• Advanced Practice Provider (APP: NP/PA/CNS)…

    Stanford Health Care (Palo Alto, CA)
    …from an accredited college or university. + Nurse Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetist: Master's or ... licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist).… more
    Stanford Health Care (12/16/25)
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  • Clinical Manager- Weekends

    Tufts Medicine (Lowell, MA)
    …**Job Description** **Minimum Qualifications:** 1.Current licensure as a Registered Nurse or Physical Therapist. 2. Massachusetts RN Licensure OR Physical ... Life Support (BLS) Certification **Preferred Qualifications:** 1. Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist with… more
    Tufts Medicine (12/15/25)
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  • Director Pre Appeals Management -HSO…

    Mount Sinai Health System (New York, NY)
    …Active RN license in the state of employment required + Certification in Case Management (CCM, ACM) or Utilization Management preferred. + 7+ years of ... This role ensures the appropriate use of medical resources, compliance with regulatory standards, and coordination of care to...experience in clinical acute clinical, utilization management , appeals management or… more
    Mount Sinai Health System (11/01/25)
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  • Care Management Specialist II, D-SNP Team…

    LA Care Health Plan (Los Angeles, CA)
    …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical… more
    LA Care Health Plan (10/21/25)
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  • Clinical Nursing Director I

    The County of Los Angeles (Los Angeles, CA)
    …compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on management...other than California must attach a copy of their registered nurse license from that state to… more
    The County of Los Angeles (11/28/25)
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  • Sr Specialist | PI - Quality & Safety | Quality…

    Sharp HealthCare (San Diego, CA)
    …in Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse ( RN ) - CA Board of Registered ... outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and...Board for Professionals in Patient Safety -PREFERRED + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (12/14/25)
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  • Multi-Site Director Case Management

    Prime Healthcare (Port Huron, MI)
    …computer skills. Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
    Prime Healthcare (10/13/25)
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  • Temporary/Contract Prior Authorization…

    Fallon Health (Worcester, MA)
    Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of… more
    Fallon Health (12/14/25)
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  • SVP, System Chief Nursing Executive

    Atlantic Health System (Morristown, NJ)
    …* Ph.D. in Nursing or Doctor of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in the State of New Jersey or ... Demonstrated strength in resource management and financial management . * Experience with ANCC Magnet nurse ...of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in… more
    Atlantic Health System (11/19/25)
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  • Senior Director (Care Management and Social…

    University of Michigan (Ann Arbor, MI)
    …The Senior Director leads interdisciplinary teams in advancing care coordination, utilization management , discharge planning, psychosocial care, and innovative ... development, budgets, and performance dashboards, using data to drive improvement in care management and social work outcomes. + Ensure compliance with CMS… more
    University of Michigan (12/06/25)
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