• Staff Nurse - Utilization Review…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department for the/ Emergency Department / This position ... *Assessment:* * Collects, reviews, and documents clinical data relevant to utilization management , including patient status, treatment plans, and healthcare… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 2 + years of experience as a Registered Nurse in adult acute care, critical care, Emergency...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
    CVS Health (01/02/26)
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  • Registered Nurse - Utilization

    Cedars-Sinai (Los Angeles, CA)
    … Review Case Manager - PER DIEM - 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category** : ... **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to...Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A minimum of 5… more
    Cedars-Sinai (01/02/26)
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  • Utilization Review Registered Nurse

    Actalent (Atlanta, GA)
    …PM (Rotating weekends) About the Role We are seeking a detail-oriented and compassionate Utilization Review Registered Nurse (RN) to join our team. In this role, ... Job Title: Utilization Review RN Location: Buckhead, GA (on-site position)...reviews for targeted services and procedures. + Perform retrospective emergency department reviews. + Verify eligibility and benefits as… more
    Actalent (01/09/26)
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  • SNF Utilization Management RN…

    Humana (Jackson, MS)
    **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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (12/12/25)
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  • Manager Utilization Management

    Intermountain Health (Las Vegas, NV)
    … I leads and collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings, ... including social work and complex care planning, transitions of care, and utilization management . The position ensures compliance with state, national, and… more
    Intermountain Health (12/20/25)
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  • Utilization Review Case Mgr - CMC - Clear…

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (12/12/25)
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  • Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring ... in the least restrictive and most effective manner. The Utilization Management Reviewer must maintain a strong...3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit (ICU), Emergency more
    AmeriHealth Caritas (11/20/25)
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  • Registered Nurse Emergency

    Veterans Affairs, Veterans Health Administration (Salem, VA)
    …Come Join Our Team! The Salem Veterans Medical Center is seeking a Registered Nurse for the Emergency Department. Responsible and accountable for all elements of ... and customer satisfaction throughout the continuum of care. Responsibilities The Registered Nurse (RN) Emergency Department (ED) is responsible for providing… more
    Veterans Affairs, Veterans Health Administration (01/04/26)
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  • Registered Nurse (RN) - Emergency

    Bon Secours Mercy Health (Youngstown, OH)
    …requiring triage and prioritization, stabilization, resuscitation, crisis intervention, disaster preparedness/ emergency management . * Can pivot focus quickly ... every other weekend **Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse (RN) provides, coordinates, plans,… more
    Bon Secours Mercy Health (12/31/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five… more
    Minnesota Visiting Nurse Agency (12/06/25)
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  • NURSE (Clinical/ Emergency

    Defense Health Agency (Fort Leonard Wood, MO)
    **Overview** ** NURSE (Clinical/ Emergency Department)** Fort Leonard Wood, Missouri is home of the US Army Maneuver Support Center of Excellence, Army Chemical, ... nursing schools.** Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/9026/ nurse -%28clinical- emergency -department%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-MO-FT. LEONARD WOOD_… more
    Defense Health Agency (12/23/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
    Prime Healthcare (12/24/25)
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  • Nurse Practitioner ( Emergency

    Johns Hopkins University (Baltimore, MD)
    …Title: Nurse Practitioner Job Posting Title (Working Title): Nurse Practitioner ( Emergency Medicine) Role/Level/Range: ACRP/04/MG Starting Salary Range: ... The Department of Emergency Medicine is seeking a **_Nurse Practitioner_** to...consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. +… more
    Johns Hopkins University (11/04/25)
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  • Clinical Nurse Coordinator Emergency

    HCA Healthcare (Wichita, KS)
    …Cardiac Life Support must be obtained within 30 days of employment start date + Emergency Nurse Pediatric Course must be obtained within 6 months of employment ... Do you have the career opportunities as a Clinical Nurse Coordinator Emergency Room you want in...designated shifts. In collaboration with other members of the management team, this individual is responsible for the ongoing… more
    HCA Healthcare (12/30/25)
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  • Registered Nurse (RN) - Emergency

    Bon Secours Mercy Health (Warren, OH)
    …requiring triage and prioritization, stabilization, resuscitation, crisis intervention, disaster preparedness/ emergency management . + Can pivot focus quickly ... associates want to work and help communities thrive. **Registered Nurse (RN) - Emergency Room (ER) -...safety and privacy of all persons. + Understanding and utilization of office and clinical technologies. + Ability to… more
    Bon Secours Mercy Health (01/07/26)
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  • Sr. Nurse Practitioner ( Emergency

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible ... Sr. Nurse Practitioner Job Posting Title (Working Title): Sr. Nurse Practitioner ( Emergency Medicine) Role/Level/Range: ACRP/04/MG Starting Salary Range:… more
    Johns Hopkins University (12/10/25)
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  • Emergency Department Nurse (LPN/RN)

    Granville Medical Center (Oxford, NC)
    Emergency Department Nurse (LPN/RN) Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has ... a group of patients, providing care through the continued utilization of the nursing process in collaboration with other...the State of North Carolina as a Licensed Practical Nurse . BLS certification is required within 6 months of… more
    Granville Medical Center (12/31/25)
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  • Emergency Department Nurse (LPN/RN)

    Granville Health System (Oxford, NC)
    Emergency Department Nurse (LPN/RN) # Location: Granville Health System, Oxford NC # About Granville Health System: For over a century, Granville Health System ... a group of patients, providing care through the continued utilization of the nursing process in collaboration with other...the State of North Carolina as a Licensed Practical Nurse . BLS certification is required within 6 months of… more
    Granville Health System (12/31/25)
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  • Nurse Practitioner ( Emergency

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... puncture, and venipuncture. Initiate Basic/Advanced life support in response to emergency situations. + Prepare chart documentation for review and counter signature… more
    Johns Hopkins University (11/04/25)
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