• Utilization Management Reviewer, RN

    Excellus BlueCross BlueShield (Rochester, NY)
    …(PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers ... development and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of… more
    Excellus BlueCross BlueShield (10/07/25)
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  • RN Delegated Care Management Monitor…

    Elevance Health (Raleigh, NC)
    …Carolina residency is required.** **HOURS** **: General business hours, Monday through Friday.** ** TRAVEL ** **: Travel within these regions may be required. When ... cost-effective. + Coordinate care between delegated care management and internal resources, including social determinants of health, to meet...Requires an active, current and valid license as an RN to practice as a health professional within the… more
    Elevance Health (12/18/25)
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  • Manager, Prior Authorization Utilization…

    CVS Health (Baton Rouge, LA)
    …accreditation standards (eg, CMS, NCQA, URAC). + Collaborate with internal and external stakeholders-including clinical leadership, operations, IT, and regulatory ... mindset + Collaboration and relationship-building **Required Qualifications** + Active and unencumbered RN license in Louisiana or compact license + 5+ years of… more
    CVS Health (12/21/25)
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  • RN Clinical Surgical Reviewer-SMH

    Ochsner Health (Slidell, LA)
    …surgery clinic, clinical research or medical records. **Certifications** Required - Current RN License in the state of practice **Knowledge Skills and Abilities ... Serves as an educational resource on the STS for internal and external audiences by developing educational material and...arms and hands, manual dexterity. Must be able to travel throughout and between facilities. Must be able to… more
    Ochsner Health (12/12/25)
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  • Heart and Vascular Service Line / Unit Charge…

    Emory Healthcare/Emory University (Atlanta, GA)
    …care makes each day unique, allowing your clinical knowledge to grow quickly. RN Clinician Charge Plans, coordinates and directs the daily operations of a specific ... Collaboration 1. Supervises staff and facilitates communication with physicians and internal administrators to provide optimal patient and family-centered care. 2.… more
    Emory Healthcare/Emory University (12/03/25)
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  • Home Health RN Area Executive Director

    Aveanna Healthcare (Madison, WI)
    Home Health RN Area Executive Director ApplyRefer a FriendBack Job Details Requisition #: 209287 Location: Madison, WI 53708 Category: Nursing Salary: $100,000.00 - ... meets operational needs and client volume. Provide guidance and oversight into internal billing, collections, and revenue cycle processes to ensure clean claims and… more
    Aveanna Healthcare (12/03/25)
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  • Staff Development Coordinator, RN

    Genesis Healthcare (Winchester, NH)
    Overview **Applewood Center Has A Full-Time Staff Development/ Nurse Educator Opportunity!** **On Call Required** **Competitive Wages and Opportunity for Internal ... communities we serve. Responsibilities The primary function of the Nurse Educator is to orient and educate all nursing...graduate of an accredited School of Nursing with current RN license * Minimum three years full-time or equivalent… more
    Genesis Healthcare (11/25/25)
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  • Director, Home Health ( RN ) - Home Care…

    Guthrie (Vestal, NY)
    …Education, License & Cert: Bachelors' Degree required, Masters' Degree desirable. RN required. Experience: One year of supervisory experience or experience in ... these requirements. Other Duties: 1. Reports to .Sr Dir of Homecare services. 2. Travel may be required for this position. Pay range min $54.35/hr max $84.81/hr… more
    Guthrie (11/11/25)
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  • Medical Surgical / Unit Charge Nurse

    Emory Healthcare/Emory University (Atlanta, GA)
    …failure, infections, paralysis, diabetes, heart failure, hypertension, and stroke + Targeted Nurse -to-Patient Ratio: 1:4 On 6G we pride ourselves in fostering a ... and highly collaborative environment that empowers nurses. Come join the 6G team! RN Clinician Charge Plans, coordinates and directs the daily operations of a… more
    Emory Healthcare/Emory University (10/01/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Charlotte, NC)
    …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine… more
    Fresenius Medical Center (11/26/25)
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