Top 5225 Rn Utilization Manager Jobs

Travel RN-Utilization Review Specialist-Day/Nights-36 Hours-Duluth, GA-$3,085.00
Prolink —Duluth, GA
- $3,085 a week
- Night shift
- Background check
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
6d
Senior Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Nursing
- 6 years
- RN License
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
Claims - Care Manager, RN, Claims
Wellcove —Remote
- Full-time
- Remote
- RN License
- Mid-level
- Geriatrics
Quick Apply
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
RN, Care Manager, Utilization Management
Adventist Health —Portland, OR
- $54.68 - $81.95 an hour
- 12 hour shift
- Acute care
- Nursing
- RN License
Utilization Review RN
Beth Israel Lahey Health —Boston, MA
- $38.11 - $98.61 an hour
- Full-time
- Nursing
- RN License
- Hospital
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
13d
Patient Care Manager - Floater (RN)
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Disability insurance
Quick Apply
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
RN Hospice Case Manager
Audubon Hospice Care —Baton Rouge, LA
- Full-time
- Background check
- Vital signs
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
12d
Market Physician Executive (MPE) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
- Medicine
- Critical & Intensive Care
- Travel
- Health insurance
- Dental insurance
Quick Apply
Nurse Educator (RN)
Wake Robin Corporation —Shelburne, VT
- $36.70 - $44.77 an hour
- Weekends as needed
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Disability insurance
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Brunswick, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
RN Clinical Nurse Manager Med-Surg (Charge)
TribalEM —Kansas City, MO
- $36.65 - $47.64 an hour
- Full-time
- Nursing
- Patient monitoring
- RN License
- Health savings account
- Employee stock purchase plan
Quick Apply
8d
HOME CARE - RN CASE MANAGER
Aultman Health Foundation —Canton, OH
- Weekends as needed
- Nursing
- RN License
- Computer literacy
RN Case Manager
Community LIFE —Homestead, PA
- $72,000 - $85,000 a year
- Full-time
- Nursing
- RN License
- Word processing
- Travel reimbursement
- Mileage reimbursement
Quick Apply
7d
Market Physician Executive (MPE)
Monogram Health Professional Services —Valdosta, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
RN Clinical Manager
Patients First Home Care LLC —Bradenton, FL
- $80,000 - $90,000 a year
- Full-time
- Background check
- CPR Certification
- Current TB test
- Continuing education credits
- Paid holidays
Quick Apply
RN Unit Manager
Aloha Nursing Rehab Centre —Kaneohe, HI
- From $96,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Free parking
- Paid holidays
Quick Apply

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Travel RN-Utilization Review Specialist-Day/Nights-36 Hours-Duluth, GA-$3,085.00

Prolink -
Duluth, GA

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Job Details

Contract
$3,085 a week
6 days ago

Benefits

Health insurance
Dental insurance
Vision insurance

Qualifications

Vital signs
Inpatient experience
RN License
Emergency medicine
Health information management

Full Job Description

Job Overview

We are seeking a dedicated Travel RN-Utilization Review Specialist to join our healthcare team, providing critical support in patient care management and resource utilization. This role involves working day and night shifts, with a 36-hour weekly schedule, in a dynamic hospital environment. The ideal candidate will possess extensive clinical experience across various specialties, including critical care, trauma, emergency medicine, and post-acute care. As a Travel RN-Utilization Review Specialist, you will play a vital role in ensuring appropriate patient care, optimizing hospital resources, and maintaining compliance with healthcare regulations. Your expertise will directly contribute to improved patient outcomes and efficient healthcare delivery.

**License: Must have compact RN license and OR License as they are providing remote care to facilities in Oregon. They must also be willing to apply for D.C. licensure upon offer.**

Duties

Conduct comprehensive patient assessments by reviewing medical records, vital signs, diagnostic evaluations, and clinical data to determine appropriate utilization of hospital services.
Collaborate with multidisciplinary teams—including physicians, nurses, case managers, and discharge planners—to evaluate the necessity of inpatient stays and outpatient services.
Manage utilization review processes for diverse patient populations such as ICU, pediatric (PICU), Geriatrics, behavioral health, and infectious disease cases.
Ensure compliance with health regulation policies and HIPAA standards while handling sensitive patient information within electronic health records (EHR).
Facilitate discharge planning by coordinating post-acute care services, outpatient follow-ups, and managing medical records documentation.
Support case management activities by managing patients as a nurse case manager, overseeing medical-surgical cases, and ensuring appropriate resource allocation.
Assist in diagnostic evaluation and managed care processes to optimize patient care pathways while adhering to hospital medicine protocols.
Maintain up-to-date knowledge of healthcare policies related to inpatient and outpatient services to support accurate utilization management.
Participate in quality improvement initiatives focused on patient service excellence and efficient hospital operations.

Skills

Extensive critical care experience including ICU, Level I Trauma Center experience, and Level II Trauma Center experience.
Proven background in emergency room settings with OR experience preferred.
Strong knowledge of physiology, medical terminology, and hospital medicine practices.
Experience with inpatient and outpatient care across pediatrics (PICU), geriatrics, behavioral health, and post-acute settings.
Familiarity with health regulation policies such as HIPAA and medical records management.
Proficiency in electronic health records (EHR) systems for documentation and data analysis.
Excellent patient assessment skills coupled with the ability to manage complex cases involving infectious diseases or acute care needs.
Effective communication skills for collaborating with healthcare teams and supporting patient service initiatives.
Ability to interpret diagnostic evaluations accurately and support discharge planning efficiently.
Knowledge of medical-surgical nursing practices along with intake procedures for diverse patient populations.
Strong understanding of utilization management principles within managed care frameworks.
Experience managing patients in primary care settings or outpatient clinics is advantageous.

Join our team as a Travel RN-Utilization Review Specialist to make a meaningful impact on patient outcomes through expert clinical review and resource management. We value your dedication to high-quality nursing practice across diverse healthcare environments.

#HC

Pay: $3,085.00 per week

Benefits:

Dental insurance
Health insurance
Vision insurance

Work Location: In person

Quick Apply

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