• Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …it all with heart, each and every day. **Position Summary** This Registered Nurse Utilization Management position is an exciting opportunity to join a growing Aetna ... pace atmosphere and administer a high touch integrated model, utilizing your clinical experience to review a combination of precertification and current current… more
    CVS Health (11/27/25)
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  • Registered Nurse - Wound Care

    Novant Health (Mount Pleasant, SC)
    …Hours. What You'll Do Position Summary The WOC Nurse serves as a clinical resource, educator, and consultant to the healthcare team in the management and ... times, and a better quality of life. Our hospital combines technology and clinical expertise with compassion to provide personalized care for a lifetime. Our… more
    Novant Health (10/09/25)
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  • Registered Nurse 1 - OPD/Spine…

    University of Miami (Miami, FL)
    …patient/family teaching using available resources and tools. 12. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. ... teaching nee ds as applicable. 4. Promotes development of clinical practice based on research and evidence. 5. Assists...any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly… more
    University of Miami (09/19/25)
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  • Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …navigating multiple systems and keyboarding required. **Required Qualifications** + 3+ years clinical practice experience as a Registered Nurse preferably in an ... work schedule may include weekends, holidays and evening hours. + Utilizes clinical skills to coordinate, document and communicate all aspects of the… more
    CVS Health (11/22/25)
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  • Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …and work schedules will include weekends, holidays, and evening hours.** Utilizes clinical experience and skills in a collaborative process to assess, plan, ... options to facilitate appropriate healthcare services/benefits for members.** Gathers clinical information and applies the appropriate clinical more
    CVS Health (11/15/25)
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  • Utilization Management Nurse

    CVS Health (Carson City, NV)
    …holidays, and evening hours. This is a full-time, remote role. + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical ...Zone + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must… more
    CVS Health (11/11/25)
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  • RN Care Mgr I

    Covenant Health Inc. (Knoxville, TN)
    …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours...and Planning: + Designs and implements practice guidelines and clinical care designs in collaboration with physicians, nursing more
    Covenant Health Inc. (09/17/25)
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  • Vascular Access Registered Nurse , Per Diem

    St. Luke's University Health Network (Easton, PA)
    …vascular access devices (PICC, midline, ultrasound guided PIV's). Serves as a clinical resource and consultant to other healthcare professionals and will ... a patient's ability to pay for health care. The Vascular Access Registered Nurse will be responsible for the assessment, planning, implementation and evaluation of… more
    St. Luke's University Health Network (10/11/25)
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  • Quality Management Nurse Consultant

    US Tech Solutions (RI)
    **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from ... clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider… more
    US Tech Solutions (10/17/25)
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  • Utilication Management Nurse

    US Tech Solutions (May, OK)
    **Position Summary:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from ... clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider… more
    US Tech Solutions (10/08/25)
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