• Utilization Management

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
    Crouse Hospital (11/30/24)
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  • Utilization Management

    Wellpath (Fort Lauderdale, FL)
    …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of ... specific deadline posted in the job description. Quick Apply (https://careers-wellpath.icims.com/jobs/172920/ utilization - management - registered - nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help… more
    Wellpath (01/28/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
    Summary The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative ... related degrees. Preferred Experience: Master's prepared Registered Nurse 3 years of Utilization Management... Registered Nurse 3 years of Utilization Management /Chart Review/ Utilization Review experience… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Seattle, WA)
    …throughout the continuum of care. Duties include but not limited to: The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible for ... Summary Registered Nurse (RN) Utilization Management (UM) delivers knowledge-based care to clients while developing technical skills. Assesses, plans,… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Registered Nurse

    Aspen Medical (Aurora, CO)
    JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
    Aspen Medical (01/22/25)
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  • Utilization Management RN

    Ellis Medicine (Schenectady, NY)
    Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
    Ellis Medicine (01/02/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    Summary The Utilization Management (UM) Nurse Manager (NM) is a registered professional nurse responsible for the assessment, planning, provision and ... of utilization management . Responsibilities The Utilization Management (UM) Nurse Manager...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Registered Nurse (RN)…

    Matrix Providers (Aurora, CO)
    Registered Nurse (RN) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Registered Nurse (RN) - Utilization Management to join our team of talented professionals who… more
    Matrix Providers (11/26/24)
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  • Registered Nurse Coordinator…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
    Trinity Health (11/29/24)
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  • Registered Nurse -Access Care-UMC-36…

    Henry Ford Health System (Detroit, MI)
    …clinical experience required. + Previous utilization management or case management experience preferred. + Registered Nurse with a valid, ... evidence-based practice, professional practice standards and the Henry Ford Hospital Professional Nurse Practice Model to drive nursing practice. Thank you for your… more
    Henry Ford Health System (12/03/24)
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  • RN - Manager, Pediatric Utilization

    Centene Corporation (Tallahassee, FL)
    …2+ years supervisory experience preferred. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered ... fresh perspective on workplace flexibility. NOTE: This fully remote oversees utilization management services for Florida's Children's Medical Services.… more
    Centene Corporation (02/01/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Raleigh, NC)
    …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
    Centene Corporation (01/16/25)
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  • Registered Nurse (RN) Case Manager

    Ochsner Health (New Orleans, LA)
    …develop and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC Jefferson Highway PRN ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
    Ochsner Health (01/29/25)
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  • Registered Nurse - Patient…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    …BSN with five years of acute/critical care experience preferred. 3 years of case management , utilization management , disease management , auditing or ... outcomes for discharge. Advocates for fiscal responsibility in the management of care through effective utilization of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Remote Registered Nurse (RN)…

    Ochsner Health (New Orleans, LA)
    …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... members as well as post-acute care and third party payers. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - 1 year… more
    Ochsner Health (02/02/25)
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  • Utilization Management Nurse

    CVS Health (Trenton, NJ)
    …personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization ... include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
    CVS Health (02/02/25)
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  • Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
    LA Care Health Plan (02/01/25)
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  • Utilization Management Nurse

    CVS Health (Montgomery, AL)
    …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
    CVS Health (01/31/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...work Monday through Friday 8:00am to 5pm CST + Utilization management is a 24/7 operation. Work… more
    CVS Health (01/31/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …other internal and external constituents in the coordination and administration of the utilization /benefit management function. + UM Nurse Consultant meets ... needs require + 3+ years of experience as a Registered Nurse + 1+ years of clinical...Friday 8:00am to 5pm in time zone of residence. Utilization Management is a 24/7 operation and… more
    CVS Health (01/31/25)
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