72 utilization review nurse rn jobs found

Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations. Department: OP Care Management Svcs FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for the identified patient population. Supervise staff in the department. Act as a resource and role model for staff. The incumbent also functions as a contact person for the patient, family, health care team members, community resources and employees. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include...

RN CASE MANAGER - CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital - Albuquerque Inpatient Outpatient Utilization Management SRMC Care Management Full Time Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations. Care Management Department Descriptions: Your application may be considered for any of the below programs. We will work with you to find the best fit. Inpatient Care Management: Supports patient's inpatient stay through care coordination, discharge planning and proactively discharging patient safely to the next level of care when medically ready. RN Case Managers have a 1:25-30 patient ratio and support all age groups from newborn to seniors. From birth to end of life needs. RN CM...

Job Description Salary Range The expected base rate for this Glens Falls, New York, United States-based position is $40.83 to $60.74 per hour. (Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.) The Impact You Can Make The Case Manager (Acute Care) role must optimize and integrate the interface between clinical and financial systems supporting positive health outcomes. The Case Manager uses nursing and case management knowledge to promote appropriate allocation of hospital and other resources, while striving to provide high quality care to each patient in a cost effective and timely manner. Support services provided by the Case Manager include, but are not limited to, utilization review, case management, weekend and holiday case management, care transition, collaboration with physicians and social workers for care...

Mission Health in Asheville, NC seeks a Care Manager Registered Nurse to coordinate patient care across the continuum. The RN Care Manager conducts assessments, develops individualized care plans, facilitates transitions of care, and collaborates with physicians, social workers, and community resources to optimize outcomes. Responsibilities include utilization review, discharge planning, patient and family education, and advocacy. This role requires strong clinical judgment, documentation skills, and the ability to work in a fast-paced hospital environment focused on quality, safety, and patient-centered care.

Mission Health in Asheville, NC seeks a Care Manager Registered Nurse to coordinate patient care across the continuum. The RN Care Manager conducts assessments, develops individualized care plans, facilitates transitions of care, and collaborates with physicians, social workers, and community resources to optimize outcomes. Responsibilities include utilization review, discharge planning, patient and family education, and advocacy. This role requires strong clinical judgment, documentation skills, and the ability to work in a fast-paced hospital environment focused on quality, safety, and patient-centered care.

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing patient-centered care plans with shared goals and tailored interventions. The Care Manager collaborates seamlessly with patients, families/caregivers, healthcare providers, payers, community-based providers, and other stakeholders to ensure efficient, effective, and patient-focused care management. This position spans various departments, including both Inpatient and Outpatient areas. Shift Details: Saturday + Sunday - Essential Functions Assessment: Identifies patients using screening criteria and conduct comprehensive evaluations. Care Planning: Develops, adjusts, and coordinates care plans to address medical and social needs. Patient Support: Guides self-management using motivational interviewing and coaching. Education &...

Description Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. Territory covered: Morgan county What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers....

Description Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. Territory covered: Morgan county What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers....

Description Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. This position will cover our Saint Clairsville, OH region. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs,...

Location: Avera Home Infusion Pharmacy-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights Monday-Friday, 8:00am-5:00pm; 80hrs/2wks You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Collaborates with the multidisciplinary care team to bring together an established plan for patient treatments, assists with the transitions between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies patient care needs throughout the continuum of care. What you will do Acts as liaison with hospitals and other health care service to provide treatment advice and lobby on...

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights Day shift You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for reviewing and analyzing information for medical necessity criteria for both internal and external transfers within the Avera system. Serves as a liaison for any communication between sending hospitals' case managers and providers and Avera Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity, including both the level of care and the status, for any patient transferred into the hospital for acute care. This role will also utilize the EMR...

Hospitals on Incredible Health are actively hiring and accepting applications in the Marietta, GA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: 403(B), 403(B) & Matching, Academic medical center, Adoption Assistance, Best Places to Work recognition, Best Places to Work recognition, Career Advance Program, Child Care Benefits, Community hospital, Disability Insurance, Disability Insurance, EAP, Family Care Benefits, FSA, FSA, Health Insurance, Level 1 trauma center, Level 2 trauma center, Level 4 trauma center, Life Insurance, Magnet recognized, Medical, Medical, Nurse self-care program , Offers sign on bonus, PTO, PTO, Retirement Plan, Teaching Hospital, Tuition Assistance, Tuition...

Hospitals on Incredible Health are actively hiring and accepting applications in the Rome, GA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and night shift Job types available: full time and part time Employer features: Academic medical center, Adoption Assistance, Best Places to Work recognition, Career Advance Program, Community hospital, Disability Insurance, Family Care Benefits, FSA, Health Insurance, Level 1 trauma center, Level 2 trauma center, Level 4 trauma center, Life Insurance, Magnet recognized, Medical, Offers sign on bonus, PTO, Retirement Plan, Teaching Hospital, Tuition Assistance, U.S. News best hospital Qualifications: Bachelor of Science in Nursing (BSN) or higher educational attainment from an accredited program Active and unencumbered Registered Nurse license...

Hospitals on Incredible Health are actively hiring and accepting applications in the Rome, GA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and night shift Job types available: full time and part time Employer features: Academic medical center, Adoption Assistance, Best Places to Work recognition, Career Advance Program, Community hospital, Disability Insurance, Family Care Benefits, FSA, Health Insurance, Level 1 trauma center, Level 2 trauma center, Level 4 trauma center, Life Insurance, Magnet recognized, Medical, Offers sign on bonus, PTO, Retirement Plan, Teaching Hospital, Tuition Assistance, U.S. News best hospital Qualifications: Bachelor of Science in Nursing (BSN) or higher educational attainment from an accredited program Active and unencumbered Registered Nurse license...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home - Flexible, Travel Required: 25 - 50% (Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home - Flexible, Travel Required: 25 - 50% (Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home - Flexible, Travel Required: 25 - 50% (Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible...

Description Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends Daily Pay option available No Overtime Required 1:1 patient care Excited to hear more? Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides,...

Ranked Top 10 Nursing Facility in Idaho by AHCA (Q1 2026) RN Resident Care Manager (RCM) Position Summary The RN Care Manager is responsible for the coordination of the patient’s care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family, care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Nursing diploma (associate’s or bachelor’s degree in nursing) Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment. One (1)...

$7500 Sign On Bonus for FT RN RCM Must have Skilled Nursing experience Position Summary The RN Care Manager is responsible for the coordination of the patient’s care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family, care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Nursing diploma (associate’s or bachelor’s degree in nursing) Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment. One (1) year of clinical...