• Traveling Registered Nurse

    WelbeHealth (Los Angeles, CA)
    …with better quality and compassion in a value-based model, and the Travel Registered Nurse (RN) Specialist directly guides this care as a primary voice on ... the interdisciplinary team (IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager,...any nursing roles (eg, RN Case Manager, RN Clinic Nurse ) as needed in multiple markets. The Travel RN… more
    WelbeHealth (07/19/25)
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  • Registered Nurse - Clinical Documentation…

    Cedars-Sinai (Los Angeles, CA)
    …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8… more
    Cedars-Sinai (09/18/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
    Sharp HealthCare (08/02/25)
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  • Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Phoenix, AZ)
    …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/09/25)
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  • Clinical Nurse Specialist - Home…

    Virtua Health (Marlton, NJ)
    …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... Locations: Job Information: *Current board certification as WOC (ET) nurse (CWOCN) by the Wound, Ostomy and Continence Nursing...determine the types of services to be provided. Case management nurses provide education in disease management more
    Virtua Health (09/23/25)
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  • Registered Nurse RN Transition…

    AdventHealth (Maitland, FL)
    …or 9am-6pm)** **Location** : 600 Courtland Street, Maitland **The Care Transitions Registered Nurse ensures that a care plan is carried out in partnership with the ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...high risk for readmission or for high emergency room utilization . Follows up with patients at location of post… more
    AdventHealth (09/16/25)
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  • RN - Professional Development Registered…

    Geisinger (Pittston, PA)
    …and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing professional ... staff and members of other departments, effective communications, appropriate resource utilization and sound planning skills. + Communicates pertinent information as… more
    Geisinger (09/10/25)
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  • Registered Nurse (RN) Quality…

    Bon Secours Mercy Health (Cincinnati, OH)
    …and clinicians are recognized for clinical and operational excellence. RN Quality Specialist Summary: Ensures the delivery of high quality, excellent care that meets ... medical staff and organizational leadership to proactively address quality and /or utilization issues. + Collaborates with hospital departments to ensure site survey… more
    Bon Secours Mercy Health (10/15/25)
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  • Organizational Quality Nurse

    Hospice of Michigan (Southfield, MI)
    …hospice & palliative care quality reporting, patient care, safety, risk management , infection control, outcomes and customer satisfaction. + Works collaboratively ... of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a Master's Degree… more
    Hospice of Michigan (10/03/25)
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