• Utilization Management

    CVS Health (Salt Lake City, UT)
    …Qualifications** + Direct clinical experience in a hospital setting or prior Utilization Management experience. **Education** + RN , Bachelor's degree ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
    CVS Health (11/01/24)
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  • Behavioral Health Clinician

    Molina Healthcare (Bowling Green, KY)
    …OF KENTUCKY or COMPACT licensure is required for this role. We can consider a RN ( Registered Nurse ), LCSW, LMFT, or LPCC._** **_WORK SCHEDULE: SUNDAY thru ... **_For this position we are seeking a Registered Nurse or Licensed Social Worker with PSYCH / BH Utilization Review / Utilization Management and… more
    Molina Healthcare (10/12/24)
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  • Care Review Clinician , Prior Auth…

    Molina Healthcare (Las Vegas, NV)
    **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / ... for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of… more
    Molina Healthcare (10/09/24)
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  • Registered Nurse ( RN ) II…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Registered Nurse ( RN ) PRN position is a licensed staff nurse , an experienced clinician , functions at the Competent to ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (11/01/24)
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  • Registered Nurse ( RN ) II…

    Houston Methodist (Sugar Land, TX)
    Nurse position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician , functions at the Competent to Proficient stage ... progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act. + Demonstrates proficient time management more
    Houston Methodist (09/14/24)
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  • Clinic Specialty Registered Nurse

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Clinic Specialty Registered Nurse ( RN ) position is responsible for functioning as an advanced clinician at the Proficient level ... years in specialty **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (10/23/24)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Midlothian, VA)
    …to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Clinical Trial-Oncology - St. Francis - ... cardiology step down or critical care experience as a Registered Nurse + Experience within a physician...*Benefits offerings vary according to employment status The Research Nurse is a competent clinician who utilizes… more
    Bon Secours Mercy Health (09/06/24)
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  • Registered Nurse ( RN )…

    University of Virginia (Charlottesville, VA)
    …to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, ... A dynamic professional clinician focused on population management with...of relevant experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.… more
    University of Virginia (10/26/24)
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  • Rapid Response Registered Nurse

    Emory Healthcare/Emory University (Atlanta, GA)
    …Wellness incentives + Ongoing mentorship, _development,_ and leadership programs **Description** **Rapid Response Registered Nurse / RN ** 7p - 7:30am / Full ... Hours per week Emory University Hospital The (RUN) Resource Utilization Nurse is primarily responsible for supporting...nurse may assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
    Emory Healthcare/Emory University (09/13/24)
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  • Registered Nurse ( RN )…

    University of Virginia (Charlottesville, VA)
    As a Registered Nurse on 5 Central, you have an opportunity to work on a 28-bed high-acuity, medical-surgical acute care unit that specializes in post-operative ... Central are 1:4 with a free floating charge. . Utilization of cardiac monitoring, capnography, wound management ...of relevant experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.… more
    University of Virginia (09/20/24)
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  • Utilization Review Clinician

    Centene Corporation (Baton Rouge, LA)
    …+ Licensed Marital and Family Therapist (LMFT + Licensed Mental Health Professional (LMHP) + RN - Registered Nurse - State Licensure and/or Compact State ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
    Centene Corporation (09/12/24)
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  • Charge Registered Nurse III

    Houston Methodist (Houston, TX)
    RN III Charge role is a licensed professional Registered Nurse ( RN ), who, as an advanced clinician , functions at the Proficient stage of Benner's ... in specialty preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (09/17/24)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Tallahassee, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (09/19/24)
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  • Senior Staff Registered Nurse

    Houston Methodist (Houston, TX)
    …with making programming changes and notifying physicians. At Houston Methodist, the Sr Staff Registered Nurse ( RN ) position is responsible for functioning as ... in specialty preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (09/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Lexington, KY)
    **CARE REVIEW CLINICIAN INPATIENT REVIEW REGISTERED NURSE...a Registered Nurse with previous Utilization Review / Utilization Management ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
    Molina Healthcare (10/17/24)
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  • LTSS Service Coordinator- RN

    Elevance Health (Knoxville, TN)
    …field position 4-5 days per week** The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the scope of ... **LTSS Service Coordinator - RN Clinician ** **Location: Knoxville and Oak...face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
    Elevance Health (10/18/24)
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  • HCSS Neonatal Intensive Care Registered

    UTMB Health (Galveston, TX)
    HCSS Neonatal Intensive Care Registered Nurse **Galveston, Texas, United States** **Hot** 1 additional location United States Nursing & Care Management ... to utilize these methods + Demonstrates flexibility in time management to manage changing patient priorities; coaches and supports...in high stress situations + Functions as an experienced Nurse Clinician who leads working effectively with… more
    UTMB Health (10/21/24)
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  • LTSS Service Coordinator- RN

    Elevance Health (Memphis, TN)
    **LTSS Service Coordinator - Clinician ** **Location: Shelby, Tipton and Fayette Counties** **This is a field position 4-5 days per week** **$2500 Sign On Bonus** ​ ... **LTSS Service Coordinator - Clinician ** this role will be working under the direction/supervision...role will be working under the direction/supervision of an RN , with overall responsibility for the member's case, as… more
    Elevance Health (10/02/24)
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  • HCSS Pediatric Intensive Care Unit…

    UTMB Health (Galveston, TX)
    HCSS Pediatric Intensive Care Unit Registered Nurse **Galveston, Texas, United States** **New** 1 additional location United States Nursing & Care Management ... in assigned specialty population. Serves as a resource for Nurse Clinician I or II. Can manage...to utilize these methods . Demonstrates flexibility in time management to manage changing patient priorities; coaches and supports… more
    UTMB Health (10/31/24)
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