Top 8542 Rn Utilization Management Jobs

Utilization Review RN
Providence Health and Services —Portland, OR
- $50.14 - $77.83 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Utilization Management Nurse
TEXAS INDEPENDENCE HEALTH PLAN INC —Austin, TX
- Weekends as needed
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS —New York, NY
- $90,000 - $110,000 a year
- Microsoft Word
- Nursing
- RN License
Quick Apply
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
Utilization Review RN
Houston Methodist Cypress Hospital —Cypress, TX
- Full-time
- Nursing
- RN License
- Hospital
Clinical Review Nurse
TurningPoint Healthcare Solutions, LLC —Remote
- $52,000 - $68,000 a year
- Remote
- Nursing
- RN License
- Computer literacy
Quick Apply
Utilization Management Nurse
Blue Eagle Consulting —Remote
- RN License
- Mid-level
- Nursing
Quick Apply
Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)
CareSource —Remote
- $62,700 - $100,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
9d
RN - Utilization Management - MGH
The General Hospital Corporation —Boston, MA
- $41.72 - $105.65 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Experience equivalent to degree accepted
- Opportunities for advancement
Quick Apply
3d
Denials & Appeals Administrator (RN)
Boston Medical Center —Remote
- $43.03 - $62.50 an hour
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
11d
RN Utilization Management
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Vision insurance
Concurrent Utilization Review Nurse, RN
NeueHealth —Los Angeles, CA
- $74,286.15 - $111,429.23 a year
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Telehealth Triage Registered Nurse (RN)
Lumina Care —Remote
- $38 - $45 an hour
- Weekends as needed
- Remote
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Health insurance
Quick Apply
14d
Claims - Care Manager, RN, Claims
Wellcove —Remote
- Full-time
- Remote
- RN License
- Mid-level
- Geriatrics
Quick Apply
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Washington, DC
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Utilization Management Nurse Consultant
CVS Health —Florida
- $26.01 - $68.55 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
3d
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
Quick Apply
Clinical Review & Correspondence RN
Cohere Health —Remote
- $31 - $35 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Lead Utilization Review-RN
Personify Health —Remote
- $38 - $43 an hour
- Email
- Remote
- Microsoft Outlook
- RN License
- Supervising experience
- Health insurance
- Dental insurance
4d
Utilization Management Registered Nurse
Humana —Arizona
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays

I want to receive the latest job alert for Rn Utilization Management

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Rn Utilization Management jobs near

Utilization Review RN

Providence Health and Services -
Portland, OR

Apply Now

Job Details

Part-time | Full-time
$50.14 - $77.83 an hour

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

RN License

Full Job Description

Description

Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.

This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.

The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

Bachelor's Degree Nursing, OR Associates Degree and 2 or more years of related experience in lieu of a Bachelor's Degree
Upon hire: Oregon Registered Nurse License
Five (5) years Clinical experience in an acute adult medical/surgical care setting, OR Five (5) years Current Utilization Review or Case Management experience.
Demonstrated clinical expertise and experience related to a wide variety of patient populations and care delivery models.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 439934

Company: Providence Jobs

Job Category: Health Information Management

Job Function: Revenue Cycle

Job Schedule: Part time

Job Shift: Multiple shifts available

Career Track: Nursing

Department: 5016 RS UTILIZATION MGMT

Address: OR Portland 4400 NE Halsey St

Work Location: Providence Health Plaza (HR) Bldg 1-Portland

Workplace Type: Hybrid

Pay Range: $50.14 - $77.83

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Apply Now

Refine Your Search

Rn Utilization Management jobs

Utilization Review RN

Utilization Management Nurse

Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!

Utilization Management Nurse I, RN

Utilization Review RN

Clinical Review Nurse

Utilization Management Nurse

Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)

RN - Utilization Management - MGH

Denials & Appeals Administrator (RN)

RN Utilization Management

Concurrent Utilization Review Nurse, RN

Telehealth Triage Registered Nurse (RN)

Claims - Care Manager, RN, Claims

Case Manager, Registered Nurse (Oncology experience required)

Utilization Management Nurse Consultant

Remote Home Health RN – Medical Claims Reviewer

Clinical Review & Correspondence RN

Lead Utilization Review-RN

Utilization Management Registered Nurse

I want to receive the latest job alert for Rn Utilization Management

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected