• Registered Nurse

    US Tech Solutions (Wichita, KS)
    …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE...with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
    US Tech Solutions (08/08/25)
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  • Registered Nurse - Utilization…

    ERP International (Barksdale AFB, LA)
    **Overview** ERP International is seeking a **Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical Group, ... management policies to manage internal and external referrals. Incorporate UM strategies as part of the referral management center's...Utilization Management is required. Full time employment as a registered nurse within the last 36 months… more
    ERP International (06/18/25)
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  • Registered Nurse 2 - Mohs - Full…

    University of Miami (Miami, FL)
    …worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of ... team to provide quality care to designated patients. The RN works within the scope of practice within the...are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains… more
    University of Miami (07/02/25)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +...Qualifications: + Active RN license, entry level RN welcome + Excellent written and verbal communication skills… more
    Centers Plan for Healthy Living (07/15/25)
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  • Registered Nurse (Utilization…

    Veterans Affairs, Veterans Health Administration (Leeds, MA)
    Summary This Registered Nurse position is in Nursing Service at the VA Central Western Massachusetts Healthcare System, located in Leeds, Ma. This is a full time ... ensure proper utilization of healthcare resources. Develop and implement UM policies and procedures in compliance with VHA standards....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (09/10/25)
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  • Registered Nurse -Utilization…

    Veterans Affairs, Veterans Health Administration (Memphis, TN)
    …The Utilization Management ( UM ) Inpatient Care Coordinator is a professional registered nurse who is responsible and accountable for indirect patient care ... the Lt. Col. Luke Weathers, Jr. VA Medical Center. Responsibilities Registered Nurse -Utilization Management Inpatient Care Coordinator (UMICC) facilitates… more
    Veterans Affairs, Veterans Health Administration (09/05/25)
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  • Registered Nurse - Case Manager

    Luke Staffing (Montgomery, AL)
    ** REGISTERED NURSE - CASE MANAGER** **SITE OF SERVICE** **:** . Maxwell Ambulatory Healthcare Center, 300 South Twining Street, Bldg. 760, Maxwell AFB, AL. . ... full, active, and unrestricted license to practice as a Registered Nurse . **Travel:** Travel may be required...for community resources. . Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
    Luke Staffing (08/07/25)
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  • UM Behavioral Health Nurse

    Humana (Atlanta, GA)
    …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (09/09/25)
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  • Registered Nurse Case Manager - VUH

    Vanderbilt University Medical Center (Nashville, TN)
    …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work ... through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team D **Job Summary:** Collaborates with the health care team… more
    Vanderbilt University Medical Center (09/10/25)
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  • Manager, Case Management & UM Services…

    Queen's Health System (Honolulu, HI)
    …QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State license as a Registered Nurse . * Bachelor's degree in Nursing. * Master's degree ... in Nursing preferred. B. EXPERIENCE: * Five (5) years nursing experience with at least three (3) years experience in Case Management. * Two (2) years supervisory/leadership experience. * Prior experience in a comparable role highly preferred. * Experience to… more
    Queen's Health System (09/09/25)
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