• RN Specialist Complex Case Manager

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health ... Will Have Utilizing key principles of case management, the RN Specialist will research and analyze the...and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and… more
    Blue Cross and Blue Shield of Minnesota (12/19/25)
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  • RN Case Management Specialist

    Carle Health (Champaign, IL)
    …for nurses with 1 or more years experience - External Applicants Only** Hybrid Option The Registered Nurse ( RN ) who serves in the role of System Case ... are pivotal to the success of the incumbent. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) - Illinois Department of… more
    Carle Health (12/17/25)
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  • Programmatic Nurse Specialist

    UPMC (Harrisburg, PA)
    …of the most specialized and rewarding areas of pediatric medicine. Purpose: The Programmatic Nurse Specialist , a professional registered nurse , has the ... In collaboration with the health care team, the Programmatic Nurse Specialist applies expert clinical knowledge and...Cardiopulmonary Resuscitation (CPR) + Neonatal Resuscitation Program (NRP) + Registered Nurse ( RN ) + Act… more
    UPMC (12/12/25)
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  • Utilization Review Denials…

    UNC Health Care (Kinston, NC)
    …clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience preferred. + Minimum 1 year ... to support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying… more
    UNC Health Care (11/20/25)
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  • Clinical Consulting Specialist RN

    Rush University Medical Center (Chicago, IL)
    …**Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree ... veteran status, and other legally protected characteristics. **Position** Clinical Consulting Specialist RN **Location** US:IL:Chicago **Req ID** 14445 more
    Rush University Medical Center (12/24/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Red Bank, NJ)
    …experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN ** facilitates improvement in the overall quality, completeness and… more
    Hackensack Meridian Health (12/05/25)
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  • Clinical Inpatient Rehab Specialist

    HCA Healthcare (Kissimmee, FL)
    …personal growth, we encourage you to apply for our Clinical Inpatient Rehab Specialist opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a(an) Clinical Inpatient Rehab Specialist today with HCA Florida Osceola Hospital. **Benefits** HCA Florida Osceola… more
    HCA Healthcare (11/10/25)
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  • Clinical Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …the time of review . If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient ... in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4… more
    Nuvance Health (12/25/25)
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  • RN Program Specialist - Rehab Unit

    Sanford Health (Fargo, ND)
    …learning about accreditation and working as part of a cohesive team this program specialist role could be a great fit! **Job Summary** Responsible for analyzing and ... synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic...grant post award activities, maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant… more
    Sanford Health (10/28/25)
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  • RN - Clinical Transition Specialist

    Carle Health (Urbana, IL)
    …assists the team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document… more
    Carle Health (12/17/25)
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