• Case Manager, RN or Licensed…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (10/11/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (WA)
    …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Utilization Review Clinician…

    Centene Corporation (Atlanta, GA)
    …Time Zone hours.** **The ideal candidate will have experience in behavioral health utilization management .** **Education/Experience:** Requires Graduate ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
    Centene Corporation (10/10/25)
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  • Utilization Management Nurse…

    Omaha Children's Hospital (Omaha, NE)
    …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative,...taker. **Licenses and Certifications** + Current and valid Nebraska RN license/ RN Compact license Upon Hire Required… more
    Omaha Children's Hospital (09/05/25)
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  • RN UM Supervisor, Healthcare Services must…

    Molina Healthcare (GA)
    …of healthcare services professionals in some or all the following functions: care management , utilization management , behavioral health, care ... + Assists in implementing health management , care management , utilization management , behavioral...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational… more
    Molina Healthcare (09/26/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...of professional experience practicing as a Registered Nurse ( RN ) + Recent Behavioral … more
    Bon Secours Mercy Health (10/12/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …bonus eligible **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. * Participates in the safe management of the milieu, intervening effectively with patients who...of professional experience practicing as a Registered Nurse ( RN ) + Recent Behavioral … more
    Bon Secours Mercy Health (09/09/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …excellence. **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
    Bon Secours Mercy Health (10/12/25)
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  • Registered Nurse Cardiac Holding…

    HCA Healthcare (Panama City, FL)
    …Coast Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Cardiac Holding RN and access programs to assist with ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...gain certifications and job skills. Apply today for our Registered Nurse Cardiac Holding RN … more
    HCA Healthcare (10/07/25)
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  • Case Manager Registered Nurse…

    HCA Healthcare (Richmond, VA)
    …set us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** ... for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity.... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management … more
    HCA Healthcare (10/05/25)
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