• Utilization Management Nurse (RN)…

    Saint Francis Health System (OK)
    …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details of ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of related experience in… more
    Saint Francis Health System (12/13/25)
    - Related Jobs
  • Registered Nurse - Case Management

    Prime Healthcare (Bristol, PA)
    …physicians on staff, as well as another 700 employees. Responsibilities Responsible for the quality and resource management of all patients that are admitted to ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237012/registered- nurse case- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (12/12/25)
    - Related Jobs
  • Registered Nurse - Case Management

    Prime Healthcare (Philadelphia, PA)
    …nation's oldest and largest hospital accreditation agency. Responsibilities Responsible for the quality and resource management of all patients that are admitted ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235859/registered- nurse case- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (11/27/25)
    - Related Jobs
  • Utilization Management Nurse

    US Tech Solutions (Hopewell, NJ)
    …to the continuum of care. Performs duties and types of care management as assigned by management .** **Responsibilities:** 1. Assesses patient's clinical ... of care from diagnosis to outcome. 5. Coordinates the delivery of high quality , cost-effective care supported by clinical practice guidelines established by the plan… more
    US Tech Solutions (10/24/25)
    - Related Jobs
  • Registered Nurse (RN) - Care…

    Bon Secours Mercy Health (Cincinnati, OH)
    …care sites and clinicians are recognized for clinical and operational excellence. **Registered Nurse (RN) - Care Management - The Jewish Hospital - PRN** ... and assessment of individuals in need of active Case Management services and promotes the right resources, at the...of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan… more
    Bon Secours Mercy Health (12/11/25)
    - Related Jobs
  • Registered Nurse Utilization…

    McLaren Health Care (Port Huron, MI)
    management /case management , critical care, clinical documentation, or patient outcomes/ quality management . ⦁ Certification in Case Management ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate data are tracked,… more
    McLaren Health Care (11/12/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (Trenton, NJ)
    …we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs * Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and… more
    CVS Health (12/11/25)
    - Related Jobs
  • Registered Nurse - Facilitator - Clinical…

    Henry Ford Health System (Detroit, MI)
    GENERAL SUMMARY The Facilitator - Clinical Quality II is able to perform complex project work with interdisciplinary groups that include senior administrators, ... leaders. This work is done with minimal supervision from Director, Initiative Effectiveness Quality & Safety. The CQF II leads or co-leads large system teams, guides… more
    Henry Ford Health System (11/12/25)
    - Related Jobs
  • Nurse I - RN Critical Incident/Occurrence…

    State of Colorado (Pueblo, CO)
    …activities (accompanying surveyors throughout the hospital) and/or provides assistance to Quality Management Leadership as directed during regulatory surveys. ... Nurse I - RN Critical Incident/Occurrence Reporter-CMHHIP-Pueblo Print...of incident related documents, in addition to all confidential quality management documents (Refer to CRS 25-3-109).… more
    State of Colorado (12/03/25)
    - Related Jobs
  • Registered Nurse (RN) - Pain…

    University of Virginia (Charlottesville, VA)
    …Based Care - Self andColleagues:reflects the influence of the nurse 's relationship with self,colleaguesand patient/family on thepatientexperience. + Relationship ... Based Care - Patients andFamilies:reflects the influence of the nurse 's relationship with self,colleaguesand patient/family on thepatientexperience. + Expert Caring:… more
    University of Virginia (10/30/25)
    - Related Jobs