• Clinical Nurse Auditor, HEDIS *Remote

    Providence (WA)
    …we must empower them. **Required Qualifications:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience (Nursing) **Preferred ... RN License: Oregon and Washington + 1 year Quality management /quality improvement/ utilization review auditing experience, including experience in auditing… more
    Providence (11/18/25)
    - Related Jobs
  • Advanced Practice Provider - Orthopedic Oncology…

    Rush University Medical Center (Chicago, IL)
    …transitions through efficient discharge planning, chart reconciliation, and coordination with case management for post-discharge services like home health. * ... Actively participating in daily discharge planning in coordination with case management and inpatient nursing to facilitate...is a licensed physician assistant (PA) or advanced practice registered nurse (APRN) who functions as a… more
    Rush University Medical Center (11/10/25)
    - Related Jobs
  • Professional Staff Nurse - Penn Hills Home…

    UPMC (Pittsburgh, PA)
    management (UM) professionals to meet physicians' orders and patients' needs. + RN will coordinate case management activities across a multi-disciplinary ... + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act 33 +… more
    UPMC (11/21/25)
    - Related Jobs
  • LVN UM Delegation Oversight Nurse Remote in

    Molina Healthcare (Los Angeles, CA)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint… more
    Molina Healthcare (11/23/25)
    - Related Jobs
  • LVN UM Delegation Oversight Nurse Remote…

    Molina Healthcare (Long Beach, CA)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint… more
    Molina Healthcare (11/21/25)
    - Related Jobs
  • Med Mgmt Clinician Sr (US)

    Elevance Health (Las Vegas, NV)
    …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may include ... initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.... review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
    Elevance Health (10/29/25)
    - Related Jobs
  • Precert Care Manager (Evening Shift)

    UPMC (Pittsburgh, PA)
    …OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Psychologist OR Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... Care contracts. The Care Manager will also be responsible for crisis management and referring members to appropriate services based on triage assessment. The… more
    UPMC (11/12/25)
    - Related Jobs
  • Transplant Recovery Nurse

    Houston Methodist (Houston, TX)
    …EXPERIENCE** + Two years Transplant Coordinator experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Transplant Recovery Nurse position leads organ procurement services required for transplantation and manages the peri-operative phase of… more
    Houston Methodist (11/14/25)
    - Related Jobs
  • Social Work Manager

    HCA Healthcare (Englewood, CO)
    …and cost effective utilization of resources. Through concurrent clinical case management , patients will be assessed to determine appropriateness of ... arises, will perform other duties as assigned by the Case Management Director and cover for the...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing… more
    HCA Healthcare (11/10/25)
    - Related Jobs
  • Nurse Manager (Emergency Department)

    Veterans Affairs, Veterans Health Administration (Durham, NC)
    …Durham VA Health Care System is looking to fill one (1) full time Registered Nurse Manager vacancy for the Emergency Department service line. Responsibilities ... in a Health-Related Field Masters in Nursing Preferred Certification(s) Nurse Executive CEN Critical Care RN ACLS...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (11/22/25)
    - Related Jobs