Job Tittle: RN Case Manager (Utilization Review) Location: Bakersfield, CA 93306 Schedule: Monday-Friday, 8:00 AM - 4:30 PM (Day Shift) with rotating weekend coverage Duration: 13 weeks+ | 40hr/week ...
Job Tittle: RN Case Manager (Utilization Review) Location: Bakersfield, CA 93306 Schedule: Monday-Friday, 8:00 AM - 4:30 PM (Day Shift) with rotating weekend coverage Duration: 13 weeks+ | 40hr/week ...
Registered Nurse Case Manager / Utilization Review Nurse Calling all Registered Nurse Case Managers ... Take advantage of flexible hours, a competitive salary, and be a RN Case Manager with one of the ...
Registered Nurse Case Manager / Utilization Review Nurse Calling all Registered Nurse Case Managers ... Take advantage of flexible hours, a competitive salary, and be a RN Case Manager with one of the ...
RN Case Manager Lead
Naples, FL ยท On-site
The RN Case Manager Lead will act as a resource for the RN Case Managers while ensuring the ... complex case review. โข Promotes and fosters a collaborative, supportive and efficient team ...
RN Case Manager Lead
Naples, FL ยท On-site
The RN Case Manager Lead will act as a resource for the RN Case Managers while ensuring the ... complex case review. โข Promotes and fosters a collaborative, supportive and efficient team ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse Case Manager ID: 1500 Location: Colchester, VT. Facility: Vermont Army National ... Review and reconcile hardcopy and electronic case information for file completeness. * Communicate ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse Case Manager ID: 1500 Location: Colchester, VT. Facility: Vermont Army National ... Review and reconcile hardcopy and electronic case information for file completeness. * Communicate ...
Travel RN -Case Management Utilization Review
$1.9K - $2.5K/wk
Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks ...
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Travel RN -Case Management Utilization Review
$1.9K - $2.5K/wk
Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks ...
Registered Nurse, Case Manager
Rome, NY ยท On-site
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
Rome, NY ยท On-site
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
Auburn, NY ยท On-site
$75K - $87K/yr
What Youll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
Auburn, NY ยท On-site
$75K - $87K/yr
What Youll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
Rome, NY ยท On-site
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Registered Nurse, Case Manager
Rome, NY ยท On-site
$75K - $87K/yr
What You'll Do as an Adult RN Case Manager Provide high-quality nursing care to adult patients ... Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87 ...
Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks ...
Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks ...
... Complex Case Review * Screens patients for factors that may affect the progression of care and ... Registered Nurse (RN) Manager - Case Management
... Complex Case Review * Screens patients for factors that may affect the progression of care and ... Registered Nurse (RN) Manager - Case Management
We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a Fortune 500 Healthcare organization. Take advantage of flexible hours, a competitive salary, and be a n RN ...
We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a Fortune 500 Healthcare organization. Take advantage of flexible hours, a competitive salary, and be a n RN ...
Registered Nurse Case Manager Lead ID: 1502 Location: Colchester, VT. Facility: Vermont Army ... Review and reconcile hardcopy and electronic case information for file completeness. * Communicate ...
Registered Nurse Case Manager Lead ID: 1502 Location: Colchester, VT. Facility: Vermont Army ... Review and reconcile hardcopy and electronic case information for file completeness. * Communicate ...
Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week
Paramount, CA ยท On-site
$2.2K/wk
AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel ... salary--but the perks don't stop there. There are many additional benefits to enjoy, including:
Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week
Paramount, CA ยท On-site
$2.2K/wk
AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel ... salary--but the perks don't stop there. There are many additional benefits to enjoy, including:
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) - Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) - Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
Quick apply
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) - Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
Registered Nurse Case Manager
Colchester, VT ยท On-site
Registered Nurse (RN) Case Manager Vermont Army National Guard (VTARNG) - Non-Clinical Case ... Review and reconcile hardcopy and electronic case records to ensure completeness and accuracy prior ...
RN Case Manager Supervisor
Denton, TX ยท On-site
$7.5K - $8.8K/mo
Monthly Salary Group: TEXAS-B-24 Shift: Day Additional Shift: Days (First) Telework: Not Eligible ... Performs audits and chart reviews. Oversees the interaction of the RN Case Managers with ...
RN Case Manager Supervisor
Denton, TX ยท On-site
$7.5K - $8.8K/mo
Monthly Salary Group: TEXAS-B-24 Shift: Day Additional Shift: Days (First) Telework: Not Eligible ... Performs audits and chart reviews. Oversees the interaction of the RN Case Managers with ...
Salaried Rn Case Review information
See salary details
$19.23 - $24.76
3% of jobs
$24.76 - $30.29
6% of jobs
$35.30 is the 25th percentile. Wages below this are outliers.
$30.29 - $35.82
17% of jobs
$35.82 - $41.35
20% of jobs
The median wage is $42.45 / hr.
$41.35 - $46.88
16% of jobs
$46.88 - $52.40
11% of jobs
$53.59 is the 75th percentile. Wages above this are outliers.
$52.40 - $57.93
7% of jobs
$57.93 - $63.46
6% of jobs
$63.46 - $68.99
5% of jobs
$68.99 - $74.52
4% of jobs
$74.52 - $80.05
3% of jobs
$19
$47
$80
How much do salaried rn case review jobs pay per hour?
How to make $300,000 a year as a nurse?
How to make 150,000 as a nurse?
What is the difference between Salaried Rn Case Review vs Registered Nurse Case Manager?
| Aspect | Salaried Rn Case Review | Registered Nurse Case Manager |
|---|---|---|
| Credentials | RN license, certification in case review or utilization management often preferred | RN license, certification in case management (e.g., CCM) often required |
| Work Environment | Primarily remote or office-based, focusing on reviewing medical records and cases | Hospital, clinic, or insurance settings, involving direct patient interaction and coordination |
| Employer & Industry Usage | Insurance companies, healthcare organizations, utilization review firms | Hospitals, healthcare providers, insurance companies |
While both roles require RN licensure and focus on patient care, Salaried Rn Case Review primarily involves reviewing cases remotely for insurance or healthcare organizations, whereas Registered Nurse Case Managers often work directly with patients and coordinate care in clinical settings.
How to make an extra $2000 a month as a nurse?
What job makes $10,000 a month without a degree?
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Job description
Location: Bakersfield, CA 93306
Schedule: Monday-Friday, 8:00 AM - 4:30 PM (Day Shift) with rotating weekend coverage
Duration: 13 weeks+ | 40hr/week
Job Summary
We are seeking an experienced Registered Nurse (RN) - Case Management / Utilization Review to support care coordination, utilization management, discharge planning, and reimbursement compliance in an acute care setting. The ideal candidate will have strong experience reviewing medical necessity, coordinating patient care transitions, and ensuring adherence to payer and regulatory requirements.
Key Responsibilities
- Perform utilization review for inpatient admissions and continued stays to determine medical necessity and appropriate level of care.
- Review and evaluate medical records to ensure required documentation is complete and compliant with payer requirements.
- Collaborate with physicians, nursing staff, case managers, and interdisciplinary teams regarding patient care plans and discharge needs.
- Develop, coordinate, and document effective discharge plans to support safe patient transitions.
- Identify reimbursement, authorization, and payer-related issues and facilitate appropriate resolutions.
- Coordinate care services and resource utilization to promote efficient and cost-effective patient care.
- Review elective procedures and specialized services to ensure proper authorization and reimbursement eligibility.
- Educate providers regarding documentation requirements, prior authorizations, reimbursement guidelines, and regulatory compliance.
- Maintain knowledge of payer regulations, reimbursement policies, disease processes, and treatment modalities.
- Assist with training and mentoring staff as needed.
- Participate in quality improvement initiatives and other assigned duties.
Required Qualifications
- Active California Registered Nurse (RN) License.
- Current American Heart Association (AHA) Basic Life Support (BLS) Certification.
- Minimum two (2) years of acute care RN experience.
- At least one (1) year of Medical-Surgical nursing experience.
- One (1) year of Utilization Review and/or Discharge Planning experience in an acute care hospital.
- Two (2) years of Case Management experience in a clinic, physician office, or similar healthcare setting performing utilization review and discharge planning functions.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996