• Licensed Practical Nurse - Urology

    WellSpan Health (York, PA)
    …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...of patient care between visits. + Assists in the management of patient utilization of health care… more
    WellSpan Health (11/07/25)
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  • Medical Assistant OR Licensed Practical…

    WellSpan Health (Chambersburg, PA)
    …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...of patient care between visits. + Assists in the management of patient utilization of health care… more
    WellSpan Health (10/30/25)
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  • Manager of ICU Critical Care

    HCA Healthcare (Thousand Oaks, CA)
    …Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief ... review , direct observation, and other methods of quality management . **What qualifications you will need:** + Graduate from...of nursing; BSN desired, MSN preferred. + Current California Registered Nurse License. + Current BCLS and… more
    HCA Healthcare (10/13/25)
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  • Nurse Case Manager

    General Dynamics Information Technology (Hurlburt Field, FL)
    …certifying organization, ie Commission for Case Management Certification or American Nurse Credentialing Center. + Current RN license; full, active, and ... unrestricted license as a Registered Nurse in one of any US...all training/certs/documentation. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual… more
    General Dynamics Information Technology (10/26/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Little Rock, AR)
    …or case management experience. Managed care or utilization review experience preferred. **License/Certification:** LPN, LVN, or RN license. Pay Range: ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (12/17/25)
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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 ... guidelines. The incumbent must be highly skilled in time management and possess strong communication skills. The incumbent will...-P/H, RHIA , or RHIT ). Preferences Knowledge of utilization review and quality assurance procedures as… more
    University of Utah (12/23/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Lansing, MI)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
    Evolent (12/10/25)
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  • Medical Data Entry Manager

    Constructive Partnerships Unlimited (Brooklyn, NY)
    …communication on medical issues with VP of Nursing, Nurse Administrator, Registered Nurse ( RN ), and Medical Coordinators2. Maintains medical records, ... and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate… more
    Constructive Partnerships Unlimited (12/21/25)
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  • Transfer Center Nurse

    Northern Light Health (Brewer, ME)
    …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Associate's DegreeBSN preferred. ED or ... Hours Per Week: 12.00 Work Schedule: No Hours Assigned Summary: Transfer Center Nurse is a fully competent practitioner of nursing. The incumbent is responsible for… more
    Northern Light Health (10/22/25)
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  • Special Operations Case Manager (75th RR, Ft.…

    KBR (Fort Benning, GA)
    …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... license; full, active, and unrestricted license as a Registered Nurse in one of any US...Commission for Case Management Certification, American Case Management Association or American Nurse Credentialing Center,… more
    KBR (12/10/25)
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