• Mgr Utilization Review RN

    Baylor Scott & White Health (Providence, RI)
    …and members. **Key Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels. + ... type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
    Baylor Scott & White Health (01/23/25)
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  • Clinical Care Manager OBAT Program…

    Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
    …require evening, weekend and/or holiday shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's degree in Nursing from ... are currently hiring a Clinical Care Manager - OBAT RN based in Framingham. As part of a team-based...Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to Medical Assistant Treatment Program (MAT) patients. As… more
    Edward M. Kennedy Community Health Center, Inc. (12/05/24)
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  • Clinical Care Manager- Registered

    Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
    …may require evening, weekend and/or holiday shifts on a rotating basis. Job Requirements: + Registered Nurse License in MA + 1-2 years of clinical experience + ... The Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most at… more
    Edward M. Kennedy Community Health Center, Inc. (11/14/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Providence, RI)
    …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
    Highmark Health (01/07/25)
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  • RN -Interventional Radiology

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …full-time at 40 hours per week. The Nurse Interventional Radiology (IR) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This RN...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Providence, RI)
    …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
    Guardian Life (12/20/24)
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