• Utilization Review RN

    AdventHealth (Glendale Heights, IL)
    …+ Behavioral Health RN experience strongly preferred + Experience in utilization review strongly preferred + Registered Nurse credentialed from ... health care services regarding admissions, case management, discharge planning and utilization review for Behavioral Health **The value you'll bring to… more
    AdventHealth (01/22/25)
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  • Utilization Review Clinician…

    Centene Corporation (New York, NY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (01/23/25)
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  • Utilization Management Behavioral

    Humana (Columbus, OH)
    …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... customers and stakeholders. **Preferred Qualifications** + Experience with utilization review process. + Experience with behavioral change, health promotion,… more
    Humana (11/13/24)
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  • Supervisor, Behavioral Health…

    Centene Corporation (Tallahassee, FL)
    …candidates must reside in the State of Florida **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure ... of BH utilization management team. + Monitors behavioral health (BH) utilization review ...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
    Centene Corporation (01/23/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... benefits may vary by location._ We are seeking a Registered Nurse RN Case Manager...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
    HCA Healthcare (01/09/25)
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  • Registered Nurse RN PACU PRN

    HCA Healthcare (Houston, TX)
    …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
    HCA Healthcare (11/01/24)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …your career path, we encourage you to apply for our Case Manager Registered Nurse RN PRN opening. We review all applications. Qualified candidates will ... you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (12/24/24)
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  • Registered Nurse RN Case…

    HCA Healthcare (Webster, TX)
    …personal growth, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (12/15/24)
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  • Registered Nurse RN Radiology

    HCA Healthcare (Kansas City, MO)
    …you, we encourage you to apply for our Registered Nurse RN Radiology opening. Our team will promptly review your application. Highly qualified candidates ... colleagues in their positions. Join our Team as a(an) Registered Nurse RN Radiology and...most compassionate way. A Diagnostic Imaging Registered Nurse provides patient care through utilization of… more
    HCA Healthcare (01/10/25)
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  • Registered Nurse RN PACU…

    HCA Healthcare (Pasadena, TX)
    …career path, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (11/06/24)
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  • Registered Nurse RN Endoscopy

    Banner Health (Mesa, AZ)
    …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
    Banner Health (01/04/25)
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  • Registered Nurse Case Manager-Child…

    Hackensack Meridian Health (Maywood, NJ)
    …our mission to transform healthcare and serve as a leader of positive change. The ** Registered Nurse Care Manager** is a member of the healthcare team and is ... services. **Responsibilities** A day in the life of a ** Registered Nurse Care Manager** at **Hackensack Meridian**...detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Provides Important Message,… more
    Hackensack Meridian Health (01/03/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Las Cruces, NM)
    …federal, state or local law. **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Discharge Planner - Full ... resources in the development of care, discharge planning and Utilization Review . * Utilization Management...is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or… more
    LifePoint Health (01/22/25)
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  • RN ( Registered Nurse

    Molina Healthcare (Reno, NV)
    …Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or… more
    Molina Healthcare (12/06/24)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Richmond, VA)
    …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Physician Office - Bon Secours - ... Cardiology, Reynolds - Richmond, VA** **_Are you an RN with Oncology experience? If you have any interest...cardiology step down or critical care experience as a Registered Nurse + Experience within a physician… more
    Bon Secours Mercy Health (01/22/25)
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  • Registered Nurse Case Manager…

    Prime Healthcare (Weslaco, TX)
    …#registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/ registered - nurse -case-manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work Experience Required qualifications: 1. BSW or other Bachelor ( RN ) degree in a related field. At least one… more
    Prime Healthcare (01/07/25)
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  • Behavioral Health Admissions Coordinator…

    Trinity Health (Muskegon, MI)
    … health care to ensure reimbursement for care and will work with utilization review , insurance companies, and community mental health agencies to obtain ... Full time **Shift:** Night Shift **Description:** **Position Summary** As the Behavioral Health Admissions Coordinator, he/she participates in all aspects of the… more
    Trinity Health (01/03/25)
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  • UM Registered Nurse Care…

    Molina Healthcare (Manhattan, NY)
    …disabled people who are eligible for Medicaid and Medicare. We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. ... Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational...field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required… more
    Molina Healthcare (01/18/25)
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  • Registered Nurse Emergency…

    HCA Healthcare (Conroe, TX)
    …growth, we encourage you to apply for our Registered Nurse RN Emergency Department PRN opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a(an) Registered Nurse RN Emergency Department...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
    HCA Healthcare (12/06/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Mckinney, TX)
    …City McKinney we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager PRN and access programs to assist with every stage ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and… more
    HCA Healthcare (01/17/25)
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