- MyFlorida (Daytona Beach, FL)
- REGISTERED NURSE Date: Dec 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865410 Agency: Veterans Affairs Working Title: REGISTERED NURSE Pay Plan: Career Service Position Number: 50001655 Salary: $67,742.74/ Annually… more
- McLaren Health Care (Bay City, MI)
- …to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current ... top decile performance in length of stay, cost efficient resource utilization , preventing readmissions and unnecessary emergency room visits. Works collaboratively… more
- ERP International (Luke AFB, AZ)
- …Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following ... services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and… more
- CVS Health (Topeka, KS)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- University of Southern California (Los Angeles, CA)
- The Clinical Nurse Specialist serves as a resource/consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... initiatives. Integrate research and evidence based practice into the development, review and revision of patient education materials. Identifies and communicates… more
- HCA Healthcare (Cypress, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates ... you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- University of Washington (Seattle, WA)
- …one of the following: certified healthcare chart auditor, certified professional in utilization review (or utilization management or healthcare management), ... an outstanding opportunity for a **Clinical Appeals and Disputes Nurse .** **WORK SCHEDULE** + 100% FTE + 100% Remote...and communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process + Conduct… more
- Northern Light Health (Dover-Foxcroft, ME)
- …Per Week: As Needed Work Schedule: No Hours Assigned Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures.… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- Contracted Classroom Nurse JobID: 691 + Position Type: CASUAL EMPLOYMENT (CONTRACTED) - NON PDE CERTIFIED/ Contracted Classroom Nurse + Date Posted: 12/12/2024 + ... and Services under the clinical guidance from the Certified School Nurse . Qualifications: Education/Experience: + Bachelor's Degree in nursing (BSN). + Valid… more