• Senior Medical Management…

    Ventura County (Ventura, CA)
    Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply  Senior Medical Management ... more efficient, and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review,… more
    Ventura County (11/07/25)
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  • RN Medical Management Nurse…

    Elevance Health (Los Angeles, CA)
    RN Medical Management Nurse - California **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... 8 hour shift within 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse ** is responsible for review of the most complex or… more
    Elevance Health (11/25/25)
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  • Medical Management Nurse

    Elevance Health (Indianapolis, IN)
    …accommodation is granted as required by law. ** Must be an Indiana resident ** The ** Medical Management Nurse ** is responsible for review of the most complex ... whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do...Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate… more
    Elevance Health (11/26/25)
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  • Utilization Management Nurse…

    CVS Health (Columbus, OH)
    …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We... Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners… more
    CVS Health (11/26/25)
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  • Iowa Registered Nurse , RN, National Travel…

    Access Dubuque (Dubuque, IA)
    …(PRN) Rehab MercyOne Medical Lab Tech (graduating in 2026) - Tuition Re Medical Associates Utilization Management Nurse Cottingham & Butler/ SISCO RN- ... Iowa Registered Nurse , RN, National Travel Program, Cath Lab **MercyOne**...Comments **Similar Jobs** Float Pool CMA/LPN/RN/Paramedic - Explore Multip Medical Associates Emergency Medicine - Physician PRN - Dubuque,… more
    Access Dubuque (10/09/25)
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  • Registered Nurse Telemetry

    Prime Healthcare (Kansas City, MO)
    …That Are a Plus: + Previous Acute Care hospital experience + Ventilator management experience + Medical -Surgical Nurse -Board Certified (RN-BC) or similar ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230599/registered- nurse -telemetry/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Joseph… more
    Prime Healthcare (10/22/25)
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  • Pain Management - Nurse Practitioner…

    Hartford HealthCare (Bridgeport, CT)
    …**Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Pain Management - Nurse Practitioner (APRN) or Physician Assistant* ... Hartford HealthCare* Hartford Healthcare has a new opportunity available for a *Pain Management * Physician Assistant or Nurse Practitioner (APRN) to join our… more
    Hartford HealthCare (10/18/25)
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  • Behavioral Health Utilization Management…

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... of services and care. * Provides referrals to Case management , Disease Management , Appeals & Grievances, and...required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical director oversight… more
    Brighton Health Plan Solutions, LLC (11/22/25)
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  • Utilization Management Nurse

    Brighton Health Plan Solutions, LLC (NC)
    …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... of services and care. * Provides referrals to Case management , Disease Management , Appeals & Grievances, and...required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical director oversight… more
    Brighton Health Plan Solutions, LLC (10/11/25)
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  • Nurse Practitioner or Physician Assistant…

    MaineGeneral Health (Winthrop, ME)
    …team-based care in collaboration with the practice medical staff, care management , a psychiatric nurse practitioner, and a licensed clinical social worker. ... the charming village of Winthrop, Maine is recruiting for a physician assistant or nurse practitioner to join their care team. This new clinician will join a dynamic… more
    MaineGeneral Health (09/12/25)
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