• CHRISTUS Health (Selma, TX)
    …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
    Talent (09/24/25)
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  • Kaiser Permanente (Largo, FL)
    …Diploma or General Education Development (GED) required. License, Certification, Registration Registered Nurse License (Maryland) OR Compact License: ... to first clinic appointment, 1:1 Clinical Assistant and adequate RN staffing is scheduled, and lunch and late coverage...Registered Nurse Basic Life Support from American Heart Association Additional… more
    Talent (10/25/25)
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  • Manager , Utilization

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Manager , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the...Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ) + Bachelor's… more
    Brighton Health Plan Solutions, LLC (10/11/25)
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  • Manager of Utilization

    Elevance Health (Tampa, FL)
    …considered for employment, unless an accommodation is granted as required by law. The ** Manager of Utilization Management ll** is responsible for managing a ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN more
    Elevance Health (11/06/25)
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  • Manager of Utilization

    Elevance Health (Washington, DC)
    …office 4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management ** **ll** is responsible for managing a team of ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN more
    Elevance Health (10/16/25)
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  • Manager II Utilization

    Elevance Health (Waukesha, WI)
    **Title:** Manager II Utilization Management ...and Experiences:** + BA/BS in a clinical area plus RN , MFT or LCSW license preferred. + 3 years ... unless an accommodation is granted as required by law. The ** Manager II Utilization Management ** is responsible for overseeing workflow and performance… more
    Elevance Health (10/14/25)
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  • Utilization Management

    State of Indiana (Indianapolis, IN)
    Utilization Management Manager Date Posted: Nov 1, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… more
    State of Indiana (11/01/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
    Beth Israel Lahey Health (10/30/25)
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  • Utilization Manager

    Commonwealth Care Alliance (Boston, MA)
    …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
    Commonwealth Care Alliance (10/02/25)
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  • Registered Nurse Case Manager

    Prime Healthcare (Weslaco, TX)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/ registered - nurse -case- manager ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO...visit www.KnappMed.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (11/12/25)
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