• Utilization Management Rn

    Actalent (Sioux Falls, SD)
    Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a diligent and detail-oriented Post Review Nurse to perform timely ... clinical criteria and benefit information to support medical review decisions. + Ensure compliance with URAC, NCQA, HIPAA,...HIPAA, ICD, and CPT. + Completion of an accredited RN or LPN program. + Active, unrestricted RN more
    Actalent (09/05/25)
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  • RN Manager II. Patient Safety team, Patient…

    Amazon (San Francisco, CA)
    …among clinical and operational teams to eliminate avoidable harm. As the RN Program Manager, you will leverage your clinical and patient safety backgrounds ... Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory standards… more
    Amazon (07/16/25)
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  • RN School Support Trainer ( RN SST)

    Amergis (Mountlake Terrace, WA)
    …solutions. The RN School Support Trainer is responsible for the clinical training and orientation for onboarding the nursing school based professionals (SBP). ... resources for Amergis school nurses. This position is a remote opportunity supporting our west coast market. Essential Duties...acts as a resource when needed + Participates in clinical quality initiatives as directed by RN more
    Amergis (09/10/25)
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  • Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with ... clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age...Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians… more
    AdventHealth (08/18/25)
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  • Physician (General Internal Medicine)

    Veterans Affairs, Veterans Health Administration (Boston, MA)
    …other appointments. Telephone and video care are encouraged. Each physician is assigned a registered nurse , clinical associate, scheduler and also has access ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact VHA EDRP Program...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Veterans Affairs, Veterans Health Administration (09/07/25)
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  • Advanced Practice Nurse ( Nurse

    Veterans Affairs, Veterans Health Administration (Salem, VA)
    Summary The applicant serves as a Surgical Certified Registered Nurse Anesthetist (CRNA) under the immediate supervision of the Chief, Anesthesiologists, and the ... medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid...mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse more
    Veterans Affairs, Veterans Health Administration (08/13/25)
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  • Bilingual RN Case Manager

    Access Dubuque (Dubuque, IA)
    …required. BSN or higher preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. ... Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1...Manager** **Location** : Onsite in Dubuque, IA. Also accepting remote applicants from Iowa. We are seeking a compassionate… more
    Access Dubuque (08/20/25)
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  • Clinical Denials Coordinator

    UNC Health Care (Goldsboro, NC)
    …Minimum 3-5 years of applied clinical experience as a Registered Nurse required. * 2 years utilization review , care management, or compliance experience ... all audit and appeals work activities. Assists with documentation review to support the clinical documentation specialists....nursing licensure. Experience * Minimum 7-10 years of applied clinical experience as a Registered Nurse more
    UNC Health Care (08/14/25)
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  • Value-Based LPN Care Navigator (Hybrid/Partially…

    University of Virginia (Charlottesville, VA)
    …coordinate and prioritize patient care activities under the supervision of a registered nurse or provider, ensuring continuity and comprehensiveness across the ... The (hybrid/partially remote ) Value-Based LPN Care Navigator supports the delivery...satisfaction. + May draft Individualized Plans of Care for review by supervising RN or Licensed Independent… more
    University of Virginia (07/15/25)
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  • Clinical Document Improvement Specialist

    Arkansas Children's (Little Rock, AR)
    … Health Information Technologist (RHIT) - American Health Information Management Association (AHIMA), Registered Nurse ( RN ) license - Arkansas or Compact ... ideal candidate for this position will have an RN License and direct clinical experience.** **Monday to Friday, Full-time - Remote (Must reside in the state… more
    Arkansas Children's (09/06/25)
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