• Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... utilization of referral services. Enhances quality of care by assuring compliance with policies, including safety, infection control, regulatory and accreditation… more
    CareFirst (07/12/25)
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  • Utilization Management Specialist - FT Days

    Sanford Health (Sioux Falls, SD)
    …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... (UM) activities in accordance with UM plan to assure compliance with accreditation/regulatory requirements. Completes/coordinates activities relating to the… more
    Sanford Health (10/08/25)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... all member's clinical information in health management systems to ensure compliance with regulatory guidelines + Assists with providing education to providers… more
    Centene Corporation (10/05/25)
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  • LPN - Med Surg

    Prime Healthcare (Port Huron, MI)
    …state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse ( RN ), the LVN/LPN works to maintain safety, ... Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of… more
    Prime Healthcare (10/03/25)
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  • Nurse II - Wheat Ridge Regional Center *Pay…

    State of Colorado (Jefferson County, CO)
    …Employment & Appeal Rights MINIMUM QUALIFICATIONS: Applicants must possess a valid, active Registered Nurse License issued by the State of Colorado (Department ... NURSE II - Wheat Ridge Regional Center *PAY...work unit provides 24-hour treatment services that are in compliance with State and Federal regulations. Description of Job… more
    State of Colorado (10/02/25)
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  • IRF Pai Coordinator

    AdventHealth (Winter Park, FL)
    …business administration, or related field Required + 2 Related Experience Required + Registered Nurse ( RN ) + Occupational Therapy Assistant (OTA) + ... Patients Assessment Instrument (IRF-PAI). In collaboration with managers ensures compliance with CMS guidelines regarding proper scoring and documentation to… more
    AdventHealth (10/02/25)
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  • Certified Nurse Midwife, PerDiem

    Atlantic Health System (Morristown, NJ)
    …opportunity. + Certified by the American Midwifery Certification Board + Must be licensed as registered nurse ( RN ) or eligible for licensure in New Jersey + ... Jersey's largest non-profit healthcare networks, is seeking per-diem Certified Nurse Midwives (CNM) to join our Labor and Delivery...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
    Atlantic Health System (09/30/25)
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  • Procedure Support Assistant - Radiology

    Marshfield Clinic (Minocqua, WI)
    …Surgical Technology and Surgical Assisting **or** + Licensed Practical Nurse (LPN) **or** Registered Nurse ( RN ) license awarded by the State of Wisconsin ... Required:** Graduate of a medical assistant or licensed practical nurse program. **Preferred/Optional:** None **EXPERIENCE** **Minimum Required:** Working knowledge… more
    Marshfield Clinic (09/29/25)
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  • Care Manager, Behavioral Health

    Humana (Frankfort, KY)
    …1 year of post-degree clinical experience in behavioral health + active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years of ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/26/25)
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  • Nurse Supervisor, Healthcare Services…

    Molina Healthcare (Los Angeles, CA)
    …and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN ( Registered Nurse ) . License must be current, active and ... program activities in accordance with regulatory, contract standards and accreditation compliance . * Functions as a "hands-on" supervisor, assisting with assessing… more
    Molina Healthcare (09/25/25)
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