• Registered Nurse (RN)- Case…

    Northwell Health (New York, NY)
    **Req Number** 172827 Job Description Facilitates, coordinates and integrates high quality , cost effective care delivered to patients across and episode of illness ... the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation,...team on an ongoing basis in order to maximize quality of patient care and effectively manage length of… more
    Northwell Health (12/06/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations ... and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations… more
    CVS Health (12/09/25)
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  • Registered Nurse - Quality

    McLaren Health Care (Mount Pleasant, MI)
    **Department** : Quality Improvement **Daily Work Times:** 8am - 4:30pm **Shift:** Days **Scheduled Bi-Weekly Hours** : 72 **Position Summary:** Acts as a quality ... to assigned clinical outcomes. Assists with, and coordinates, ongoing data management and monitoring of clinical performance and compliance with standards/guidelines… more
    McLaren Health Care (11/04/25)
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  • Nurse Practitioner - Acute Pain…

    Penn State Health (Hershey, PA)
    …orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Nurse Practitioner - Acute Pain Management **Location** US:PA: Hershey ... ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) for additional information. **SUMMARY OF POSITION:** The nurse practitioner in this role works as part of… more
    Penn State Health (11/27/25)
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  • Utilization Management Registered…

    Katmai (Fort Carson, CO)
    …and maintain referral management practices to monitor and evaluate health care quality and cost for Active Duty Army and Air Force personnel within CMHS. + ... issues related to over/under utilization, high cost, high volume, quality and risk management . + Maintain regular...within the last four (4) years as a registered nurse in utilization management . + One (1)… more
    Katmai (11/26/25)
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  • Pain Management Nurse Practitioner

    Nuvance Health (Poughkeepsie, NY)
    …of Pain Management has an excellent opportunity for a Pain Management Nurse Practitioner to join our comprehensive Neurosciences Department in Poughkeepsie, ... NY. *Job Highlights* * Global management of patients with pain conditions * Conduct thorough... options, coping strategies, and lifestyle modifications to improve quality of life. * Schedule and conduct follow-up appointments… more
    Nuvance Health (11/15/25)
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  • Registered Nurse - Case Management

    ERP International (Luke AFB, AZ)
    **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (11/25/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    … organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position ... in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a… more
    CVS Health (12/14/25)
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  • Registered Nurse - Case Management

    WellSpan Health (Waynesboro, PA)
    …**General Summary** Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use of resources to support ... the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Care Manager and Social… more
    WellSpan Health (12/04/25)
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  • RN Registered Nurse Quality Peer…

    Ascension Health (Tulsa, OK)
    **Details** + **Department:** Total Quality Management + **Schedule:** FT, Monday-Friday, 8am-4:30pm + **Hospital:** Ascension St. John's Medical Center + ... professional practice evaluation and peer review activities. + Collaborate with Quality /Risk Management to investigate and analyze root causes, patterns,… more
    Ascension Health (11/25/25)
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