• Nurse Navigator - Women's Health

    Rochester Regional Health (Rochester, NY)
    …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... navigation for patients, including triage management , algorithm management , utilization management and resource...possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document… more
    Rochester Regional Health (12/03/25)
    - Related Jobs
  • Social Worker - Case Manager

    Luke Staffing (Agana Heights, GU)
    …professional clinical standards and clinical protocols. . Participate in Utilization Management /Case Management meetings to review and identify . ... of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,...services. . Provide patient referrals. Interface with the MTF RN Case Manager(s) in the development and implementation of… more
    Luke Staffing (11/13/25)
    - Related Jobs
  • Manager, Clinical Care Services

    Magellan Health Services (Albuquerque, NM)
    …Professional Counselor - Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... the management , direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care … more
    Magellan Health Services (10/10/25)
    - Related Jobs
  • SVP, System Chief Nursing Executive

    Atlantic Health System (Morristown, NJ)
    …* Ph.D. in Nursing or Doctor of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in the State of New Jersey or ... Demonstrated strength in resource management and financial management . * Experience with ANCC Magnet nurse ...of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in… more
    Atlantic Health System (11/19/25)
    - Related Jobs
  • Charge Nurse - Operating Room - Weekends

    Houston Methodist (The Woodlands, TX)
    …II Operating Room (OR) Department Premium WA Periop position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at ... progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (10/29/25)
    - Related Jobs
  • Case Management Supervisor

    University of Utah Health (Salt Lake City, UT)
    …reporting of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and analyzes Case ... This position is responsible for the day to day management of the Case Management Department. Plans,...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
    University of Utah Health (12/24/25)
    - Related Jobs
  • Nurse Case Manager I

    International Medical Group (Indianapolis, IN)
    …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute...PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or… more
    International Medical Group (11/16/25)
    - Related Jobs
  • Healthcare Clinical Documentation Specialist

    Deloitte (Los Angeles, CA)
    …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN , Quality, DRG Validation and… more
    Deloitte (11/21/25)
    - Related Jobs
  • Oasis Workflow Coordinator

    Hartford HealthCare (Mansfield Center, CT)
    …settings. Degree from an accredited educational program leading to licensure as a Registered Nurse ( RN ), Physical Therapist (PT), Occupational Therapist ... patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with… more
    Hartford HealthCare (11/20/25)
    - Related Jobs
  • Quality Management Specialist I

    DePaul (Rochester, NY)
    …Quality Management planning. + Performs all other duties as assigned. Qualifications + Registered Nurse or Licensed Practical Nurse with 3 years of ... Management Plan within the corporation. + Incident Management - review incident reports and provide...reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual… more
    DePaul (10/10/25)
    - Related Jobs