• 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 ... least three years' of case management and clinical transplant experience + Valid and active Registered nurse ( RN ) licensure in all 50 states and the District… more
    Blue KC (08/20/25)
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  • Clinical Program Coordinator RN , Medicare…

    Providence (OR)
    …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... + Bachelor's Degree in Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within six months of hire date:… more
    Providence (08/23/25)
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  • Assistant Nurse Manager, Residential…

    Hillside Family of Agencies (Rochester, NY)
    …for an identified caseload of youth and includes performing all clinical functions of a Registered Nurse ( RN ). This will be a full-time (40 hours) position ... Program required. + Minimum 2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN license in NYS required.… more
    Hillside Family of Agencies (08/15/25)
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  • IRIS Self-Directed Personal Care ( RN

    Molina Healthcare (Milwaukee, WI)
    …keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed ... revises plan of care as needed + Submits for Prior Authorization for personal care services +...unrestricted license in the state of Wisconsin as a Registered Nurse . Valid Driver's License **PREFERRED EDUCATION:**… more
    Molina Healthcare (09/06/25)
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  • Telephone Triage RN

    Saratoga Hospital (Saratoga Springs, NY)
    …responsibilities or working conditions associated with the position. The Telephone Triage Registered Nurse will work within the Patient Engagement Center to ... linkages, and sources referral. Minimum Qualifications Education, Training & Experience + Registered Nurse Required, BSN preferred + 3-5 years working in… more
    Saratoga Hospital (07/26/25)
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  • Professional Staff Nurse , OP- ENT,…

    UPMC (Pittsburgh, PA)
    …discretion of the BU. + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act 33 ... of the orientation and training period. The Professional Staff Nurse is a Registered Nurse ... prior authorizations/ FMLA description- Appropriately fills out prior authorization forms for medications and DME… more
    UPMC (08/28/25)
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  • RN - Specialty Clinical Supervisor

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    …the supervisor will have a range of administrative duties from prior authorization submission/management, point of care testing/training for the ... Do you have RN Supervisory experience in a clinic setting? Do...will possess: + Current Virginia state license as a Registered Nurse or Registered more
    Childrens Hospital of The King's Daughters (07/13/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Cleveland, OH)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
    Molina Healthcare (08/16/25)
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  • Licensed Practical Nurse (LPN) - Endocrine

    University Medicine (East Providence, RI)
    SUMMARY: Perform those functions delegated and assigned by the registered nurse as appropriate. Assist as needed. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... Compliance Program and Code of Conduct. + Assist the registered nurse , nurse practitioner and...treatments. Work with the endocrine care team to complete prior authorization for various endocrine tests and… more
    University Medicine (08/30/25)
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  • RN

    East Boston Neighborhood Health Center (East Boston, MA)
    …Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: A registered nurse holds ultimate responsibility for direct and indirect nursing ... the department's immediate needs and long-term goals. In addition, the registered nurse demonstrates initiative, critical thinking, problem solving, leadership… more
    East Boston Neighborhood Health Center (09/11/25)
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