• Southern New Hampshire Health (East Pepperell, MA)
    …from within! Job Description: SIGN ON BONUS UP TO $15,000 Recent ED experience as a Registered Nurse required REGISTERED NURSE - EMERGENCY DEPARTMENT Who ... the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area....the Patient Care Services team, the Emergency Services (ES) Registered Nurse cares for pediatric and adult… more
    JobGet (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Elliot Health System (Amherst, NH)
    …of an accredited school of nursing. Bachelors of Science in Nursing preferred. New Hampshire Registered Nurse or Compact State Registered Nurse License. ... Urgent Care RN Resource Nurse - River's Edge Who...function as an integral member of the Urgent Care management team and will work as part of a collaborative… more
    JobGet (03/14/25)
    - Save Job - Related Jobs - Block Source
  • Southern New Hampshire Health (Nashua, NH)
    …organizational goals. Who You Are: Graduate from an accredited school of nursing (BSN required) Registered Nurse , licensed in the state of NH Minimum of two (2) ... CLINICAL TEACHER / NURSE EDUCATOR - EMERGENCY DEPARTMENT Who We Are:...the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area.… more
    JobGet (03/14/25)
    - Save Job - Related Jobs - Block Source
  • Elliot Health System (Londonderry, NH)
    Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes great pride ... in serving their community, patients, and families. Our Nurse Case Managers observe best practices and strive to...patients, but are seeking a change, please consider Case Management ! We will do on the job training for… more
    JobGet (03/08/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Reviewer…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
    Excellus BlueCross BlueShield (03/05/25)
    - Save Job - Related Jobs - Block Source
  • Supervisor, Behavioral Health Utilization

    Centene Corporation (Cheyenne, WY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization more
    Centene Corporation (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Supervisor, Centralized Utilization

    Sharp HealthCare (San Diego, CA)
    …Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... You Will Do** Supervisory responsibility for the acute care utilization management team. This position supervises, provides...in a hospital and/or Managed Care setting. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management

    Crouse Hospital (Syracuse, NY)
    …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
    Crouse Hospital (02/07/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Lansing, MI)
    …include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical...residence with 6 weekends per year with rotating Holidays. Utilization management is a 24/7 operation. Work… more
    CVS Health (03/12/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
    McLaren Health Care (03/08/25)
    - Save Job - Related Jobs - Block Source
  • Market Director of Utilization

    Ascension Health (Nashville, TN)
    **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint Thomas + **Location:** ... TN market. We're looking for an experienced Director of Utilization Management to join our team! In...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more
    Ascension Health (01/24/25)
    - Save Job - Related Jobs - Block Source
  • Care Coordinator, Utilization

    Hackensack Meridian Health (North Bergen, NJ)
    …transform healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management ** is a member of the healthcare team and is ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
    Hackensack Meridian Health (02/06/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (02/24/25)
    - Save Job - Related Jobs - Block Source
  • RN Clinical Care Reviewer,…

    AmeriHealth Caritas (Newtown Square, PA)
    …Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. + An active Registered Nurse ( RN ) license in good standing or compact state ... Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services,… more
    AmeriHealth Caritas (03/12/25)
    - Save Job - Related Jobs - Block Source
  • Integrated Care Management Assistant…

    McLaren Health Care (Detroit, MI)
    …observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that ... in applying the principles, methods, materials, and equipment necessary inproviding utilization management services. + Demonstrated expertise in utilization more
    McLaren Health Care (01/13/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Assistant

    Catholic Health Initiatives (Little Rock, AR)
    …developmentMatching 401(k) and 457(b) Retirement ProgramsWellness Programs The CommonSpirit Utilization Management Assistant receives, processes, facilitates and ... ensure the accurate submission of clinical documentation to third party payers. The Utilization Management Assistant supports the Utilization Management more
    Catholic Health Initiatives (03/07/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager ( RN ), Utilization

    Children's Hospital Boston (Boston, MA)
    … Review Nurse will be responsible for: + Completing Utilization Management Clinical Reviews including: reviewing hospital admissions and continued ... 78753BRJob Posting Title:Case Manager ( RN ), Utilization ManagementDepartment:Patient Services-Patient Care OperationsAutoReqId:78753BRStatus:Full-TimeStandard… more
    Children's Hospital Boston (03/05/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Jefferson City, MO)
    … function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of residence ... + Must be willing and able to work 9:00am to 6:00pm CST/EST; Utilization Management is a 24/7 operation and work schedule will include weekends, holidays and… more
    CVS Health (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Clinical…

    CVS Health (Phoenix, AZ)
    …time zone. No weekends, holidays are required. **Preferred Qualifications** : + Utilization management experience + Clinical experience in Emergency Department, ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...practice experience + Must have a active and unrestricted RN Licensure in the state of Arizona or Compact… more
    CVS Health (03/06/25)
    - Save Job - Related Jobs - Block Source