• Clinical UM Nurse

    CenterWell (Juneau, AK)
    …our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
    CenterWell (01/14/26)
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  • Clinical Reviewer, Nurse…

    Evolent (Juneau, AK)
    …coordinating with UM staff to ensure timely and accurate communication of clinical decisions. + Responsible for completion of UM projects and participation ... the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and… more
    Evolent (01/15/26)
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  • Clinical Reviewer, Nurse (Medical…

    Evolent (Juneau, AK)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member...medical management activities in a managed care environment + UM /UR experience + Clinical experience in Oncology,… more
    Evolent (12/10/25)
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  • Registered Nurse - Case Manager

    ERP International (Anchorage, AK)
    **Overview** ERP International is seeking a **Registered Nurse Case Manager** for a full-time position supporting the673d Medical Group, Joint Base ... such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.… more
    ERP International (12/18/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Juneau, AK)
    …experience, or provider operations and/or health insurance experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year ... panel of members that range in health status/severity and clinical needs; and assesses health management needs of the...RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or… more
    Highmark Health (01/10/26)
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