• Williamson Health (Murfreesboro, TN)
    …employer and a drug-free workplace. POSITION SUMMARY To perform the activities of Case Management and Utilization Management to facilitate the collaborative ... with the multidisciplinary health care team, focusing on resource management and discharge planning. Performs timely review ...currently licensed by the State of Tennessee as a Registered Nurse . Emergency Room and or Critical… more
    Appcast IO CPA (12/08/25)
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  • ChristianaCare (Newark, DE)
    …plan. Social Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and ... RN Case Manager - Weekender - Day Shift...throughout the care continuum and discharge planning. The Care Management Model: Our Care Management Triad Team… more
    Appcast IO CPA (12/08/25)
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  • Aveanna Healthcare (Birmingham, AL)
    Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice patients, as ... of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as...Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama… more
    Appcast IO CPA (11/18/25)
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  • Valley Health System Consolidated Services (Las Vegas, NV)
    …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
    Appcast IO CPA (11/25/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
    Joboru (12/08/25)
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  • Valley Health System Consolidated Services (Las Vegas, NV)
    …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
    Appcast IO CPA (10/10/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
    Joboru (12/08/25)
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  • Houston Methodist Baytown Hospital (New Orleans, LA)
    …of those years with people management experience LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Director Nursing position is responsible for the 24/7 management of the assigned nursing units and departments in terms of the quality of… more
    Appcast IO CPA (12/03/25)
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  • Houston Methodist Specialty Physician Group (Webster, TX)
    …assigned patient population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
    Appcast IO CPA (09/23/25)
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  • Greenspring Village by Erickson Senior Living (Springfield, VA)
    …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the...term care, assisted living or hospital) is required. Current Registered Nurse license for the state in… more
    Appcast IO CPA (12/07/25)
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  • Houston Methodist Hospital (Houston, TX)
    …Previous transplant acute care and/or ICU experience preferred LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
    Appcast IO CPA (10/14/25)
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  • Houston Methodist Specialty Physician Group (Houston, TX)
    …medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
    Appcast IO CPA (11/13/25)
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  • Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
    …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... Salary based on experience** What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). Experience with an electronic medical… more
    Appcast IO CPA (12/05/25)
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  • Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
    …as a psychiatric nurse . 1-2 years-experience in behavioral health utilization review preferred. AGENCY SUMMARY: Bluestone is seeking dynamic healthcare ... timely response to emails and other communications relating to utilization review . Prepare and submit appeals utilizing...tracking as needed. Perform all duties of the Psychiatric Nurse ( RN /LPN) role as needed or when… more
    Appcast IO CPA (12/01/25)
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  • University Health (Boerne, TX)
    …Three years recent, full time hospital experience preferred. Work experience in case management , utilization review , or hospital quality assurance experience ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
    Joboru (12/08/25)
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  • University Health (Pleasanton, TX)
    …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
    Joboru (12/08/25)
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  • University Health (Pleasanton, TX)
    …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or… more
    Joboru (12/08/25)
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  • Greenspring Village by Erickson Senior Living (Springfield, VA)
    …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... of up to 8%. What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). Experience with an electronic medical… more
    Appcast IO CPA (12/04/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCES ... experience, education, and other business and organizational considerations. Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary:… more
    Joboru (12/08/25)
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  • MVP Health Care (Rochester, NY)
    …Master's prepared and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required New York State license required ... The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance...adolescents, with at least 2 years being ASD related Utilization or Case Management experience in a… more
    Appcast IO CPA (11/17/25)
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