• Utilization Management Nurse…

    CVS Health (Trenton, NJ)
    …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in ET zones **Education**… more
    CVS Health (09/10/25)
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  • Clinical Audit and Appeals Consultant

    Intermountain Health (Trenton, NJ)
    …specialty care settings or previous appeals experience. + Demonstrated experience in utilization review and/or case management , hospital insurance billing, third ... **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/Appeals… more
    Intermountain Health (09/08/25)
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  • Chief of Quality, Safety and Value (RN)

    Veterans Affairs, Veterans Health Administration (East Orange, NJ)
    …management of programs including accreditation and regulatory affairs, patient safety, risk management , utilization management , bed management , system ... Service, and Value (QSV). This position functions as an advisor, administrator, educator, consultant , and mentor. The QSV Chief is a leader that is responsible for… more
    Veterans Affairs, Veterans Health Administration (07/09/25)
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