• Utilization Management

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
    McLaren Health Care (06/07/25)
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  • Utilization Management Nurse

    CVS Health (Indianapolis, IN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse

    CVS Health (Indianapolis, IN)
    …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must have active ... current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
    CVS Health (07/23/25)
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  • Utilization Management Nurse

    CVS Health (Indianapolis, IN)
    … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
    CVS Health (08/01/25)
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  • Utilization Management Nurse

    CVS Health (Indianapolis, IN)
    …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of ... or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners...clinical experience. + 1+ Year of Utilization Review Management and/or Medical … more
    CVS Health (08/01/25)
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  • Utilization Management Clinical…

    CVS Health (Indianapolis, IN)
    …and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (07/31/25)
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  • Registered Nurse , Case Manager…

    CVS Health (Indianapolis, IN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1...using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (07/31/25)
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  • Case Manager Registered Nurse

    CVS Health (Indianapolis, IN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...or Specialty Pharmacy.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (07/31/25)
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  • Registered Nurse - Wound Ostomy

    Trinity Health (Mishawaka, IN)
    …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage...and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility… more
    Trinity Health (07/20/25)
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  • Virtual Registered Nurse - 12 hour…

    Trinity Health (Mishawaka, IN)
    …team approach This is NOT a remote position.** **_About the job:_** The licensed Registered Nurse (RN) plans & provides professional nursing services & standards ... national certification in one of the following: Certified Acute Care Virtual Registered Nurse (CAVRN), Acute/critical care nursing (CCRN), Certified Emergency … more
    Trinity Health (07/29/25)
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