• Staff Nurse - Utilization Review (ED)

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical ... the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
    Minnesota Visiting Nurse Agency (10/02/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...supporting documentation, as well as facilitates the completion of appeals in a timely manner. + Prepares trend and… more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Nurse II - Bruce McCandless Veterans…

    State of Colorado (Fremont County, CO)
    …of Employment & Appeal Rights Minimum Qualifications + Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... NURSE II - Bruce McCandless Veterans Community Living...Assessment: + Performs both admission and daily assessments during clinical stay, identifying critical incidents, emergencies, acute illnesses and… more
    State of Colorado (10/10/25)
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  • CDOC Mid-Level Provider/(NP/PA) - Gender Affirming…

    State of Colorado (Denver, CO)
    …six (6) months of hire. + Applicant must have two years experience as a Registered Nurse , andsix months of gender affirming care experience, which may include, ... and other related laboratory tests; + Follow the CDOC clinical services standards and procedures, protocols, guidelines, or policies...must possess current, valid licensure as an Advanced Practice Nurse / Nurse Practitioner from the Colorado… more
    State of Colorado (10/03/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes,… more
    Brockton Hospital (09/12/25)
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  • Nurse Practitioner

    Sacramento County (Sacramento, CA)
    …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... of health care services involving diagnosis, assessment, treatment, and clinical management of patients in a public health center...must submit a copy of both my current valid Registered Nurse license AND my Nurse more
    Sacramento County (07/22/25)
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  • Director of Care Management - Mount Sinai Queens…

    Mount Sinai Health System (Long Island City, NY)
    …field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous supervisory experience in Case Management or a ... field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more
    Mount Sinai Health System (07/24/25)
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  • Utilization Management Nurse

    Brighton Health Plan Solutions, LLC (NC)
    …regulatory and accreditation requirements. * Duties as assigned. Essential Qualifications * Current Registered Nurse ( RN ) with state licensure. Must retain ... care. * Provides referrals to Case management, Disease Management, Appeals & Grievances, and Quality Departments as needed. *...within managed care setting. * 3+ years' experience in clinical nurse setting preferred. * TPA Experience… more
    Brighton Health Plan Solutions, LLC (10/11/25)
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  • Supervisor, Payment Integrity

    Centene Corporation (Jefferson City, MO)
    …of using code editing software systems in a managed care organization preferred. **Certifications:** RN - Registered Nurse or LPN - Licensed Practical ... fresh perspective on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non- clinical team members through… more
    Centene Corporation (09/27/25)
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  • Nurse Practitioner All Specialties…

    City and County of San Francisco (San Francisco, CA)
    …experience. + One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic ... of the multidisciplinary health care team and performs specialized nurse practitioner duties in clinical settings. The...Practitioner (NP) license issued by the California Board of Registered Nursing; AND + LICENSE*: Possession of a current… more
    City and County of San Francisco (09/27/25)
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