• RN -Case Manager (H)

    SSM Health (Madison, WI)
    …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
    SSM Health (12/06/25)
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  • Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued… more
    Community Health Systems (12/10/25)
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  • RN -Wound (H)

    SSM Health (Oklahoma City, OK)
    …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of...Or + Registered Nurse ( RN ) Issued by… more
    SSM Health (12/11/25)
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  • Nurse Manager / RN

    University of Washington (Seattle, WA)
    …**REQUIREMENTS** + Bachelor's Degree in Nursing + Active licensure to practice as a Registered Nurse in Washington State + 6 years of clinical experience, ... has an outstanding opportunity for an experienced acute care Nurse Manager to work on our **Cardiology/Cardiothoracic unit.** **DEPARTMENT DESCRIPTION**… more
    University of Washington (12/06/25)
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  • Nurse Clinician IV ( RN ) - PICU…

    UTMB Health (Galveston, TX)
    Nurse Clinician IV ( RN ) - PICU - Galveston (Nights) **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2506578 ... **REQUIRED EDUCATION & EXPERIENCE:** RN with bachelor's in nursing,...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more
    UTMB Health (11/21/25)
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  • Senior Medical Management Nurse

    Ventura County (Ventura, CA)
    …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply  Senior Medical Management more
    Ventura County (12/07/25)
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  • Behavioral Health Utilization

    AmeriHealth Caritas (LA)
    **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... to 2 weekends per year **Education & Experience** + Registered Nurse candidates: Associate Degree in Nursing...and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care… more
    AmeriHealth Caritas (11/19/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more
    Minnesota Visiting Nurse Agency (12/06/25)
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  • RN Labor and Delivery Nights

    Baylor Scott & White Health (Temple, TX)
    Baylor Scott & White Medical Center Temple Registered Nurse ( RN ) Labor and Delivery Full Time - Night Shift 7p-7a **Overview** Baylor Scott & White Temple is ... Shared Governance, department committees and councils. Everyone's voice matters! **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who… more
    Baylor Scott & White Health (12/10/25)
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  • Care Coordinator, Utilization

    Hackensack Meridian Health (Edison, NJ)
    …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to.... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
    Hackensack Meridian Health (12/04/25)
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