iMPROve Health: Nonprofit healthcare quality-improvement and medical-review organization serving providers, payers, and government healthcare programs nationwide.
3+ YOEActive unrestricted Michigan RN license; LTC/LTSS and UR/UM experience required; 3-5 years combined experience; bachelor's in nursing preferred; experience with EHR, Microsoft Office, and remote work.
Microsoft Teams, Microsoft Outlook, Microsoft Word, Microsoft Excel, Electronic Health Records
University of Tennessee Medical Center: Academic medical center providing patient care, research, and education.
Current Tennessee RN license and BSN required; utilization review experience preferred; ability to collaborate with physicians and interdisciplinary teams.
Northwest Hospital: Nonprofit community hospital serving Baltimore County and surrounding Maryland communities as part of LifeBridge Health.
5+ YOEBSN required from CCNE accredited schools (waived for current LBH UR/CC/PCI/RN Case Manager employees); RN license; 5-7 years experience; UR experience required.
UR Bed Planner RN-Nursing Throughput Part Time Evenings
Palos Heights, Illinois, United States
$41-$65/hrOnsitePart Time
Northwestern Medicine Palos Hospital: Nonprofit 425-bed hospital providing medical care to Chicago’s south and southwest suburbs.
2+ YOEActive Illinois RN license, Bachelor of Science in Nursing, 2-5 years hospital patient care experience, critical thinking, ability to work with minimal supervision, and experience in admissions, utilization review, discharge planning, or case management.
Auburn Community Hospital: An independent, non-profit acute care hospital serving the Finger Lakes region.
3+ YOECurrent NY RN license, 3+ years acute care experience, EMR proficiency, knowledge of federal/state standards, strong communication and critical thinking. BSN preferred.
Medata: Provides cost-management software and services for insurance carriers, self-insured companies, TPAs, and public entities.
2+ YOEActive unrestricted clinical license (RN, LVN, LPN); 2+ years direct patient care; 1+ year utilization review experience; knowledge of workers' compensation, medical guidelines (ODG, Interqual, Milliman, ACOEM), ICD10, CPT codes; MS Word/Excel; ability to work independently.
Ambulatory UR Medicine Complex Care Center, Registered Nurse level 2
Rochester, New York, United States
$39-$52/hrOnsiteFull Time
University of Rochester: Private research university and academic medical center.
1+ YOERequires an RN with 1–2 years of nursing experience preferred, BLS certification, strong assessment and communication skills, and the ability to coordinate complex outpatient care collaboratively.
Victor Valley Global Medical Center: Private 101-bed acute care hospital serving High Desert patients with inpatient, outpatient, emergency, surgical, and maternal care.
Current RN California License, current BLS, one year UR experience in acute care preferred.
Universal Health ServicesNYSE: UHS: A leading provider of hospital and healthcare services.
3+ YOEMasters level education/MSW, RN license in Pennsylvania, LSW/LSCW licensure, 3+ years behavioral health experience, knowledge of behavioral mental health and nursing practices, strong communication and leadership skills, computer proficiency.
Rising Medical Solutions: Medical cost-containment and managed-care services firm serving workers’ compensation, auto, liability, and group-health payers.
3+ YOEAssociate's or Bachelor's in Nursing; active RN license; 3-5 years clinical practice or 2 years case management/UR experience; knowledge of CPT, ICD-9/10, Medicare guidelines; Microsoft Word, Excel, Outlook.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Alliant Health Solutions: Nonprofit healthcare professional-services organization serving public and private partners through care management, quality improvement, and program integrity.
3+ YOEActive Georgia RN license required; Bachelor's in nursing preferred; 3-5 years adult medicine clinical experience required; Medicaid/UR/case management experience preferred; Microsoft Office and internet proficiency; must be able to travel as needed.
Riverside Healthcare: Integrated health system providing comprehensive care in Illinois.
3+ YOE3+ years clinical experience in Emergency Department; graduate of approved nursing school; current Illinois RN license; BSN required within 3 years for new grads; EHR and utilization review software proficiency; InterQual/MCG knowledge preferred.
Electronic Health Record (EHR), utilization review software, InterQual, MCG
Froedtert Health: An academic medical and regional health network in Wisconsin.
5+ YOEBachelor's degree required; current Wisconsin RN license or multi-state NLC license; 5 years acute nursing or nursing with denials/appeals experience; knowledge of ICD-10 coding guidelines; technical writing and analytical skills.
Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ
Pennington or Hopewell
$39-$51/hrOnsiteFull Time
Capital Health: A regional non-profit health system in New Jersey.
5+ YOEAssociate's degree in nursing, RN license in NJ, 5 years clinical nursing and 3 years quality management/utilization review/discharge planning experience, basic computer skills with Microsoft Office, UR software, EMR, and MCG guidelines.
Microsoft Office, UR software, EMR, MCG guidelines
UR- Case Manager (LVN) – Psych Hospital – Glendora
Glendora, California, United States
$26-$33/hrOnsiteFull Time
Glendora Hospital: Private inpatient psychiatric hospital providing behavioral health and partial-hospitalization services to adults aged 18 and older.
LVN license required; experience in case management and knowledge of HIPAA; ability to coordinate care, communicate with providers, and maintain accurate records.
MercyOne: Connected health system providing patient care across Iowa.
5+ YOECurrent Iowa RN license, 5+ years clinical nursing experience, knowledge of utilization review and payer rules, strong clinical judgment and communication; UR certification preferred.
Renown Health: Non-profit integrated health network serving northern Nevada.
1+ YOERegistered Nurse licensure in Nevada required; one year RN experience preferred. Case management, post-acute, UR/QA experience and CCM or ACM certification preferred. English and Microsoft Office proficiency required.
Microsoft Office Suite, Microsoft Outlook, Microsoft PowerPoint, Microsoft Teams, Microsoft Excel, Microsoft Word, Electronic Medical Record (EMR), InterQual
UNC Health Lenoir: Nonprofit community hospital serving patients in Kinston and surrounding eastern North Carolina counties.
3+ YOERequires nursing or medical social work education, 3–4 years of healthcare experience, and applicable RN, LPN, social work, QA/UR, or InterQual credentials. Case manager certification required within 5 years.
Heritage Valley Health System: Nonprofit healthcare system providing hospital, emergency, diagnostic, and outpatient care in Pennsylvania, eastern Ohio, and West Virginia.
3+ YOEGraduate of accredited nursing school with current Pennsylvania RN license; BLS certification; valid PA driver's license; 3+ years psychiatric setting experience; case management, UR, or discharge planning experience; clearances per HR policy.
MedStar Health: Non-profit healthcare system serving Maryland and the D.C. region.
3+ YOEAssociate's degree in nursing required, Bachelor's preferred; 3+ years acute care experience required, 2 years case management/UR preferred; RN license in DC or Maryland required; CCM preferred; must work 4 weekend shifts/month and train in-person.