- VitalCore Health Strategies (Hopkinton, MA)
- …Insurance Employee Assistance Program and Discount Center 401K EEO Keywords: Utilization Management, RN, Nurse , Administrative, #INDMA Compensation details: ... in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton,...an accredited School of Nursing Licensure as a Registered Nurse in the state of employment with 1+ years… more
- VitalCore Health Strategies (Nashville, TN)
- …Health Care has an opening for a Health Services Administrator / Registered Nurse at Davidson County Downtown Detention Facility in Nashville, TN!! This position ... will be filled by a Registered Nurse . VitalCore's Corporate Office is in Kansas with Regional...hire and annual orientation and training activities. Ensures site utilization and compliance with all VitalCore and applicable client… more
- VitalCore Health Strategies (Ogden, UT)
- …Health Care, has an opening for a Health Services Administrator / Registered Nurse at Weber County Correctional Facility in Ogden, Utah! This position will be ... filled by a Registered Nurse . VitalCore's Corporate Office is in Kansas with Regional...hire and annual orientation and training activities. Ensures site utilization and compliance with all VitalCore and applicable client… more
- University Health (San Antonio, TX)
- …and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to ... time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position ... patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary * VARIANCE -… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must ... hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice...the State of Texas to practice as a registered nurse is required. National certification in related field is… more
- Ethos Veterinary Health (Waukesha, WI)
- …stem from great medicine, outstanding client service , and best-in-class resource utilization . Hospitals excelling in these areas share common traits, including ... Tech Assistant, Kennel Assistant, Kennel Technician, Kennel Tech, Animal Assistant, Veterinary Nurse , Vet Nurse Powered by JazzHR PIdc692305ea18-25826-38344890 more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management* ACCOUNTABILITY - Supervise and direct ... PPE * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse more
- VitalCore Health Strategies (Munising, MI)
- …quality and integrity of patient medical care including oversight of utilization and quality management, credentialing, and best practice guideline development ... appropriateness, quality, and continuity of care. Sponsor Physician Assistants and Nurse Practitioners in compliance with the state law for correctional facilities.… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... you to learn more about joining our team as a Utilization Review Nurse Coordinator! The State of Connecticut (https://portal.ct.gov/) , Department of… more
- CVS Health (Austin, TX)
- …Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and ... late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center,...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- CVS Health (Carson City, NV)
- …And we do it all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in ... year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/ Utilization Review Nurse Position Summary: The Quality/ Utilization Review Nurse is responsible for evaluating the medical necessity, ... and cost-effective care. Additionally, this position oversees the Infection Control Nurse to ensure adherence to infection prevention protocols and regulatory… more
- CVS Health (Tallahassee, FL)
- …in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule...document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management is a ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- Truman Medical Centers (Kansas City, MO)
- …**Please log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Mgmt Nurse RN - Care Continuity - UH ... Schedule** 7:30AM - 4:00PM **Hours Per Week** 40 **Job Description** The Utilization Management Nurse (UM RN) collaborates with members of the healthcare team to… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective ... to ensure appropriate levels of care. Key Responsibilities + Conduct utilization reviews for inpatient, outpatient, and ancillary services using established clinical… more
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