Top 4044 Rn Childbirth Jobs

Utilization Management Nurse I, RN
Clever Care Health Plan —Huntington Beach, CA
- $34.98 - $42.85 an hour
- Full-time
- Remote
- Background check
- Spanish
- RN License
RN - Family Childbirth Center (LDRP)
Providence Health and Services —Redmond, WA
- $50.82 - $90.77 an hour
- Part-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
9d
RN - Family Childbirth Center (LDRP)
Providence Health and Services —Edmonds, WA
- $50.82 - $90.77 an hour
- Part-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
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Utilization Review Nurse- Remote
Gainwell Technologies —Alaska
- $78,000 - $88,000 a year
- Extended hours
- Remote
- Background check
- RN License
- Mid-level
- Health insurance
- Tuition reimbursement
RN Clinical Documentation Auditor and Educator
Ascension —Austin, TX
- $96,208.99 - $134,109.89 a year
- Full-time
- RN License
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
DRG Nurse Reviewer Appeals and Hearings- Remote
Gainwell Technologies —Florida
- $95,000 - $110,000 a year
- Full-time
- Remote
- RN License
- Presentation skills
- Travel
- Health insurance
- Tuition reimbursement
Nurse Reviewer (Registered Nurse) - Remote in US
Gainwell Technologies —Alabama
- $78,000 - $88,000 a year
- Extended hours
- Remote
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Research Associate, Level 2 (Dr. Haeok Lee), Spring 2026
New York University —New York, NY
- $83,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- English
Childbirth Educator RN- Casual Rotating
Northwestern Memorial Healthcare —Chicago, IL
- $36.18 - $56.08 an hour
- Part-time
- Background check
- Classroom
- Nursing
- Tuition reimbursement
- 401(k) matching
Quick Apply
RN - Operations Educator Supervisor
El Rio Community Health Center —Tucson, AZ
- $34.16 - $49.47 an hour
- Full-time
- Spanish
- Nursing
- Management
Quick Apply
Registered Nurse (RN)- 5,000 Sign-On
American Baptist Homes of the Midwest —Muskego, WI
- $35 - $41 an hour
- Part-time
- Background check
- Nursing
- RN License
- 403(b) matching
- AD&D insurance
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Travel L&D RN - Labor & Delivery Registered Nurse
Focus Staff —Colby, KS
- $2,874 - $2,993 a week
- Travel nursing
- RN License
- BLS Certification
- Mid-level
- Travel reimbursement
- Health insurance
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Registered Nurse (RN) - Cardiovascular OR (CVOR)
Inova Health System —Falls Church, VA
- $40.23 - $65.38 an hour
- 12 hour shift
- Background check
- Nursing
- Surgery
- Paid parental leave
- Relocation assistance
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RN Float Women and Infants
Ascension —Indianapolis, IN
- PRN
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
4d
RN Float Women and Infants
Ascension —Indianapolis, IN
- PRN
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
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RN-Float-Specialty
Ascension —Glendale, WI
- PRN
- Nursing
- Float pool
- RN License
- Disability insurance
- Health insurance
Registered Nurse - Nights - Short Stay Observation Unit
Maury Regional Health —Columbia, TN
- Full-time
- Nursing
- Microsoft Excel
- Surgery
- Health insurance
- Dental insurance
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Registered Nurse (RN) – Night Shift | $34/hr + $3,000 Bonus
Lutheran Life Communities —Ottawa, IL
- $33.46 - $45.00 an hour
- Urgently hiring
- Background check
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Float Labor and Delivery
Ascension —Carmel, IN
- PRN
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
4d
RN Float Labor and Delivery
Ascension —Carmel, IN
- PRN
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
4d

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Utilization Management Nurse I, RN

Clever Care Health Plan -
Huntington Beach, CA

Apply Now

Job Details

Full-time
$34.98 - $42.85 an hour

Qualifications

RN License
Patient care

Full Job Description

Remote in California only

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The UM Nurse I - RN performs clinical review of authorization requests to determine medical necessity based on established criteria, regulatory requirements, and organizational policies. This role conducts utilization review activities under established guidelines and escalates complex or non-standard determinations to senior staff or the Medical Director.

Functions & Job Responsibilities

Conduct clinical review of prior authorization requests using approved criteria (e.g., MCG, InterQual).
Review outpatient and routine inpatient requests.
Ensure compliance with CMS, state, and contractual turnaround time requirements.
Document medical necessity determinations clearly and accurately.
Communicate authorization decisions to providers, members and internal teams.
Identify cases requiring physician or Medical Director review.
Participate in concurrent review and discharge planning coordination as assigned.
Ensure compliance with regulatory timelines.
Support audit readiness and documentation integrity.
Additional duties as assigned.

Qualifications

Education and Experience

Active, unrestricted RN license.
Minimum of three (3) years of clinical experience.
At least one (1) year in utilization management or case management preferred.

Skills

Knowledge of medical necessity criteria (MCG/InterQual).
Understanding of CMS/state UM regulations.
Strong clinical assessment and documentation skills
Ability to manage caseload efficiently.
Effective provider communication.
Bilingual proficiency in Cantonese, Mandarin, Spanish, Vietnamese, or Korean preferred.

Wage Range: $34.98 to $42.85 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs. Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly. Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

#LI-Remote

Apply Now

Refine Your Search

Rn Childbirth jobs

Utilization Management Nurse I, RN

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RN Clinical Documentation Auditor and Educator

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Nurse Reviewer (Registered Nurse) - Remote in US

Research Associate, Level 2 (Dr. Haeok Lee), Spring 2026

Childbirth Educator RN- Casual Rotating

RN - Operations Educator Supervisor

Registered Nurse (RN)- 5,000 Sign-On

Travel L&D RN - Labor & Delivery Registered Nurse

Registered Nurse (RN) - Cardiovascular OR (CVOR)

RN Float Women and Infants

RN Float Women and Infants

RN-Float-Specialty

Registered Nurse - Nights - Short Stay Observation Unit

Registered Nurse (RN) – Night Shift | $34/hr + $3,000 Bonus

RN Float Labor and Delivery

RN Float Labor and Delivery

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