Top 4870 Rn utilization manager Jobs

RN Case Manager - Complex Cases
UCLA Health —Santa Monica, CA
- $65.53 - $84.75 an hour
- Nursing
- RN License
- BLS Certification
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- 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
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
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
Claims - Care Manager, RN, Claims
Wellcove —Remote
- Full-time
- Remote
- RN License
- Mid-level
- Geriatrics
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Oncology Prior Authorization Case Manager, Non-RN - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
Oncology RN Case Manager - Remote
Optum —Schaumburg, IL
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
Quick Apply
Utilization Review RN
Beth Israel Lahey Health —Boston, MA
- $38.11 - $98.61 an hour
- Full-time
- Nursing
- RN License
- Hospital
Nurse Specialist II
Qlarant —Remote
- $56,055 - $83,665 a year
- Full-time
- Remote
- RN License
- Mid-level
- Bachelor's degree
Quick Apply
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Wisconsin
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
RN Case Manager
Zócalo Health —Remote
- $85,000 a year
- Full-time
- Remote
- RN License
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
AUSTIN TX Utilization Review RN
Bracane Company —Dallas, TX
- $35 - $40 an hour
- Full-time
- RN License
- Mid-level
- Patient care
Quick Apply
6d
Supervisor, Clinical RN - Behavioral Sciences Unit - Full Time
The Guthrie Clinic —Sayre, PA
- Full-time
- Nursing
- RN License
- Research
Quick Apply
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
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
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
RN - 7 Mountain Medical Specialty Unit
Carilion Clinic —Roanoke, VA
- $33.52 - $50.28 an hour
- Online Application
- Acute care
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance

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RN Case Manager - Complex Cases

UCLA Health -
Santa Monica, CA

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Job Details

$65.53 - $84.75 an hour

Qualifications

Collaborate with healthcare professionals
Inpatient experience
Utilization review
RN License
Team leadership
BLS Certification
Managing patients as a nurse case manager
Transitional care planning in clinical case management
Acute care facility experience
Utilization management
Resource utilization in healthcare
Multidisciplinary team collaboration for treatment planning
Cross-functional communication

Full Job Description

Description

There’s nothing more exciting and rewarding than being able to make a significant, positive difference in someone’s life. At UCLA Health, you’ll experience this joy every day while also enjoying the positive, supportive, and collaborative environment that makes ours one of the most loved workplaces. Join us and find out for yourself.

Using your advanced practice nursing skills, you will be responsible for assessing and coordinating care for a diverse group of patients. You will collaborate and consult with a multi-disciplinary health care team as well as with patients and their families to ensure safe and effective coordination of care. This involves developing and implementing individualized care plans utilizing evidence-based tools for risk stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care. We’re also looking to you to help drive performance improvement efforts.

At UCLA Health, our passion for delivering the highest quality patient care has enabled us to become a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. If you’re looking to experience greater challenge and fulfillment in your career, come to UCLA Health.

Salary Range: $65.53 - $84.75 Hourly

Qualifications

We’re seeking a self-directed, creative problem solver with a:

BSN or MSN (ASN accepted for current UCLA Health Nursing staff)
CA RN License and BLS certification
Recent experience in case management, utilization management and discharge planning
Minimum of three years of acute hospital experience; or the equivalent of education and experience
Strong leadership abilities
Systems planning and patient care management experience in a high-volume work environment
Excellent communication, interpersonal, organizational and analytical skills
Ability to work effectively and collaboratively with interdisciplinary teams
Knowledge of a large university teaching hospitals

Experience in an academic hospital and experience with complex case management preferred.

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Refine Your Search

rn utilization manager jobs

RN Case Manager - Complex Cases

RN Case Manager

Concurrent Utilization Review Nurse, RN

Denials & Appeals Administrator (RN)

Clinical Review & Correspondence RN

Claims - Care Manager, RN, Claims

Utilization Review Nurse

Oncology Prior Authorization Case Manager, Non-RN - Remote

Care Manager, Concurrent Review (Remote)

Oncology RN Case Manager - Remote

Utilization Review RN

Nurse Specialist II

Case Manager, Registered Nurse (Oncology experience required)

RN Case Manager

AUSTIN TX Utilization Review RN

Supervisor, Clinical RN - Behavioral Sciences Unit - Full Time

Patient Care Manager - Floater (RN)

Nurse Educator (RN)

RN Unit Manager

RN - 7 Mountain Medical Specialty Unit

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