Utilization Management RN Jobs

Join the University of Rochester as a Utilization Management RN. This role requires an NYS RN license, an Associate's degree, and 3 years of acute hospital experience. You will review clinical documentation for medical necessity, collaborate across departments, and work with payers. Experience wi...

Seeking an experienced Utilization Management RN II in Los Angeles. This role involves real-time clinical review of inpatient admissions and transfers, ensuring medical necessity and appropriate level of care. Requires 7+ years of acute hospital experience and UM expertise. We offer full benefits...

Seeking a Utilization Management Nurse Specialist RN II in Los Angeles. This role requires an active California RN license, 5+ years of acute care experience, and 2+ years in UM/CM. You will coordinate referrals, perform admission reviews, and develop discharge plans. We offer comprehensive benef...