• Nurse Manager II - ICU

    Texas Health Resources (Plano, TX)
    Nurse Manager II - ICU _Are you...Strongly Preferred ICU Experience Strongly Preferred Licenses and Certifications RN - Registered Nurse Upon Hire ... this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize...Degree Nursing Required Experience 3 Years Experience as a registered nurse with previous experience as a… more
    Texas Health Resources (10/15/25)
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  • RN Care Coordinator

    Crouse Hospital (Syracuse, NY)
    …paid holidays annually, and a 401k with 4% employer match. Position Description: The RN Care Coordinator - CCM serves as a proactive patient advocate, educator, and ... care manager for Medicare beneficiaries enrolled in Chronic Care Management...early intervention, and coordination across the care continuum. The RN uses clinical knowledge and care coordination skills to… more
    Crouse Hospital (12/11/25)
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  • Care Manager Behavioral Health

    Highmark Health (Harrisburg, PA)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health… more
    Highmark Health (12/03/25)
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  • RN Quality Reviewer, Full Time, Days,…

    Atlantic Health System (NJ)
    …develop proficiency in OASIS review and ICD-10 coding. Required: + Current NJ RN or PT License Preferred: + Three Years of Certified Home Care experience + ... 1. Provides timely review of SOC, ROC and Recertification documentation. Utilizes...care information system and decision support software. 4. Oversees utilization of resources for Medicare clients by recommending resources… more
    Atlantic Health System (11/14/25)
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  • Senior Mental Health Nurse

    Ventura County (Ventura, CA)
    …candidate is an experienced Mental Health Nurse with a background in utilization review and discharge planning. They also have extensive years of experience ... standards, and active participation in quality and compliance efforts. The Senior Registered Nurse -Mental Health is distinguished from Senior Registered more
    Ventura County (11/16/25)
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  • Nurse Case Manager - Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …**Minimum Qualifications:** 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two years of recent acute ... care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning… more
    Beth Israel Lahey Health (10/30/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …the department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager must have excellent verbal and ... when prevented from completing job tasks. -Assists the Administrative Manager and Director with annual review and...data entry into an electronic database system. -The Appeal Manager should be a nurse who has… more
    BronxCare Health System (11/15/25)
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  • Manager of ICU Critical Care

    HCA Healthcare (Thousand Oaks, CA)
    Manager of Critical Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the ... and the United Kingdom. We are looking for a Manager of Critical Care for our Los Robles Regional...of nursing; BSN desired, MSN preferred. + Current California Registered Nurse License. + Current BCLS and… more
    HCA Healthcare (10/13/25)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, and quality improvement functions to ensure ... the link below: CNA_MOA_2023-2028.pdf (ventura.org) (https://vcportal.ventura.org/CEO/HR/MOA/docs/CNA\_MOA\_2023-2028.pdf) PAYROLL TITLE: Senior Registered Nurse - Ambulatory Care DISTINGUISHING CHARACTERISTICS:… more
    Ventura County (12/07/25)
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  • Nurse Case Manager

    General Dynamics Information Technology (Hurlburt Field, FL)
    …Center. + Current RN license; full, active, and unrestricted license as a Registered Nurse in one of any US State, the District of Columbia, Guam, ... proof of all training/certs/documentation. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential… more
    General Dynamics Information Technology (10/26/25)
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