- CenterWell (Corpus Christi, TX)
- …part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal ... patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and...and coordination with specialists and other care providers.Responsibilityfor results review (imaging, laboratory testing, specialtyreferraland review of… more
- US Tech Solutions (LA)
- …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization ... **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a...in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of ... Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating,...+ Experience in a managed care, case management, or utilization review setting + Strong understanding of… more
- HCA Healthcare (Kissimmee, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... leader to physicians and employees as it relates to utilization review , resource management, patient flow, multi-disciplinary...30 days of employment start date + (RN) Registered Nurse + Associate Degree, or Bachelors Degree Preferred HCA… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Working ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- MyFlorida (St. Augustine, FL)
- SENIOR REGISTERED NURSE SUPV - 50950032 Date: Dec 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866953 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50950032 Pay Plan: Career Service Position Number: 50950032 Salary:… more
- MyFlorida (Orlando, FL)
- REGISTERED NURSE Date: Dec 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 860343 Agency: Veterans Affairs Working Title: REGISTERED NURSE Pay Plan: Career Service Position Number: 50009834 Salary: $67,742.74 Posting… more
- Battelle Memorial Institute (Fort Campbell, KY)
- …within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
- Trinity Health (Mishawaka, IN)
- …inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination for inpatient would ... Consultation, educational support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage wounds will be… more