• Christus Health (San Antonio, TX)
    …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
    job goal (12/13/25)
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  • Alameda Health System (Oakland, CA)
    …background. Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications ... Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning,… more
    job goal (12/08/25)
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  • Swedish Health Services (Renton, WA)
    …beyond three years is contingent upon attaining the BSN degree Upon hire: Washington Registered Nurse License 3 years Registered nursing experience in an ... following details carefully before making any applications. Care Manager RN - Emergency Department @ Swedish First Hill Full...focus on what really matters - our patients. The nurse case manager coordinates the care and service of… more
    Joboru (12/14/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Read on to fully understand what this… more
    Joboru (12/16/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse ... to experience, education, and other business and organizational considerations.Department: Utilization Management - UHFTE: 1.00Full TimeShift: DaysPosition Summary:Responsible for… more
    job goal (12/13/25)
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  • University Health (San Antonio, TX)
    …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
    job goal (12/15/25)
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  • Christian Park Healthcare Center (Escanaba, MI)
    …with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) licensure AANC certification a ... Are you an experienced MDS nurse interested in the next step? The MDS...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator… more
    Joboru (12/16/25)
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  • The Laurels of Fulton (Perrinton, MI)
    …current with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) AANC certification a plus. ... Are you an experienced MDS nurse interested in the next step? The MDS...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator… more
    Joboru (12/16/25)
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  • University Health (San Antonio, TX)
    …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager ... families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification… more
    job goal (12/15/25)
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  • Christus Health (Whitehouse, TX)
    Description CHRISTUS Health is currently seeking a Full-Time Certified Registered Nurse Anesthetist (CRNA) to join the Anesthesia Department at CHRISTUS Mother ... and optional OB (if proficient with epidural and spinal anesthesia). Utilization of new anesthesia equipment, including Digital Mindray Anesthesia Machines, Syringe… more
    job goal (12/15/25)
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  • Christus Health (New Chapel Hill, TX)
    Description Summary: CHRISTUS Health is currently seeking a Full-Time Certified Registered Nurse Anesthetist (CRNA) to join the Anesthesia Department at CHRISTUS ... and optional OB (if proficient with epidural and spinal anesthesia). Utilization of new anesthesia equipment, including Digital Mindray Anesthesia Machines, Syringe… more
    job goal (12/14/25)
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  • Christus Health (Jacksonville, TX)
    Description CHRISTUS Health is currently seeking a Full-Time Certified Registered Nurse Anesthetist (CRNA) to join the Anesthesia Departments at our facilities ... urology, gyn, robotics, plastics, pediatrics, eyes, EP, GI, and OB. Utilization of new anesthesia equipment, including Digital Mindray Anesthesia Machines, Syringe… more
    job goal (12/12/25)
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  • Utilization Management Registered

    Katmai (Fort Carson, CO)
    …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • Registered Nurse Utilization

    McLaren Health Care (Port Huron, MI)
    …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
    McLaren Health Care (11/12/25)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
    Commonwealth Care Alliance (10/02/25)
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  • Registered Nurse ( RN )…

    Dartmouth Health (Lebanon, NH)
    …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total compensation… more
    Dartmouth Health (12/04/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN ...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
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  • RN Utilization Management…

    Trinity Health (Troy, NY)
    …and perceiving our world and that these differences often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - ... St. Peter's Hospital--Full-TIme Days** If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference, this could… more
    Trinity Health (09/30/25)
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  • Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …+ Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management, or compliance experience ... denials management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a Registered Nurse in the state of North Carolina. **Job… more
    UNC Health Care (11/20/25)
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  • Registered Nurse RN

    HCA Healthcare (Kansas City, MO)
    …nurses at Research Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Interventional Radiology you can be a part of ... improve positive outcomes for your patients as a (an) Registered Nurse RN Interventional Radiology....most compassionate way. A Diagnostic Imaging Registered Nurse provides patient care through utilization of… more
    HCA Healthcare (12/05/25)
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