• RN Medical Case Manager CARE…

    Sedgwick Government Solutions (Charleston, SC)
    Job Details RN Medical Case Manager CARE ( Remote ) 2025-1445 Charleston, SC, USA Medical Case Management Full Time Description ** RN Medical Case Manager ( ... a supportive team. RN Medical Case Manager Qualifications + Unrestricted State Registered Nursing License + Bachelor's or AA degree or diploma in nursing + 3-5… more
    Sedgwick Government Solutions (09/10/25)
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  • RN Quality Review Nurse Home…

    AdventHealth (Orlando, FL)
    …of experience in home health + 2 years of experience in management position. + Registered Nurse State Licensure and/or Compact State Licensure + Cert for Oasis ... **Population Health Case Manager ( RN ) AdventHealth Home Health** **All the benefits and...through Friday 8:00 am to 5:00 pm **Location:** Virtual Remote near 602 COURTLAND ST, Orlando, FL, 32804 **The… more
    AdventHealth (09/10/25)
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  • Utilization Review RN (Hybrid)

    Baylor Scott & White Health (Dallas, TX)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... position type and/or level **Job Summary** + You will review patient cases for medical necessity and establish service...efficient resource use. **Schedule** + You will work primarily remote . + Will be required to work onsite at… more
    Baylor Scott & White Health (08/31/25)
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  • RN System Director Utilization Management…

    Tufts Medicine (Burlington, MA)
    …discussions with Clinical Documentation Integrity (CDI) and Coding leadership to review data and identify areas for clinical documentation improvement. 14. ... require additional hours on weekends/off hours as needed. **Location:** Primarily remote . May require occasional travel to local facilities including Tufts Medical… more
    Tufts Medicine (09/11/25)
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  • Outpatient RN - Infectious Disease - Full…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** RN - Infectious Disease Office- Hybrid/ remote options - FT/DAY - Albany If you are looking ... - Friday Office Hours What you will do: The Registered Professional Nurse has the responsibility and...appropriate vital signs and documents in electronic medical record. Review and update medication list to ensure accurate and… more
    Trinity Health (06/28/25)
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  • Medical Claim Review Nurse

    Molina Healthcare (Warren, MI)
    …set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, ... identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill… more
    Molina Healthcare (09/06/25)
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  • Practical Nurse - Community Living Center

    Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
    …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... tracheal suction through mouth or established tube. Assists the Registered Nurse ( RN ) with admitting,...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Veterans Affairs, Veterans Health Administration (09/11/25)
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  • Charge Nurse RN II (Internal Pool)-…

    State of Colorado (Denver, CO)
    Charge Nurse RN II (Internal Pool)- CO Mental Health Hospital in Fort Logan (S. Denver) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5076532) Apply  Charge Nurse RN II (Internal Pool)- CO Mental Health Hospital in Fort Logan (S.… more
    State of Colorado (09/12/25)
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  • RN

    Catholic Health Services (Melville, NY)
    …providing the highest quality of patient care by being an integral part of the clinical team. The Registered Nurse Provides general nursing care to patients ... Overview Position Summary: The Registered Nurse provides safe, direct patient...utilizing the nursing process in the ambulatory setting. The RN provides clinical leadership and is a… more
    Catholic Health Services (06/18/25)
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  • Oncology Prior Authorization Case Manager, Non-…

    University of Miami (Miami, FL)
    …UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, ... concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review ...for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (08/21/25)
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