212 utilization review nurse rn jobs found

  Nurse Manager II-Operating Room   Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.   Texas Health Denton Since 1987, Texas Health Denton has served the Denton community and surrounding areas including Corinth, Lake Dallas, Argyle, Sanger, Aubrey, and communities throughout North Texas and southern Oklahoma. As a 255-bed, full-service hospital with more than 1,100 employees and 486 physicians on our medical staff, we're one of the largest employers in Denton County.  We offer advanced care in robotic and endovascular surgery, general surgery, orthopedics and sports medicine, spine and back services, emergency medicine, and bariatric surgery. Additional services include cancer treatment, critical care, neonatology, cardiac CT imaging, neurology, electrophysiology, stroke care, vascular care, women's and infants' services,...

Department: 02050 AMG Beverly - Cardiology Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday-Friday 8-4:30. Travel to multiple sites in South Chicago Pay Range: $41.10 - $61.65 Major Responsibilities:...

Job Description: Job Profile Summary 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. 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 & Advocacy:...

Job Description: Job Profile Summary 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. 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 & Advocacy:...

HCA Healthcare is seeking a Case Management Registered Nurse to coordinate safe, efficient patient care transitions. In this role, you will assess patient needs, develop discharge plans, and collaborate with physicians, interdisciplinary teams, patients, and families to optimize clinical and financial outcomes. The RN will manage utilization review, ensure appropriate level of care, and align care plans with payer requirements. You will advocate for patients, arrange post-acute services, maintain accurate documentation, and support quality and readmission reduction initiatives while promoting HCA's culture of compassion, teamwork, and continuous learning. Responsibilities Assess patients for clinical, psychosocial, and discharge planning needs Develop and implement individualized care transition and discharge plans Coordinate with physicians and interdisciplinary teams to align care goals Conduct utilization review to ensure appropriate level of care and resource use...

Location: Ashby Ponds by Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager will also facilitate, precept, and mentor staff to grow professionally and advance their knowledge and skills. What we offer     A culture of diversity, inclusion, equity and belonging, which builds on our mission, vision and values Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options PTO Plans, PLUS company paid volunteer hours for eligible team members, in accordance with applicable state law 401k for all team members 18 and over with a company 3% match Onsite medical centers, providing wellness visits and sick care for all team...

Job Description: Job Profile Summary 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. 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 & Advocacy:...

Hourly Wage Estimate: $26.65 - $41.10 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Do you have the career opportunities as a(an) Surgical Technologist III you want with your current employer? We have an exciting opportunity for you to join HCA HealthONE Rose which is part of the nation's leading provider of healthcare services, HCA Healthcare. Benefits HCA HealthONE Rose offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans...

Position Title: Clinical Documentation Specialist Department: Clinical Document Improvement Job Description: Job Description New to OU Health?  Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . General Description Under the direction of CDI leadership, the CDI Specialist I is responsible for reviewing inpatient medical records to support accurate, complete, and compliant clinical documentation. This role focuses on foundational CDI functions, including identification of documentation gaps, formulation of compliant queries, and collaboration with providers and interdisciplinary teams to ensure the medical record reflects the patient’s clinical condition, severity of illness, risk of mortality, quality outcomes, and services rendered. Essential Job Duties Responsibilities...

Posting Description We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love. JOB SUMMARY The Coordinator - Care RN at North Mississippi Health Services is responsible for conducting patient assessments to determine their needs and barriers to disease management or recovery. They implement interventions, monitor the effectiveness of care plans, and coordinate transition of care to post-acute services. The Coordinator educates patients and family members on the provided services and collaborates with various healthcare professionals to ensure effective patient care. JOB FUNCTIONS Coordinates: Conducts assessment to determine patient needs and barriers to disease management of continued recovery. Implements...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) $20,000 Sign On Bonus for Qualified Candidates How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) $20,000 Sign On Bonus for Qualified Candidates How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Various (United States of America) This is the application for the upcoming New Graduate RN Residency opportunity at the new Wellstar location in Columbia County. Interested candidates would be starting late 2026. All Interested candidates should ensure their resume includes their graduation month and year for consideration. This requisition is intended for candidates looking to start their first RN role in 2026. Job Summary: The RN Resident is expected to successfully...

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: HIM Clinical Documentation FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for concurrent review (during the patient stay) of appropriate and complete clinical documentation in the medical record to support services ordered and/or received, support primary diagnosis, secondary diagnoses, and co-morbidities to improve medical record physician documentation to appropriately support the severity of patient illness and resource consumption. Responsible for addressing and communicating appropriate documentation findings with physicians and other caregivers as necessary via written queries and/or verbal communication. Responsible for follow up to obtain accurate and complete...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) Job Summary: Registered Nurse RN - Acute Care Ortho Surgical- Full-Time Night Shift The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) Job Summary: Registered Nurse RN - Acute Care Ortho Surgical- Full-Time Night Shift The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared...

Medical City Healthcare, in partnership with CryptoAnalyzer, seeks an RN Float Pool nurse to support finance and insurance operations by translating clinical insights into data that informs risk models and digital health products. The RN will rotate across service lines, review patient records, validate clinical documentation, and collaborate with analysts to enhance accuracy of claims, cost, and outcome data. You'll educate teams on clinical implications of financial decisions, support quality and compliance reviews, and contribute to innovative tools that connect real-world care with blockchain-enabled finance solutions. Responsibilities Float across multiple clinical areas to review and interpret patient records for financial and risk analysis Validate accuracy and completeness of clinical documentation used for claims, cost modeling, and outcome tracking Collaborate with analysts and product teams to translate clinical insights into finance and insurance tools Support...

Lake Cumberland Regional Hospital seeks a Case Manager, Registered Nurse to coordinate patient care across the continuum in our 295-bed acute care facility. The RN Case Manager conducts assessments, develops and updates discharge plans, facilitates transitions of care, and collaborates with physicians, nurses, social workers, and community providers. Responsibilities include utilization review, authorization coordination, patient and family education, and advocating for quality, cost-effective care. This role supports a patient-centered, community-focused environment while ensuring regulatory compliance, accurate documentation, and continuous improvement in clinical outcomes and patient experience. Responsibilities Conduct comprehensive patient assessments and identify post-acute care needs Develop, implement, and update individualized discharge and transition-of-care plans Coordinate with physicians, nursing staff, therapy, and social services to optimize care Perform...

St. David's Medical Center, a leading full-service hospital in central Austin, seeks a Registered Nurse Case Manager Supervisor for our state-of-the-art Neurological unit. In this role, you will supervise case management staff, coordinate patient care plans, and ensure safe, efficient transitions across the continuum of care. You will collaborate closely with physicians, nurses, and interdisciplinary teams, fostering a culture of excellence, teamwork, and patient-centered practice. We offer a competitive salary, comprehensive benefits, and robust opportunities for ongoing professional development within St. David's HealthCare. Responsibilities Supervise and support RN case managers and case management support staff on the neurological unit Coordinate comprehensive discharge planning and transitions of care for neurology patients Collaborate with physicians, bedside nurses, social workers, and ancillary services to develop interdisciplinary care plans Conduct utilization...

St. David's Medical Center, a leading full-service hospital in central Austin, seeks a Registered Nurse Case Manager Supervisor for our state-of-the-art Neurological unit. In this role, you will supervise case management staff, coordinate patient care plans, and ensure safe, efficient transitions across the continuum of care. You will collaborate closely with physicians, nurses, and interdisciplinary teams, fostering a culture of excellence, teamwork, and patient-centered practice. We offer a competitive salary, comprehensive benefits, and robust opportunities for ongoing professional development within St. David's HealthCare. Responsibilities Supervise and support RN case managers and case management support staff on the neurological unit Coordinate comprehensive discharge planning and transitions of care for neurology patients Collaborate with physicians, bedside nurses, social workers, and ancillary services to develop interdisciplinary care plans Conduct utilization...