• Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II/III - Utilization Management ...of: + The theory, techniques, and practices of professional nursing within utilization management ; +… more
    Ventura County (08/10/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Atlanta, GA)
    …Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
    Centene Corporation (08/14/25)
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  • Supervisor, Care Review (RN) Utilization…

    Molina Healthcare (NM)
    …+ 3+ years clinical nursing experience. + 2+ years utilization management experience. + Experience demonstrating leadership skills. **Required License, ... Experience** + 5 years clinical practice with managed care, hospital nursing or utilization management experience. + 3+ years supervisory experience in… more
    Molina Healthcare (08/20/25)
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  • Utilization Management Nurse

    Actalent (Sunrise, FL)
    Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines… more
    Actalent (08/21/25)
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  • Utilization Management RN Hourly…

    Truman Medical Centers (Kansas City, MO)
    …time **Work Schedule** 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** ** Utilization Management Nurse (UM RN)** _Optimize Care. Improve Outcomes. ... log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Management RN Hourly (PRN) - Care Continuity -… more
    Truman Medical Centers (08/20/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    … Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + Posted:March ... Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing...in Nursing Preferred Education: Master's degree in Nursing Required Experience: Three years of utilization … more
    Alameda Health System (08/08/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
    Beth Israel Lahey Health (06/06/25)
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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, ... organization, professional organizations, and community health care facilities concerning Utilization Management . + Participates in in-services and continuing… more
    ERP International (06/18/25)
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  • Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Director, Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships,...Qualifications + Active and unrestricted license as a Registered Nurse (RN). + Bachelor's degree in nursing ,… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Utilization Management Nurse…

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and ... the best and most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers,… more
    Humana (08/20/25)
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