• Clinical Registered Nurse…

    Cognizant (Raleigh, NC)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
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  • Utilization Review Nurse

    UNC Health Care (Kinston, NC)
    …EXPERIENCE REQUIREMENT** + Five (5) years of health care experience as a Registered Nurse . **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a ... the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is...Registered Nurse in the state of North Carolina. **KNOWLEDGE, SKILLS… more
    UNC Health Care (09/04/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Garner, NC)
    …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
    Fresenius Medical Center (10/01/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Charlotte, NC)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
    Fresenius Medical Center (10/01/25)
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  • Registered Nurse - Case Manager

    ERP International (Cherry Point, NC)
    **Overview** ERP International is seeking full-time ** Registered Nurse (RN) Case Manager** in support of theNaval Health Clinic Cherry Point, NC. Apply online ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
    ERP International (10/06/25)
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  • Case Manager Registered Nurse PRN

    HCA Healthcare (Asheville, NC)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager Registered Nurse PRN you want with your current employer? We have ... Do you want to work as a(an) Case Manager Registered Nurse PRN where your passion for...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Required Experience:… more
    HCA Healthcare (07/14/25)
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  • Case Management Registered Nurse

    HCA Healthcare (Asheville, NC)
    …you passionate about delivering patient-centered care?** Submit your application for Care Manager Registered Nurse position and spend more time at the bedside ... shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case...weeks. This position is onsite at Mission Hospital. The Registered Nurse (RN) CM is responsible for… more
    HCA Healthcare (09/25/25)
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  • Case Manager, Registered Nurse…

    CVS Health (NC)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (10/02/25)
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  • Registered Nurse RN Case Manager…

    AdventHealth (Fletcher, NC)
    …and experiences you'll need to succeed:** **Minimum qualifications:** + 1 years relevant clinical RN experience + Registered Nurse - State Licensure ... ** Registered Nurse Case Manager -** **AdventHealth...to support productivity, efficiency and maintain best practice visit utilization . + Assesses physical, functional, psychosocial, social, spiritual, educational,… more
    AdventHealth (09/19/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse (RN)** in the (appropriate state)… more
    Humana (09/12/25)
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