• Prior Authorization, RN - Hybrid Remote

    Fallon Health (Worcester, MA)
    …in nursing required** **License/Certifications** + Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience** + A minimum of three ... from medical care providers as needed for the clinical review process + Conducts pre-authorization and concurrent ...to five years clinical experience as a Registered Nurse in a clinical setting required.… more
    Fallon Health (10/02/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    … or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days ... review . + Communication to third-party payers for initial and concurrent clinical review . + Reviews patient chart to ensure patient continues to meet medical… more
    University of Utah Health (10/02/25)
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  • CRNA- Certified RN Anesthetist

    University of Utah (Salt Lake City, UT)
    …by the American Association of Nurse Anesthetists ( AANA ) as a Certified Registered Nurse Anesthetist ( CRNA ); current registered nurse licensure ... **Open Date** 09/16/2025 **Requisition Number** PRN43111B **Job Title** PS Certified RN Anesthetist **Working Title** CRNA- Certified RN Anesthetist **Career… more
    University of Utah (09/16/25)
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  • RN Stroke Program Coordinator

    HCA Healthcare (Orange Park, FL)
    …safety and customer service of the patient first.** **What qualifications you will need:** + ( RN ) Registered Nurse in the state in which you practice + ... **Introduction** Do you have the career opportunities as an RN Stroke Program Coordinator you want in your current...Associate Degree, or Bachelors Degree, or Registered Nurse Diploma + APRN preferred +… more
    HCA Healthcare (08/30/25)
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  • Oncology Case Management RN

    Blue KC (KS)
    …of URAC and NCQA(R) guidelines and state and federal regulations. + Valid and active Registered nurse ( RN ) in Missouri and Kansas. + Case Management ... follows in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director...management and clinical transplant experience + Valid and active Registered nurse ( RN ) licensure in… more
    Blue KC (08/20/25)
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  • Case Manager RN Inpatient Rehabilitation…

    HCA Healthcare (Richmond, VA)
    …screens/indicators consistently in evaluating medical necessity. + Performs admission and concurrent review for all payers and maintains legible documentation ... accredited school of nursing required, BSN preferred. + Current Registered Nurse license in Virginia or current...Registered State license required. + 1 year of RN experience in an acute medical setting required, 2… more
    HCA Healthcare (09/25/25)
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  • Trauma Nurse

    UHS (Johnson City, NY)
    …of Trauma Care After Resuscitation (TCAR) course License/Certification Minimum Required: + Registered Nurse - valid NYS license. + Current CPR Certification. ... Position OverviewThe Trauma Resource Nurse (TRN) has responsibility for concurrent ...Trauma Care for Nurses (ATCN) + Current Trauma Certified Registered Nurse (TCRN) + Current Certified Specialist… more
    UHS (07/24/25)
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  • RN Case Manager - Case Management - Full…

    Guthrie (Corning, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the… more
    Guthrie (09/23/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or… more
    Guthrie (08/27/25)
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  • Care Manager RN

    Bassett Healthcare (Oneonta, NY)
    …under the supervision of the Nurse Manager of Care Management, the Registered Nurse Care Manager serves in an expanded nursing role collaborating with ... with the patient, family and health care team. The RN Care Manager will utilize a team approach in...experience, preferred Licensure/Certifications: + Current NYS licensure as a Registered Professional Nurse , required + Valid New… more
    Bassett Healthcare (10/03/25)
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