• Commercial Review Specialist I

    SUNY Upstate Medical University (Syracuse, NY)
    …Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, experience with ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients… more
    SUNY Upstate Medical University (11/18/25)
    - Related Jobs
  • Clinical Operations Supervisor, RN

    Cedars-Sinai (Beverly Hills, CA)
    …care assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role in an ambulatory care ... You Will be Doing The Supervisor of Clinical Operations RN supports the physician and clinical staff in the...as a liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality… more
    Cedars-Sinai (12/17/25)
    - Related Jobs
  • Lead Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... performance to department management . Work closely with management to review performance and quality standards...clinical appeals and grievances experience in a managed care, utilization management and/or case management more
    LA Care Health Plan (11/11/25)
    - Related Jobs
  • Registered Nurse I Outpatient…

    Saint Francis Health System (Muskogee, OK)
    …(http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld)** **to login and apply.** Full Time Days ** Registered Nurse Full-time Outpatient Infusion** . ... in a patient's condition and / or schedule Strong management skills and the ability to prioritize workflow/tasks (ex....and changes Maintain a flexible mindset Job Summary: The Registered Nurse I assesses, plans, implements and… more
    Saint Francis Health System (01/09/26)
    - Related Jobs
  • Registered Nurse Discharge Planner,…

    Vanderbilt University Medical Center (Nashville, TN)
    …continuum of care. Conducts initial and/or concurrent utilization review medical necessity criteria. ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (01/07/26)
    - Related Jobs
  • Registered Nurse , Health Care…

    State of Massachusetts (Marlborough, MA)
    …Qualifications:_* * At least 3-5 years of professional work experience as a Registered Nurse working in a health care facility, preferably nursing homes. ... nursing homes, hospitals and other health care facilities, and review inspection findings. The Health Care Facility Surveyor will...years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
    State of Massachusetts (01/10/26)
    - Related Jobs
  • Operating Room Registered Nurse

    HCA Healthcare (Anchorage, AK)
    …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Alaska...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
    HCA Healthcare (12/14/25)
    - Related Jobs
  • Operating Room Registered Nurse

    HCA Healthcare (Bountiful, UT)
    …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Mountain...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
    HCA Healthcare (11/19/25)
    - Related Jobs
  • Operating Room Registered Nurse

    HCA Healthcare (Anchorage, AK)
    …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Surgery...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
    HCA Healthcare (11/06/25)
    - Related Jobs
  • Registered Nurse Case Manager II…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... + Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. +… more
    Rochester Regional Health (12/23/25)
    - Related Jobs