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RN Utilization Management: Care Optimization & Compliance

Job in Bend, Deschutes County, Oregon, 97707, USA
Listing for: St. Charles Health System
Full Time position
Listed on 2026-07-30
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 100464 - 150696 USD Yearly USD 100464.00 150696.00 YEAR
Job Description & How to Apply Below

St. Charles Health System is seeking an RN for Utilization Management to perform pre-admission status reviews, ensure medical necessity, and coordinate with CM, physicians, and payors. The role emphasizes data tracking, denial avoidance, and continuous improvement within regulatory requirements.

The position reports to the Manager of Utilization Management and requires strong collaboration across departments to optimize patient status, outcomes, and payer communications.

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