• Home Health Registered Nurse

    UPMC (West Mifflin, PA)
    management (UM) professionals to meet physicians' orders and patients' needs. + RN will coordinate case management activities across a multi-disciplinary ... **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
    UPMC (09/28/25)
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  • Community Living Center- Registered

    Veterans Affairs, Veterans Health Administration (Butler, PA)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse will assist in directing the provision of nursing education, orientation,… more
    Veterans Affairs, Veterans Health Administration (10/11/25)
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  • Registered Nurse - Assistant…

    Veterans Affairs, Veterans Health Administration (Little Rock, AR)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary The individual selected for the Post Anesthesia Care Unit (PACU) Assistant Nurse Manager (ANM) position will function under the supervision of the Nurse more
    Veterans Affairs, Veterans Health Administration (11/01/25)
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  • Mental Health Registered Nurse

    Veterans Affairs, Veterans Health Administration (Sheridan, WY)
    Summary The RN is responsible and accountable for all elements...level degree in Nursing may have opportunity to become registered as a nurse with a state ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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  • Quality & Patient Safety Specialist…

    Beth Israel Lahey Health (Cambridge, MA)
    …SKILLS, AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management . 2. Strong spreadsheet, ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of… more
    Beth Israel Lahey Health (10/30/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Jackson, MS)
    …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... **Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition ...in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (11/06/25)
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  • RN Utilization Manager - Care…

    UNC Health Care (Smithfield, NC)
    …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... medical discharge planning issues, continuing care needs by initiating appropriate case management referrals. Initiates appropriate social work referrals. 3.… more
    UNC Health Care (11/15/25)
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  • Registered Nurse Clinical Account…

    Blue KC (MO)
    …reports (eg, High-cost claimant reports, early warning reports, census reports, case management participant reports, etc.) to identify potential high-cost ... benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value...for employer groups received by standard request processes for Case Management (CM) from Underwriting, client managers,… more
    Blue KC (11/08/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Salem, OR)
    …strongly preferred Must have a current RN or LPN** **Oregon state license ** Utilization review, case management , and appeals experience in a managed care ... RN with 4+ years of clinical nursing and/or case management experience or LPN/LVN with 5+...5+ years of clinical nursing or case management experience. Managed care or utilization review… more
    Centene Corporation (11/05/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …+ **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM ( Case Management ) + Preferred CCM ( Case ... in Utilization Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or… more
    BayCare Health System (10/10/25)
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