• Registered Nurse (Flow Center Nurse…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …communicates census and bed availability on all patient care units. Resolves bed utilization issues. The Nurse Manager processes admission requests from ... sample of some of the duties the Flow Center Nurse Manager are executing position responsibilities that...rounds and/or conferences to review treatment goals, optimize resource utilization , and recommends alternate levels of care when acute… more
    Veterans Affairs, Veterans Health Administration (08/27/25)
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  • Utilization Review Case Manager

    Dartmouth Health (White River Junction, VT)
    …Health .6 FTE/24 per Week, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? * You experience ... Utilization Review Case Manager - Home...CT, MA, MD, NJ, NY, OH, RI, WY. Visiting Nurse and Hospice for VT & NHcovers more than...the people in our communities. When you join Visiting Nurse and Hospice for VT & NH, you'll become… more
    Dartmouth Health (08/26/25)
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  • Nurse Manager - Emergency Department…

    AdventHealth (Mansfield, TX)
    …care and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, ... all ages, and a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who adheres to the goals,… more
    AdventHealth (08/07/25)
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  • Utilization Review Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... ensure appropriate service utilization . Working under the general supervision of the Director...Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an… more
    Actalent (08/21/25)
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  • Utilization Review Nurse , 2nd shift

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… more
    Houston Methodist (08/26/25)
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  • Utilization Management Nurse…

    Integra Partners (Troy, MI)
    The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES… more
    Integra Partners (08/26/25)
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  • Registered Nurse (RN) - Utilization…

    Monroe County, NY (Rochester, NY)
    …The employee reports directly to, and works under the general supervision of a Nurse Manager , or other higher-level staff member. General supervision may be ... Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - … more
    Monroe County, NY (08/02/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …Friday, 8:30am-5:00pm. **Job Description:** + NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills ... experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals. + Team: Fast paced, Interactive team works… more
    US Tech Solutions (07/31/25)
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  • Utilization Management Nurse

    CenterWell (Augusta, ME)
    …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
    CenterWell (08/02/25)
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  • Registered Nurse - Utilization…

    Beth Israel Lahey Health (Plymouth, MA)
    …the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
    Beth Israel Lahey Health (08/16/25)
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