• Primary Care Physician (PCP)

    STG International (Hopkinsville, KY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. * Provide leadership to CBOC clinicians. * Evaluate the… more
    STG International (11/01/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Mountain Home, AR)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
    STG International (10/14/25)
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  • Primary Care Physician (PCP)

    STG International (Tupelo, MS)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
    STG International (10/08/25)
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  • Patient Care Coordinator

    Kaleida Health (Buffalo, NY)
    …care Nursing Experience required. 2 years of experience in any combination of case management , home care and utilization review preferred. Knowledge of and ... with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working… more
    Kaleida Health (10/19/25)
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  • LPN Wellness - Strategic Insurance Dev-Full Time

    Guthrie (Troy, PA)
    …leadership and autonomy in nursing practice. + Preferred experience with care management / utilization review , and payer knowledge. + RN considered. ... to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion and...to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their… more
    Guthrie (10/07/25)
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  • Reg Onc Hem Clinic Mgr RN

    Covenant Health Inc. (Knoxville, TN)
    …administrative and regulatory purposes. + Develops and directs efficient materials management process. Ensures cost-efficient ordering and utilization of ... Overview Nurse Manager of Oncology Clinic & Infusion Center...performance indicators. + Collaborates with program leaders to develop, review and revise policies and procedures for the clinic… more
    Covenant Health Inc. (10/03/25)
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  • Clinical Resource Coordinator - Full Time Day…

    Penn Medicine (Philadelphia, PA)
    …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings + Utilization Management :Adheres to guidelines to satisfy 3rd party… more
    Penn Medicine (11/07/25)
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  • Behavioral Health Quality Assurance…

    Carle Health (Champaign, IL)
    …of research, new or existing regulatory requirements. Oversee and actively guide utilization review , medication monitoring, treatment plans and peer review ... **Or** Master's Degree Social Work **Licenses/Certifications** Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
    Carle Health (10/24/25)
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  • Director of Nursing

    Sevita (TN)
    …state strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + Financial Management : + May be responsible for the ... career well lived. **State Nursing Director - IDD Services (Registered Nurse )** **_Starting Pay: $110,000_** **_Regular travel required_** Looking for rewarding work… more
    Sevita (09/09/25)
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  • Pre Admission RN

    Dignity Health (Santa Maria, CA)
    …experience preferred. + Current California Registered Nurse : CA (RN:CA) + Utilization Review , or Case Management experience desirable, not required. ... keeping with the Marian Medical philosophy, the Pre-Admission Planning nurse provides Case Management , and an individual...to be self directed, team oriented Knowledge of the utilization management process from pre-admitting to post… more
    Dignity Health (11/04/25)
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