• Utilization Review Team Lead

    BayCare Health System (St. Petersburg, FL)
    …Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... include:** + Directing and coordinating the daily operations of the UM department responsible for concurrent reviews and observation management + Ensuring… more
    BayCare Health System (11/12/25)
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  • Clin Nurse III

    Covenant Health Inc. (Sevierville, TN)
    Overview Registered Nurse , Critical Care PRN/OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of Covenant Health, ... + Performs other duties as assigned. Qualifications Min im um Education: None specified; however, must be sufficient to...RN licensure. CPR required Apply/Share Job Title CLIN NURSE III ID 4104211 Facility LeConte Medical Center Department… more
    Covenant Health Inc. (10/21/25)
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  • Director of Clinical Services, Faculty Practice…

    UCLA Health (Los Angeles, CA)
    …- $341,800/annually Qualifications We're seeking an experienced leader with: + A Registered Nurse License, Advanced Practice Provider ( Nurse Practitioner ... will: + Oversee the development and execution of multiple UM processes and workflows, while continuously identifying and evaluating...+ 3-5 years of experience in a clinical capacity ( RN , APP, etc.), required + 3-5 years of executive… more
    UCLA Health (09/20/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Phoenix, AZ)
    …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, you'll ... of a computer. + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity… more
    CVS Health (12/13/25)
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  • Case Manager, Medicaid Long Term Support Program

    MVP Health Care (Tarrytown, NY)
    …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 ... timely resolution. + Training & Support: Educate staff and providers on UM protocols, documentation standards, and clinical guidelines. + Contribute to our humble… more
    MVP Health Care (12/14/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …* Minimum of Associate Degree required; Bachelor's Degree preferred. * Licensed as a Registered Nurse in the state of Florida. * 5+ years CDI auditing/SLR ... at regular scheduled CDI team meetings as well as other meetings (ie UM /Quality etc). * Collaborative interaction with physicians and/or other clinicians to enhance… more
    NCH (12/13/25)
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  • Advanced Practice Professional ( Nurse

    University of Michigan (Ann Arbor, MI)
    …at ###. **Required Qualifications NP: + Current licensure to practice as a Registered Nurse in the State of Michigan + Current specialty certification ... Advanced Practice Professional ( Nurse Practitioner) Rogel Cancer Center - Pancreatic Oncology **Early Site Maintenance** We are performing updates and maintenance to… more
    University of Michigan (12/13/25)
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  • Advanced Practice Professional (NNP) Brandon…

    University of Michigan (Ann Arbor, MI)
    …**Required Qualifications Nurse Practitioner + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... range: $138,489 - $213,656 / year** **Bonus:** An employee in the Neonatal Nurse Practitioner role who participates in air and ground patient transports will be… more
    University of Michigan (12/03/25)
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  • Advanced Practice Professional (Physician…

    University of Michigan (Ann Arbor, MI)
    …accredited Nurse Practitioner program + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... + Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner + Certification as a Nurse Practitioner recognized by… more
    University of Michigan (12/02/25)
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  • Case Manager - Registered Dietician

    CDPHP (Latham, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist + Accepts responsibility for… more
    CDPHP (11/25/25)
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