• Pre-Authorization Nurse Supervisor

    Humana (Madison, WI)
    …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Four ... closely with a great team to keep things running smoothly. If you're a nurse who loves collaborating, problem-solving, and making a difference, this is a fantastic… more
    Humana (01/14/26)
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  • Interim Director of Case Management

    HealthTrust Workforce Solutions (San Antonio, TX)
    …nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active administrative member of the ... and resource management, cost control, contract compliance, quality improvement, utilization management, denials management and management of relationships with… more
    HealthTrust Workforce Solutions (01/08/26)
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  • Regulatory Compliance Administrator Hybrid/Remote

    University of Utah (Salt Lake City, UT)
    …three years of experience in a patient care capacity OR current licensure to practice as a Registered Nurse ( BSN or APRN ) in the State of Utah and minimum five ... -P/H, RHIA , or RHIT ). Preferences Knowledge of utilization review and quality assurance procedures as well as...beliefs that object to vaccinations. **Preferences** 1. Knowledge of utilization review and quality assurance procedures, as well as… more
    University of Utah (01/07/26)
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  • Primary Care Physician Lead

    CenterWell (Morrow, GA)
    …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM)… more
    CenterWell (01/06/26)
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  • Supv, Asst Clinical Manager CH - Emergency…

    Guthrie (Corning, NY)
    …school of Nursing. Bachelor's degree in nursing is required. Licensed as a Registered Nurse in state of practice Certification within area of expertise ... dependentExperience: Two years of recent clinical leadership experience or charge nurse experience desired. Essential Functions: 1. RESOURCE UTILIZATION :… more
    Guthrie (01/06/26)
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  • Multi-Site Director Case Management

    Prime Healthcare (Port Huron, MI)
    …computer skills. Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed ... to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs… more
    Prime Healthcare (12/31/25)
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  • Nurse Case Manager

    Battelle Memorial Institute (Fort Campbell, KY)
    …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
    Battelle Memorial Institute (12/30/25)
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  • AVP of OR/Peri-Op Services

    Albany Medical Center (Albany, NY)
    …or related field. Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, ... Responds to changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by colleges and… more
    Albany Medical Center (12/27/25)
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  • Clinical Care Manager- Pediatric

    WellSense (NH)
    …background check . Current unrestricted, applicable, state license to practice as a Registered Nurse in New Hampshire . Regular and reliable transportation and ... including family support and community resources, with a goal of promoting appropriate utilization of services at the appropriate level and site of care such as… more
    WellSense (12/26/25)
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  • Manager, Nursing (Wound Care)

    UNC Health Care (Hendersonville, NC)
    …PARDEE Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... operations of an assigned clinical area. Responsible for daily direction, utilization , supervision and instruction of professional and support staff, volunteers and… more
    UNC Health Care (12/25/25)
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