• Williamson Health (Nolensville, TN)
    …employer and a drug-free workplace. POSITION SUMMARY To perform the activities of Case Management and Utilization Management to facilitate the collaborative ... currently licensed by the State of Tennessee as a Registered Nurse . Emergency Room and or Critical...related experience in hospital or managed care setting. Prior utilization /case management experience is preferred. Equipment and… more
    Appcast IO CPA (12/28/25)
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  • New Season (Gastonia, NC)
    …of the lead nurse and other nursing staff in the center. Essential Registered Nurse Qualifications: (To perform this job successfully, an individual must be ... disabilities to perform the essential functions). Education/Licensure/Certification: Active licensure as a Registered Nurse in the state in which work is being… more
    Appcast IO CPA (01/01/26)
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  • Sierra Medical Center (Reno, NV)
    …school of nursing and holds current licensure in the state of Nevada as a registered professional nurse . An Associates Degree in Nursing. 10 years experience as ... is responsible for promoting and maintaining quality patient care through effective management of the activities of the total patient care services during his/her… more
    Appcast IO CPA (12/16/25)
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  • Irving Coppell Surgical Hospital (10819) (Irving, TX)
    …nursing preferred, with a strong background in leadership roles.Licensure/Certification: Current Registered Nurse ( RN ) license in TX; Certification ... Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR),… more
    JobLookup XML (12/31/25)
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  • Irving Coppell Surgical Hospital (10819) (Irving, TX)
    …nursing preferred, with a strong background in leadership roles. Licensure/Certification: Current Registered Nurse ( RN ) license in TX; Certification in ... Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR),… more
    job goal (12/31/25)
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  • Utilization Management

    Katmai (Fort Carson, CO)
    …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • Utilization Management Reviewer,…

    Excellus BlueCross BlueShield (Rochester, NY)
    …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... with diverse cultural dynamics of clinical staff and patients. Registered Nurse ( RN ) required. Licensed...(LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant… more
    CVS Health (01/01/26)
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  • Executive System Director of Utilization

    UNC Health Care (Morrisville, NC)
    …the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible ... for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a complex academic health system and… more
    UNC Health Care (10/29/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
    Alameda Health System (11/07/25)
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