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Utilization Management RN - Quality & Cost Optimization

Job in Hopewell, Virginia, 23860, USA
Listing for: Capital Health System, Inc.
Full Time position
Listed on 2026-11-05
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 82000 - 107000 USD Yearly USD 82000.00 107000.00 YEAR
Job Description & How to Apply Below

Capital Health seeks an experienced Utilization Management RN to perform chart reviews and admission reviews for Medicare/Medicaid and private pay patients, determining appropriate levels of care per CMS guidelines. You will collaborate with care teams, physicians and payers, participate in daily huddles, and contribute to performance improvement while promoting cost‑effective, high‑quality patient care.

Requires nursing degree and RN license; five years of nursing and three years in

We have an opening for a Utilization Management RN
- Quality & Cost Optimization in Hopewell, VA, United States within Bio & Pharmacology & Health.

Are you ready to take on the Utilization Management RN
- Quality & Cost Optimization role at Capital Health System, Inc.?

We would love to welcome a new Utilization Management RN
- Quality & Cost Optimization to our organisation in Hopewell, VA, United States.

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