• Utilization Management Registered

    Katmai (Fort Carson, CO)
    …Degree of Nursing. + Current, full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college or university ... Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible beneficiaries within the...years within the last four (4) years as a registered nurse in utilization management. + One… more
    Katmai (11/26/25)
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  • 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 (11/07/25)
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  • Home Health Weekend Registered Nurse

    UPMC (West Mifflin, PA)
    UPMC Home Health is Hiring a Full-Time Weekend Registered Nurse ( RN ) Are you a nurse looking for a rewarding career where you can provide direct, ... care in the comfort of their homes. As an RN with UPMC Home Health, you'll collaborate with our...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
    UPMC (12/12/25)
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  • Registered Nurse - Care Coordinator…

    Cedars-Sinai (CA)
    …as a condition of continued employment. **Req ID** : 13841 **Working Title** : Registered Nurse - Care Coordinator - Per Diem 8 Hour Days **Department** ... Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management preferred or...with 2 or more year of care management experience ( UM or DC Planning). + 1 year of previous… more
    Cedars-Sinai (12/05/25)
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  • Registered Nurse - ISP Care…

    Cedars-Sinai (Beverly Hills, CA)
    …Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days **Department** ... + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review and… more
    Cedars-Sinai (11/25/25)
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  • Registered Nurse - Case Management

    ERP International (Luke AFB, AZ)
    **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Licensure:** Current, full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by… more
    ERP International (11/25/25)
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  • Registered Nurse - Case Manager

    ERP International (Tinker AFB, OK)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
    ERP International (09/30/25)
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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 (11/26/25)
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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 (10/14/25)
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  • Home Health Registered Nurse

    UPMC (West Mifflin, PA)
    **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth and Mon Valley areas** Are you a nurse looking for a rewarding career where you ... for on-call and weekends. Flexible shifts available As an RN with UPMC Home Health, you'll collaborate with our...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
    UPMC (12/12/25)
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