• 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 ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
    LA Care Health Plan (02/24/25)
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  • Utilization Management

    Elevance Health (Miami, FL)
    ** Utilization Management Representative II ** **Location: Onsite in Miami, FL** **Schedule: Monday-Friday 8:30am-5:30pm OR 9am-6pm** **Bilingual in Spanish ... Strongly Preferred** The ** Utilization Management Representative II ** is...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
    Elevance Health (03/20/25)
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  • Social Worker II - Utilization

    Prime Healthcare (Redding, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/196264/social-worker- ii utilization - management ... plan + Outstanding Medical, Dental, Vision coverage + Tuition reimbursement + Nurse Clinical Advancement Program (NCAP) + Many more voluntary benefit options The… more
    Prime Healthcare (02/13/25)
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  • CarePlus - Utilization Management

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (03/21/25)
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  • Medical Review Coordinator II - Sjjil…

    Prime Healthcare (Joliet, IL)
    …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... 5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff. 6.… more
    Prime Healthcare (03/17/25)
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  • Charge Nurse II - Emergency Dept…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Charge Nurse II Department Premium position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, ... to fulfilling the duties and responsibilities of a clinical nurse , the Charge Nurse II ...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (03/21/25)
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  • Registered Nurse II - Medical…

    Northern Light Health (Pittsfield, ME)
    …(minus tax) sign on bonus that is paid out incrementally.** Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (03/19/25)
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  • Registered Nurse II

    Northern Light Health (Ellsworth, ME)
    …& Hospice for at least 90 days (first time rehire only) Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (12/24/24)
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  • Registered Nurse II - Medical…

    Northern Light Health (Pittsfield, ME)
    …$10,000 (minus tax) sign on bonus that is paid out incrementally. Summary:The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (03/19/25)
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  • Charge Nurse II - (Outpatient) OR…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Charge Nurse II Operating Room (OR) Department Premium position is a licensed professional Registered Nurse (RN), who, as an ... to fulfilling the duties and responsibilities of a clinical nurse , the Charge Nurse II ...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (03/16/25)
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  • Registered Nurse II (RN)…

    Houston Methodist (Houston, TX)
    **$5,000 Sign On.** At Houston Methodist, the Registered Nurse (RN) II Float position is a licensed staff nurse , an experienced clinician, functions at the ... to service line or hospital-wide initiatives in partnership with management . The RN II Float will be...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (02/08/25)
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  • Registered Nurse II - BLR

    Northern Light Health (Waterville, ME)
    …completion of probationary period and with signed promissory note. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (03/19/25)
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  • Registered Nurse II - Emergency…

    Northern Light Health (Pittsfield, ME)
    …Department: Emergency Department Work Type: PRN Work Schedule: Variable Summary: The Registered Nurse II is a fully competent practitioner of nursing. The ... Act Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (02/04/25)
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  • TB Field Public Health Nurse (Public Health…

    Fairfax County Sheriff's Office (Fairfax, VA)
    TB Field Public Health Nurse (Public Health Nurse II ) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4853639) Apply  TB Field ... Public Health Nurse (Public Health Nurse II )...having TB disease or latent TB infection. Providing case management , TB health services, coordination of multidisciplinary services, and… more
    Fairfax County Sheriff's Office (03/19/25)
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  • Registered Nurse II

    Northern Light Health (Greenville, ME)
    …PRN Hours Per Week: As Needed Work Schedule: No Hours Assigned Summary : Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... Act, Northern Light Health Standards of Care/Practice, policies, and procedures. The Registered Nurse II is responsible for the delivery of patient care to… more
    Northern Light Health (02/19/25)
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  • Registered Nurse II - North County

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply  REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area. +… more
    The County of Los Angeles (12/29/24)
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  • Registered Nurse II , Acute Care…

    Bassett Healthcare (Cooperstown, NY)
    …and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care ... as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ Certification: Current… more
    Bassett Healthcare (03/18/25)
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  • Registered Nurse I or II (PACT)

    Sea Mar Community Health Centers (Vancouver, WA)
    …and/or using standing orders. + Facilitates emergency referrals according to the utilization management guidelines when the referral coordinator is unavailable. ... the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Registered Nurse I or II (PACT) - Posting #26785 Hourly Rate: $34.63 -… more
    Sea Mar Community Health Centers (03/04/25)
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  • Registered Nurse (RN) II - Charge…

    Houston Methodist (Sugar Land, TX)
    …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act. + Demonstrates proficient time management skills. + Demonstrates ... At Houston Methodist, the Charge Nurse position is a licensed professional Registered ...clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition… more
    Houston Methodist (03/18/25)
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  • REMOTE | Care Manager II Registered…

    AmeriHealth Caritas (Rock Hill, SC)
    …to improve the Member's health status, compliance with treatment plans and promote self- management . The Care Manager II is also responsible for the following: ... complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization and… more
    AmeriHealth Caritas (03/06/25)
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