• RN Utilization Mgmt I

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's ... management experience. Licensure Requirement: Current licensure as a Registered Nurse ( RN ) as issued...Management as evidenced by performance. Apply/Share Job Title RN UTILIZATION MGMT I ID… more
    Covenant Health Inc. (12/18/25)
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  • Utilization Mgmt Nurse

    Truman Medical Centers (Kansas City, MO)
    …site.** **Please log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Mgmt Nurse RN - Care ... Per Week** 40 **Job Description** The Utilization Management Nurse (UM RN ) collaborates...then a graduate degree in Nursing is required + Registered Nurse licensed in state of Missouri,… more
    Truman Medical Centers (12/09/25)
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  • Registered Nurse ( RN )…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: ... Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (12/31/25)
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  • Registered Nurse Case Manager…

    Hartford HealthCare (Willimantic, CT)
    …**Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN ) - Utilization Management * **Location:** *Connecticut-Willimantic-Windham Community ... the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,... experience preferred. *LICENSURE/CERTIFICATION* * Current license as a registered nurse in the State of Connecticut.… more
    Hartford HealthCare (12/24/25)
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  • Sr Spec-Integrated Care Mgmt

    Sharp HealthCare (San Diego, CA)
    …**Shift End Time** Master's Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for… more
    Sharp HealthCare (10/31/25)
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  • Utilization Management

    Katmai (Fort Carson, CO)
    …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • Registered Nurse Utilization

    McLaren Health Care (Port Huron, MI)
    …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
    McLaren Health Care (11/12/25)
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  • Clinical Registered Nurse

    Cognizant (Salem, OR)
    …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... 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
    Cognizant (12/23/25)
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  • Registered Nurse Utilization

    Catholic Health (Kenmore, NY)
    …Work Schedule: Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review, as an active member of ... of experience working in an Acute Care Hospital Setting + Proficiency in utilization management and regulatory requirements preferred + Experience in working… more
    Catholic Health (12/17/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... ( RN ) - Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
    Bon Secours Mercy Health (12/25/25)
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  • Registered Nurse RN Medical…

    Banner Health (AZ)
    …employment options by offering remote and hybrid work settings. The Registered Nurse RN Medical Management Services is required to be technologically ... payers, community agencies, provider networks, and regulatory agencies. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in the state of… more
    Banner Health (12/31/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …sign on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric… more
    Bon Secours Mercy Health (12/15/25)
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  • Registered Nurse ( RN )…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse ( RN ) - Nursing Admin - 2506002696 Description : DMC Detroit Receiving Hospital , Michigan's first Level I Trauma Center, helped pioneer the ... DMC Rosa Parks Geriatric Center of Excellence. SUMMARY The Registered Nurse ( RN ) is a...prepares patient for discharge, utilizing established clinical pathways. The RN reports directly to senior unit management ,… more
    Tenet Healthcare (12/06/25)
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  • Registered Nurse RN Case…

    Banner Health (Tucson, AZ)
    …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager...networks, and regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained… more
    Banner Health (12/26/25)
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  • Utilization Management

    McLaren Health Care (Flint, MI)
    …to help people live healthier and more satisfying lives. We are looking for a Utilization Management RN , to join in leading the organization forward. MHP ... service to all our members. **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to… more
    McLaren Health Care (12/18/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
    Bon Secours Mercy Health (12/31/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …Cardiac Life Support acceptable in lieu of BLS) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... associates want to work and help communities thrive **_Registered Nurse ( RN ) - Med-Surg - St. Elizabeth...Hospital:_** **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care… more
    Bon Secours Mercy Health (12/20/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Springfield, OH)
    …recognized for clinical and operational excellence. **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** ... **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of the patient in collaboration… more
    Bon Secours Mercy Health (12/26/25)
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  • Registered Nurse ( RN )…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse ( RN ) -...for case management scope of services including: Utilization Management supporting medical necessity and denial ... Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a… more
    Tenet Healthcare (12/10/25)
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  • Manager Program Risk Mgmt RN

    Virginia Mason Franciscan Health (Bremerton, WA)
    …may be substituted for the degree requirement. + Active Washington State Registered Nurse License required. Preferred: + Certified Professional in Healthcare ... Summary and Responsibilities** This position is responsible for managing the risk management function for the Northwest Region to strengthen risk profiles by… more
    Virginia Mason Franciscan Health (11/09/25)
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