Level ACLS certification Education verification Responsibilities: Utilizes the nursing process and collaborates with interdisciplinary team members in caring for patients. Administers prescribed medications... 
    Contract work
    Local area
    Shift work
    Day shift

    Mercyhealth Michael Berry - Medefis

    Janesville, WI
    3 days ago
  • $41 - $68 per hour

     ...and practices. Schedules staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis....  ...management techniques. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing... 
    Full time
    Part time
    Work experience placement
    Relocation package
    Shift work

    Good Samaritan

    Ellsworth, WI
    1 hour ago