- Cognizant (Salt Lake City, UT)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- University of Utah Health (Salt Lake City, UT)
- …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... to UR committee any case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review with payer as… more
- CVS Health (Salt Lake City, UT)
- … + Education: Diploma RN acceptable;Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse , 1+ years of clinical experience in acute or ... post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have...Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse , 1+ years of clinical… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …Practice Nurse (APN) Certified Nurse Anesthetist (CNA) is a Certified Registered Nurse Anesthetist (CRNA). The CRNA provides a full range of services ... mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse ...limited to: Significant amounts of time standing assisting patients Utilization of safe patient handling and mobility protocols This… more
- Humana (Salt Lake City, UT)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- HCA Healthcare (Bountiful, UT)
- …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
- Intermountain Health (Salt Lake City, UT)
- …Education + Communication + Prioritization **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse (RN) license in state of practice. + ... comprehensive ambulatory care management services to identified patients. Leveraging clinical expertise, this role involves conducting care management screenings,… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/19/2025 **Requisition Number** PRN43626B **Job Title** PS Clinical Nurse Specialist **Working Title** PS Clinical Research Nurse ... qualifications required of employees assigned to the job. The Clinical Nurse Specialist makes decisions independently and...an accredited program; current licensure to practice as a Registered Nurse or as an Advance Practice… more
- Evolent (Salt Lake City, UT)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Deloitte (Salt Lake City, UT)
- …certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, ... or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical ...clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health… more
- University of Utah Health (Salt Lake City, UT)
- …(Master's degree preferred) **Qualifications (Preferred)** **Preferred** + Licensure as a registered nurse strongly preferred + Management experience + ... for cost savings related to product standardization and improved product utilization by appropriately assisting in the selection, evaluation, monitoring, analysis… more
- University of Utah Health (Salt Lake City, UT)
- …is to be obtained within 30 days of hire. + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire ... providers regarding patient progress, symptoms and complications. + Participates in clinical pathway development and utilization . + Contacts insurance companies… more
- Molina Healthcare (Salt Lake City, UT)
- …and experience. * At least 5 years health care management/leadership required. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical ... * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse (RN). License must be active and unrestricted… more
- University of Utah Health (Salt Lake City, UT)
- …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies,...+ Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. +… more
- University of Utah Health (Salt Lake City, UT)
- …visits. **Licenses Required** + **One of the following** + **Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days ... that are integral to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes… more
- Molina Healthcare (Salt Lake City, UT)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications *… more
- Molina Healthcare (Salt Lake City, UT)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- University of Utah (Salt Lake City, UT)
- …three years of experience in a patient care capacity OR current licensure to practice as a Registered Nurse ( BSN or APRN ) in the State of Utah and minimum five ... **Open Date** 12/23/2025 **Requisition Number** PRN43910B **Job Title** PS Clinical Compliance Officer **Working Title** Regulatory Compliance Administrator Hybrid/Remote… more
- Highmark Health (Salt Lake City, UT)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- CVS Health (Salt Lake City, UT)
- …conditions. + **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse (RN) license** ; multi-state licensure preferred. + ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… more