622 rn utilization manager jobs found

Job Description Description Per diem Weekend Utilization Manager Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by...

Job Description Description Full time Utilization Manager to cover Medical Surgical ICU, Neuro ICU, and Acute Care Neuroscience Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the...

Job Description Description Areas of focus include Medicine, Oncology, Cardiac, and Psychiatry Services Preferences given to candidates with Medical Surgical and/or Psychiatry bedside experience. The Team: Completes clinical reviews for all areas: Inpatient, Observation, Extended Recovery Ensures compliance in accordance to government's federal rules and regulations related to patient care and reimbursement Interacts with the Interdisciplinary Team for patient care progression Protects hospital revenue by working with payors for insurance authorizations, denials, and appeals Delivers mandated federal notices to patients/ patient representatives related to their payer source 40 hrs/week (Monday-Friday) Weekend rotation Holiday rotation No Nights No on-call Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed billing type, and...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). This position works collaboratively with an interdisciplinary team (including physicians, other care providers, payers, etc.) to ensure the patient’s needs are met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the health system’s Utilization Review Plan. Responsibilities: Uses approved criteria and conducts admission review/class change review as trigger by patient admission to the hospital to ensure appropriateness of the setting and timely implementation of the plan of care. Identifies...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). This position works collaboratively with an interdisciplinary team (including physicians, other care providers, payers, etc.) to ensure the patient’s needs are met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the health system’s Utilization Review Plan. Responsibilities: Uses approved criteria and conducts admission review/class change review as trigger by patient admission to the hospital to ensure appropriateness of the setting and timely implementation of the plan of care. Identifies...

342634 Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center , Spring Valley Hospital Medical Center , Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital. Benefit Highlights: Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Challenging and rewarding work environment Job Description: To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient...

144466 Case Manager (RN) Case Management per Diem Day Req #: 0000232959 Category: Case Management Status: Per Diem Shift: Day Facility: Clara Maass Medical Center Department: Case Management Pay Range: $50.00 - $65.00 per hour Location: 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109 Job Title: Case Manager RN Location: Clara Maass Medical Center Department Name: Case Management Req #: 0000232959 Status: Hourly Shift: Day Pay Range: $50.00 - $65.00 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: RWJBarnabas Health is seeking a highly dedicated Registered Nurse for our Case Management Department at Clara Maass Medical Center in Belleville, NJ. With over 700 physicians and 2,100 employees, we offer...

144418 Registered Nurse (RN) Case Manager Req #: 0000231239 Category: Case Management Status: Per Diem Shift: Day Facility: Newark Beth Israel Medical Center Department: Case Management Pay Range: $50.00 - $65.00 per hour Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Case Manager Location: Newark Beth Israel Medical Ctr Department Name: Case Management Req #: 0000231239 Status: Hourly Shift: Day Pay Range: $50.00 — $65.00 per hour Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: First established in 1901, Newark Beth Israel Medical Center is a 665-bed quaternary care, teaching hospital that provides comprehensive health care for the region. Staffed with more than 800 physicians, 3200...

133308 Director Patient Care Vantage Point Infusion Center Req #: 0000200314 Category: Nursing Management / Leadership Status: Full-Time Shift: Day Facility: Monmouth Medical Center Department: Vantage Point Infusion Center Pay Range: $104,000.00 - $147,680.00 per year Location: 300 Second Avenue, Long Branch, NJ 07740 Job Title: Director Patient Care Location: Monmouth Medical Center Department: Vantage Point Infusion Center Req#: 0000200314 Status: Full-Time Shift: Day Pay Range: $104,000.00 - $147,680.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: RWJBarnabas Health is seeking a highly dedicated Director of Patient Care leading an Outpatient Infusion Department inclusive of Pharmacy,...

143566 Case Manager Registered Nurse Req #: 0000229962 Category: Case Management Status: Full-Time Shift: Day Facility: Cooperman Barnabas Medical Center Department: Case Management Pay Range: $85,000.00 - $122,000.00 per year Location: 94 Old Short Hills Road, Livingston, NJ 07039 Job Title: Case Manager RN Location: Cooperman Barnabas Medical Ctr Department Name: Case Management Req #: 0000229962 Status: Salaried Shift: Day Pay Range: $85,000.00 - $122,000.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Summary: The Case Manager Registered Nurse will coordinate discharge planning to reduce LOS and improve throughout adding in financial stability of the organization. Qualifications: Required:...

145943 Asthma Program Clinical Manager Req #: 0000237699 Category: Nursing Management / Leadership Status: Full-Time Shift: Day Facility: RWJBarnabas Health Corporate Services Department: RWJBH Community Health Project Pay Range: $120,667.00 - $157,723.00 per year Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Nurse Manager Location: Newark Beth Israel Medical Ctr Department Name: RWJBH Community Health Project Req #: 0000237699 Status: Salaried Shift: Day Pay Range: $120,667.00 - $157,723.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview:  Asthma Program Clinical Manager is responsible for managing the implementation and operations of the asthma program at CHoNJ, to include...

145190 Director of Advanced Practice Providers (APPs) Req #: 0000234792 Category: Nurse Practitioner Status: Full-Time Shift: Day Facility: RWJ New Brunswick Department: APP Administration Pay Range: $160,742.00 - $236,100.00 per year Location: One Robert Wood Johnson Place, New Brunswick, NJ 08901 Job Title: Director Location: Main Hospital - New Brunswick Department Name: APP Administration Req #: 0000234792 Status: Salaried Shift: Day Pay Range: $160,742.00 - $236,100.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Director of Advanced Practice Providers (APPs) gives administrative direction and has oversight of the clinical practice, operational, financial, and professional...

145180 Director of Advanced Practice Providers (APPs) Req #: 0000234782 Category: Nurse Practitioner Status: Full-Time Shift: Day Facility: RWJ New Brunswick Department: APP Administration Pay Range: $160,742.00 - $236,100.00 per year Location: One Robert Wood Johnson Place, New Brunswick, NJ 08901 Job Title: Director Location: Main Hospital - New Brunswick Department Name: APP Administration Req #: 0000234782 Status: Salaried Shift: Day Pay Range: $160,742.00 - $236,100.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview The Director of Advanced Practice Providers (APPs) gives administrative direction and has oversight of the clinical practice, operational, financial, and professional...

140716 Case Manager (RN) Case Management Req #: 0000220519 Category: Case Management Status: Full-Time Shift: Day Facility: Clara Maass Medical Center Department: Case Management Pay Range: $85,000.00 - $122,000.00 per year Location: 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109 Job Title: Case Manager RN Location: Clara Maass Medical Center Department Name: Case Management Req #: 0000220519 Status: Salaried Shift: Day Pay Range: $85,000.00 — $122,000.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: RWJBarnabas Health is seeking a highly dedicated Registered Nurse for our Case Management Department at Clara Maass Medical Center in Belleville, NJ. With over 700 physicians and 2,100 employees,...

143430 Advance Practice Provider - Director NBI Req #: 0000226821 Category: Nurse Practitioner Status: Full-Time Shift: Day Facility: Barnabas Health Medical Group Department: Other APPs - NBI Pay Range: $120,000.00 - $190,000.00 per year Location: 201 LYONS AVE, NEWARK, NJ 07112 Job Title: Advance Practice Provider Location: Newark Beth Israel Med Ctr Department Name: Other APP's - NBI Req #: 0000226821 Status: Salaried Shift: Day Pay Range: $120,000.00 - $190,000.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Director of Advanced Practice Providers (APPs) gives administrative direction and has oversight of the clinical practice, operational, financial, and professional...

144828 Case Manager, Per Diem Registered Nurse Req #: 0000230634 Category: Case Management Status: Per Diem Shift: Day Facility: Cooperman Barnabas Medical Center Department: Case Management Pay Range: $50.00 - $65.00 per hour Location: 94 Old Short Hills Road, Livingston, NJ 07039 Job Title: Case Manager RN Location: Cooperman Barnabas Medical Ctr Department Name: Case Management Req #: 0000230634 Status: Hourly Shift: Day Pay Range: $50.00 - $65.00 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Summary: The Case Manager Registered Nurse will coordinate discharge planning to reduce LOS and improve throughout adding in financial stability of the organization. Qualifications: Required:...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. Responsibilities: 1. Patient Assessments: a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional...

Job Description Description Description: Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Come join our growing team! Our Skilled Nursing Facility in Rockingham County offers a supportive, team-focused environment where RNs, LPNs, and CNAs can grow their careers while making a meaningful impact. Located near UNC Health Rockingham , part of UNC Health , we benefit from the strength and reputation of a respected regional healthcare network. With competitive compensation, opportunities for advancement, and the advantages of small-town living — including a lower cost of living and short commutes — our facility provides both professional growth and work-life balance. Schedule and Location: Address: 117 East Kings Hwy, Eden, NC 27288 Full Time - Variable shift Summary: Serves as a clinical and...

Job Description Description Description: Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Come join our growing team! Join a trusted healthcare leader dedicated to delivering high-quality skilled nursing and rehabilitation services. Our Raleigh-based facility provides compassionate, patient-centered care in a collaborative environment where clinical excellence and teamwork are valued. We offer competitive pay, comprehensive benefits, opportunities for professional growth, and the chance to make a meaningful impact in patients’ recovery and long-term well-being. Schedule and Location: Address: 4210 Lake Boone Trail, Raleigh, NC 27607 Per Diem -- Schedule requires availability on Saturday nights, 7pm-7am. Summary: Serves as a clinical and management resource for decision making, problem...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center is the place for you! What is the schedule? 40 hrs/week with flexible schedule options available Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs who: Have at least 2 years of RN experience (preferably in Adult Acute Care) Have an interest in driving the discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Would like to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you…apply now! Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing...

locationsIntermountain Health Logan Regional Hospital time typePart time posted onPosted 4 Days Ago time left to applyEnd Date: April 3, 2026 (30 days left to apply) job requisition idR163912 Job Description: 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. Job Specifics Pay Range: $40.39 - $60.96 Non Exempt Benefits Eligible: No FTE: Part time. Shift: Every other weekend...

remote typeHybrid Work locationsSelectHealth - Murray time typeFull time posted onPosted Yesterday time left to applyEnd Date: March 9, 2026 (5 days left to apply) job requisition idR164348 Job Description: Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a multi-disciplinary care team in a collaborative process of assessment, planning, facilitation, navigation, coordination, evaluation and advocacy in order for member to access benefits, resources, and services to meet comprehensive medical, behavioral, and social needs of members while promoting self-management, quality, and cost-effective outcomes. Essential Functions The nurse care manager works...

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley. Learn more about career opportunities on our Careers Page . Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority. Why Join Augusta Health? We believe in taking care of the people who care for our community. That’s why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being, career...