Average salary: $94,139 /yearly

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  • Utilization Management Nurse

     ...Job Description The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are... 
    Suggested
    Full time
    Work at office
    Remote work

    North East Medical Services

    Daly City, CA
    12 days ago

  • RN - Utilization Review - *EVENINGS*

    $46.3 - $91.32 per hour

     ...RN - Utilization Review - *EVENINGS* at Providence Health and Services summary: The Utilization Review Nurse combines clinical nursing expertise with utilization management skills to assess patient admission status and ensure compliance with regulatory and payer requirements... 
    Suggested
    Minimum wage
    Full time
    Shift work
    Afternoon shift

    Providence Health and Services

    Lacey, WA
    9 days ago

  • Nurse Clinician - Utilization Management - 60% - Downtown Campus

     ...Healthcare Downtown Campus, is looking for a Nurse Clinician to functions as a clinical...  ...reviews as directed in the hospital's Utilization Review Plan and review of medical records...  ...concurrent and retrospective utilization management-related reviews and functions to ensure... 
    Suggested
    Local area
    Monday to Friday
    Shift work

    University of Iowa Hospitals & Clinics

    Iowa City, IA
    5 days ago

  • RN - Utilization Review - *EVENINGS*

    $46.3 - $91.32 per hour

     ...RN - Utilization Review - *EVENINGS* at Providence Health and Services summary: The Utilization Review Nurse combines clinical nursing expertise with utilization management knowledge to determine appropriate patient admission status based on regulatory and payer requirements... 
    Suggested
    Minimum wage
    Full time
    Shift work
    Afternoon shift

    Providence Health and Services

    Olympia, WA
    13 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: The part-time RN Utilization Review nurse conducts clinical reviews and utilization management to ensure medical necessity and patient status accuracy in a healthcare setting. This remote... 
    Suggested
    Minimum wage
    Full time
    Part time
    Local area
    Remote work
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    12 days ago

  • Utilization Management RN

     ...in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!!! Start A New...  ...REQUIREMENTS / PREFERENCES Graduate of an accredited School of Nursing Licensure as a Registered Nurse in the state of... 
    Suggested
    Full time
    Temporary work
    Work at office

    VitalCore Health Strategies

    Hopkinton, MA
    4 days ago

  • RN Case Manager - MSN - AS Utilization Management - Concord - Full Time - 8 Hour - Days

    $84.77 - $115.51 per hour

     ...Job Description: The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the...  ...expected to function within the full scope of the nursing practice with specialized focus on care... 
    Suggested
    Hourly pay
    Full time
    Work experience placement
    Local area
    Shift work

    John Muir Health

    Concord, CA
    a month ago

  • Utilization Management Nurse - Emergency department

    $34 - $55 per hour

     ...for clinical, financial, and resource utilization information. Provides intervention and...  ...records days authorized in EPIC 2. Denial Management : Monitors and identifies patterns...  ...initiatives Participates in nursing unit and department clinical outcome projects... 
    Suggested
    Full time

    Luminis Health

    Lanham, MD
    19 days ago

  • Travel Utilization Management RN

    $18k

     ...Job Description IDR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orono, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: 01/05/2026 ~ Duration: 13 weeks ~40 hours... 
    Suggested
    Weekly pay
    Relocation package
    Shift work

    IDR Healthcare

    Orono, ME
    15 days ago

  • Travel PACU & Pain Management Nurse

     ...American Traveler is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel...  ...requiring travel experience, pain management proficiency, and a TX or compact RN license...  ...management of epidural or intrathecal Utilizes PCEA pump for patient-controlled epidural... 
    Suggested
    Daily paid
    Permanent employment
    Immediate start
    Shift work
    Day shift

    American Traveler

    Amarillo, TX
    16 days ago

  • Travel Utilization Management RN

     ...Job Description Care Career is seeking a travel nurse RN Long Term Care (LTC) Case Management for a travel nursing job in Falmouth, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks... 
    Suggested
    Weekly pay
    Zero hours contract
    Immediate start
    Shift work

    Care Career

    Portland, ME
    24 days ago

  • Travel Utilization Management RN

    $500 per month

     ...Job Description American Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Management for a travel nursing job in Lewiston, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: ASAP ~ Duration... 
    Suggested
    Weekly pay
    Long term contract
    Contract work
    Zero hours contract
    Immediate start
    Worldwide
    Shift work

    American Medical Staffing

    Lewiston, ME
    7 days ago

  • Utilization Management Review Nurse (Outpatient)

     ...transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY: The Utilization Management Pre-Service (Outpatient) Review Nurse is responsible for managing inpatient & outpatient utilization by conducting thorough reviews of... 
    Suggested

    Astiva Health, Inc

    Orange County, CA
    19 days ago

  • Manager, Prior Authorization Utilization Management - LA Medicaid - RN

    $78.33k - $168.71k

     ...Utilization Management Manager of Prior Authorization At CVS Health, we're building a world of health around every consumer and surrounding...  ...Louisiana resident Bachelor's degree in nursing Experience in managed care, insurance, or large health system... 
    Suggested
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Veterans Staffing

    Baton Rouge, LA
    2 days ago

  • RN Utilization Manager

     ...RN Utilization Management Nurse – Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse uses clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care. The... 
    Suggested
    Work at office

    healthcarerecruitmentpartners.com

    Orlando, FL
    2 days ago

  • Charge Registered Nurse - RN

     ...PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to...  ...policies, procedures and training. Provides nursing support to patients and staff. Assist...  ...timely manner and the facility capacity is utilized efficiently. As needed, assist with... 
    Work at office
    Local area
    Immediate start

    Fresenius Medical Care

    Jackson, MS
    4 days ago

  • Registered Nurse (RN) - Manager, Utilization Review

    $43.95 per hour

     ...Job Description Children's Mercy is seeking a Registered Nurse (RN) Manager, Utilization Review for a nursing job in Kansas City, Missouri. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: Ongoing ~40 hours... 
    Work experience placement
    Seasonal work
    Shift work

    Children's Mercy

    Kansas City, MO
    28 days ago

  • Utilization Manager (RN)

     ...being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge...  ...observation services as appropriate. Partners with physicians, nursing, and other care providers to help ensure timely and accurate... 
    Full time

    UNC Health Care

    Hendersonville, NC
    2 days ago

  • Utilization Manager, RN (Multiple Openings)

    $60.41k - $96.08k

     ...We are seeking a dedicated and dynamic Utilization Manager Reviewer, RN to coordinate and oversee the utilization of medical and healthcare services. This role is essential for ensuring compliance with both internal and regulatory standards while supporting our members... 
    Work at office

    Univera Healthcare

    Buffalo, NY
    2 days ago

  • RN Utilization Manager

     ...Job Description Job Description Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office...  ...NEED Requirements: ~5 years recent experience in clinical nursing  ~ Previous case management or Utilization Management... 
    Full time
    Contract work
    Work at office
    Immediate start
    Shift work

    Talented Medical Solutions

    Middleburg Heights, OH
    8 days ago

  • Travel Utilization Management RN

     ...Job Description Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Management for a travel nursing job in Orono, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: 01/05/2026 ~ Duration... 
    Weekly pay
    Permanent employment
    Contract work
    Temporary work
    Zero hours contract
    Shift work

    Synergy Medical Staffing

    Orono, ME
    15 days ago

  • Travel Utilization Management RN

    $2,020.04 - $2,115.04 per month

     ...Job Description GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Falmouth, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~36 hours per... 
    Hourly pay
    Weekly pay
    Contract work
    Immediate start
    Shift work

    GQR Healthcare

    Portland, ME
    24 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description Uniti Med is seeking a travel nurse RN Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/12/2026 ~ Duration: 24 weeks... 
    Shift work

    Uniti Med

    Sacramento, CA
    15 days ago

  • Travel Utilization Management RN

    $2,480 per week

     ...Job Description LeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Orono, Maine. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Start Date: 01/05/2026 ~ Duration: 13 weeks ~40 hours per... 
    Weekly pay
    Full time
    Contract work
    Interim role
    Shift work

    LeaderStat

    Orono, ME
    15 days ago

  • RN, Registered Nurse - ICU - PRN

     ...intubations with mechanical ventilator management, arterial lines, TEE, insertion of temporary...  ...mentors and have helped many new nurses and students succeed. They provide excellent...  ...Standards of Practice, provides nursing care utilizing the nursing process, including... 
    Daily paid
    Full time
    Temporary work
    Relief

    CHRISTUS Health

    Kingsville, TX
    25 days ago

  • HOSPICE REGISTERED NURSE - WEEKDAY ON CALL

     ...Job Description HOSPICE REGISTERED NURSE - WEEKDAY ON CALL Liberty Cares...  ...patients with state-of-the-art care and pain management services, delivered by our specially trained...  ...appropriate to the patient's diagnosis utilizing findings of the assessment.... 
    Full time
    Weekday work

    Liberty Health

    Thomasville, NC
    13 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description Malone Healthcare - Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours... 
    Weekly pay
    Shift work

    Malone Healthcare - Nursing

    Sacramento, CA
    10 days ago

  • RN, Registered Nurse - Labor and Delivery

     ...trained in all three areas. Registered Nurses, OB Surgical Technicians, Certified Nurse...  ...test, Amniocentesis, Induction of Labor, Management of Postpartum complications such as...  ...Standards of Practice, provides nursing care utilizing the nursing process, including... 
    Full time

    CHRISTUS Health

    Corpus Christi, TX
    a month ago

  • Local Contract Nurse RN - Utilization Review

     ...Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Memphis,...  ...hours, days ~ Employment Type: Local Contract TRA Case Manager / Discharge Planning TRA is Tenet's in-house nationwide contingent... 
    Weekly pay
    Contract work
    Local area
    Shift work

    Trusted Resource Associates (TRA)

    Memphis, TN
    27 days ago

  • Travel RN Case Manager - Utilization Review

     ...Description MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job...  ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Greenbrae, CA
    17 days ago