• Utilization Management Nurse

    CVS Health (Phoenix, AZ)
    …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
    CVS Health (10/31/25)
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  • UM Behavioral Health Nurse

    Humana (Charleston, WV)
    …of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license,… more
    Humana (11/15/25)
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  • Supervisor, Healthcare Services…

    Molina Healthcare (Cincinnati, OH)
    …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational… more
    Molina Healthcare (11/14/25)
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  • UM Care Manager ( RN ) - Behavioral

    UPMC (Pittsburgh, PA)
    …Clearances: + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure either in the state ... telephonic responsibilities. This role is dedicated to driving effective utilization management for behavioral health...Preference will be given to candidates with a Pennsylvania RN license. This role will review requests for authorization… more
    UPMC (11/15/25)
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  • Case Manager, Behavioral Pediatrics (LMSW,…

    Excellus BlueCross BlueShield (Rochester, NY)
    …consistent and quality health care services. Examples may include Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (11/06/25)
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  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …Adolescent Treatmt/Child S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to...health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health… more
    UnityPoint Health (11/07/25)
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  • Manager, Healthcare Services (Wisconsin Rapids,…

    Molina Healthcare (Montello, WI)
    …experience. * At least 1 year of health care management /leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... in some or all of the following functions: care management , utilization management , behavioral...Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...of professional experience practicing as a Registered Nurse ( RN ) + Recent Behavioral more
    Bon Secours Mercy Health (11/11/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
    Bon Secours Mercy Health (11/12/25)
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  • Registered Nurse ( RN ) PRN 2…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Registered Nurse ( RN ) PRN Psych position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (11/05/25)
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