• Care Manager, Registered Nurse

    Sharecare (Salt Lake City, UT)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (02/17/25)
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  • Clinical Appeals Nurse (RN): Texas…

    Molina Healthcare (Layton, UT)
    …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical more
    Molina Healthcare (02/09/25)
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  • Registered Nurse (Maternity Care…

    Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... understanding of the rationale for care processes and decisions. Questions clinical practices for the purpose of providing evidence-based care. Demonstrates the… more
    Veterans Affairs, Veterans Health Administration (03/05/25)
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  • Manager, Utilization Management Registered

    Humana (Salt Lake City, UT)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of… more
    Humana (03/12/25)
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  • Associate Clinical Nurse Editor,…

    RELX INC (Salt Lake City, UT)
    Associate Clinical Nurse Editor, eLearning Do you excel in validating the clinical accuracy and relevance of point-of-care and educational materials? Would ... evidence integration into content About the role The Associate Clinical Nurse Editor for eLearning plays a...eLearning leadership team. Requirements + Have an unencumbered licensed Registered Nurse and bachelor's degree in nursing… more
    RELX INC (02/07/25)
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  • Clinical Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …appeals.Represent clients at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our hospital… more
    R1 RCM (03/12/25)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
    R1 RCM (02/19/25)
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  • Manager, HCS Clinical Policy - Medicare…

    Molina Healthcare (Orem, UT)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... **Job Description** **Job Summary** Develops clinical policies to ensure that patients progress toward... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license… more
    Molina Healthcare (02/14/25)
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  • Manager, Clinical Policy HCS…

    Molina Healthcare (UT)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... **Job Summary** Develops clinical and administrative policies and processes for the... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license… more
    Molina Healthcare (03/04/25)
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  • Clinical Consultant, MI

    Fujifilm (Salt Lake City, UT)
    …where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via ... **Position Overview** The Clinical Consultant, MI - I shall be responsible...experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath,… more
    Fujifilm (02/12/25)
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  • Sr Clinical Consultant, Cardio

    Fujifilm (Salt Lake City, UT)
    … Nuclear Medicine Technologist experience in: + MPI + MUGA + PET + Registered Nurse Cardiac experience in: + Cath, Peripheral Angiography, Electrophysiology Lab ... **Position Overview** The Senior Clinical Consultant, Cardiology shall be responsible for providing...and standards. **Qualifications:** + Advanced Cardiac Sonographer. Technologist or Nurse + 5+ years of progressive experience in medical… more
    Fujifilm (02/19/25)
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  • Remote Program Manager, HCS - RN…

    Molina Healthcare (Layton, UT)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... and Eastern time zones. While the position is fully remote , working from home, there will be 25% or...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more
    Molina Healthcare (03/04/25)
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  • Telephonic Case Manager RN ( Remote )

    Molina Healthcare (Midvale, UT)
    **JOB DESCRIPTION** We are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT This position will ... members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care...fast-paced position and productivity is important. This is a Remote position, home office with internet connectivity of high… more
    Molina Healthcare (03/06/25)
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  • Manager, Healthcare Services ( Remote )

    Molina Healthcare (Provo, UT)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more
    Molina Healthcare (03/07/25)
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  • Clinical Supervisor, Access and Patient…

    Cardinal Health (Salt Lake City, UT)
    …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including… more
    Cardinal Health (03/13/25)
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  • Inpatient Review (RN): Remote , California…

    Molina Healthcare (Layton, UT)
    **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_2 openings for 12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 days ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical more
    Molina Healthcare (02/14/25)
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  • Supplemental Care Manager- Remote

    Sharecare (Salt Lake City, UT)
    …effectively within a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. + The Supplemental Care… more
    Sharecare (01/16/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Salt Lake City, UT)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... Master's Degree in Nursing **EXPERIENCE** **Required** + 3 years of related, progressive clinical experience in the area of specialization + Experience in a … more
    Highmark Health (02/20/25)
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  • Nursing Assistant

    Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
    …in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse /Licensed Practical Nurse . ... & brings them to the attention of the RN. Maintain administrative & clinical files. Orders & maintains supplies for the unit. Properly stores &/or cleans… more
    Veterans Affairs, Veterans Health Administration (03/14/25)
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  • Manager, Utilization Management Behavioral Health

    Humana (Salt Lake City, UT)
    …required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state of Virginia or reside ... **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of...counseling experience required + Minimum one, (1) year of clinical supervisory such as team lead, charge nurse more
    Humana (03/12/25)
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