• Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... Knowledge of and experience in Quality Assessment and Improvement, Utilization Review. 9. Ability to develop management ...Improvement, Utilization Review. 9. Ability to develop management systems to track data over time. Benefits Benefits:… more
    Calvary Hospital (11/19/25)
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  • Patient Access Generalist

    Colorado State University (Fort Collins, CO)
    …and getting authorizations/pre-authorizations + Experience as a Medical Assistant, Licensed Practical Nurse , Registered Nurse , or other relevant medical ... who are absent or on leave, as requested by management , not to exceed 40 hours per week. The...as delegated by lead or manager + Notifies call nurse in appropriate clinic of emergent situations + Monitors… more
    Colorado State University (12/17/25)
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  • Lead Cardiology APP

    Trinity Health (Fort Lauderdale, FL)
    …Physician Assistant or Nurse Practitioner Program + National Advanced Practice Registered Nurse Certification (APRN) OR national board certification as a ... Lead APP is responsible for the supervision of the Physician Assistants and Nurse Practitioners of the designated service line. Duties include guidance and coverage… more
    Trinity Health (12/15/25)
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  • MDS Coordinator

    WMCHealth (Warwick, NY)
    …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... to ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion… more
    WMCHealth (12/12/25)
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  • Family Medicine - Advanced Practice Provider

    Carle Health (Champaign, IL)
    …of Family Medicine APP experience required **Licensure/Certification Requirements:** Current Illinois registered nurse license and advanced practice nurse ... Family Medicine APP works with a collaborative team including the physician, APP, nurse , and certified medical assistant to provide patient care in an ambulatory… more
    Carle Health (12/10/25)
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  • NP/PA - Ctvs/General Robotic

    Trinity Health (Ann Arbor, MI)
    …Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Acute Care Nurse Practitioner license ... managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA… more
    Trinity Health (11/05/25)
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  • Director Care Coordination

    Catholic Health Initiatives (Gilbert, AZ)
    …and care management experience + Five years of leadership experience + Registered Nurse : AZ + Certified Case Manager and Accredited Case Manager upon ... comprehensive care coordination functions, ensuring seamless transitions, efficient resource utilization , and patient-centered approaches. You will work closely with… more
    Catholic Health Initiatives (12/20/25)
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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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  • Payment Integrity Clinician

    Highmark Health (Little Rock, AR)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
    Highmark Health (11/14/25)
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  • Nursing Supervisor-Full Time-Evening Shift

    Calvary Hospital (Bronx, NY)
    …Transit Check. + Free On-Site Parking Qualifications: + Current New York State Registered Nurse License, registration. + Current BLS from AHA (American Heart ... of at least five years. + Demonstrated competence in a progressive leadership/ management position of 2-3 years. Education: + Bachelor's Degree in Nursing required,… more
    Calvary Hospital (12/24/25)
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