• RN , Manager , Utilization…

    Humana (Carson City, NV)
    **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (09/28/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Reno, NV)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
    Fresenius Medical Center (10/01/25)
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  • Acute Inpatient Charge Registered…

    Fresenius Medical Center (Las Vegas, NV)
    …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to… more
    Fresenius Medical Center (08/15/25)
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  • Case Manager , Registered…

    CVS Health (NV)
    …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 with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Clinical Registered Nurse…

    HCA Healthcare (Las Vegas, NV)
    …we support our colleagues in their positions. Join our Team as a(an) Clinical Registered Nurse Coordinator- MedSurg and access programs to assist with every ... affordable to gain certifications and job skills. Apply today for our Clinical Registered Nurse Coordinator- MedSurg opening and continue to learn! **Job Summary… more
    HCA Healthcare (10/04/25)
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  • Care Manager ( RN )

    Molina Healthcare (Henderson, NV)
    …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
    Molina Healthcare (07/17/25)
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  • RN Manager , Healthcare Services…

    Molina Healthcare (North Las Vegas, NV)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (08/13/25)
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  • RN Case Manager PRN

    HCA Healthcare (Las Vegas, NV)
    …Manager PRN opening and continue to learn! **Job Summary and Qualifications** **The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... colleagues in their positions. Join our Team as an RN Case Manager PRN and access programs...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
    HCA Healthcare (09/23/25)
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  • RN -Disease Management

    ERP International (Nellis AFB, NV)
    **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Disease Manager ** in support of theMike O'Callaghan Military Medical Center ... management of selected diseases. * Collaborates with case manager , utilization manager , and Managed...are required: Minimum of five years of experience as registered nurse with at least 12 months… more
    ERP International (09/11/25)
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  • Manager Care Coordination RN

    Dignity Health (Las Vegas, NV)
    …and experience + Minimum of 3 years of clinical care coordination experience, ( Utilization Management , Denial Management , Care Coordination) or 3 years ... **Where You'll Work** HelloHumankindness (https://www.dignityhealth.org/hello-humankindness) **Is your experience in Case Management as an RN in acute care with… more
    Dignity Health (09/01/25)
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