• Supervisor , Utilization

    LA Care Health Plan (Los Angeles, CA)
    Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (04/11/25)
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  • Supervisor , Behavioral Health…

    Centene Corporation (Phoenix, AZ)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization more
    Centene Corporation (04/09/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
    Dignity Health (04/17/25)
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  • Supervisor Quality RN

    Providence (Everett, WA)
    **Description** The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization ... a row._ **Required Qualifications:** + Bachelor's Degree in Nursing. + Washington Registered Nurse License upon hire + Previous healthcare administration and/or… more
    Providence (04/23/25)
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  • Behavioral Health Utilization

    AmeriHealth Caritas (Charleston, SC)
    …about us at www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor , the Behavioral Health Utilization Management Reviewer ... required: LPC, LCSW, LISW, LICSW, LCMHC, LMHC, LMFT or RN ( Registered Nurse graduated from...of behavioral health and substance use disorder experience.; + Utilization management experience in a managed care… more
    AmeriHealth Caritas (03/18/25)
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  • Utilization Management Review…

    AmeriHealth Caritas (Dover, DE)
    …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. ;The Clinical Care Reviewer - Utilization Management will also be counted upon...(BSN) preferred. + An active OH or compact state Registered Nurse ( RN ) license in… more
    AmeriHealth Caritas (04/29/25)
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  • Registered Nurse RN House…

    HCA Healthcare (Brownsville, TX)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current employer? ... of colleagues. Do you want to work as a(an) Registered Nurse House Supervisor PRN...patient care. These duties include providing effective distribution and utilization of personnel with emphasis on staffing for nursing… more
    HCA Healthcare (04/10/25)
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  • Registered Nurse ( RN ) - Med…

    Bon Secours Mercy Health (Suffolk, VA)
    …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... RN ) - Med-Surg - Harbour View Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
    Bon Secours Mercy Health (04/29/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Newport News, VA)
    Nurse Advancement Program available! **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
    Bon Secours Mercy Health (04/29/25)
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  • Registered Nurse Supervisor B

    Louisiana Department of State Civil Service (Reserve, LA)
    REGISTERED NURSE SUPERVISOR B...on your application. Applications may be rejected if incomplete.* RN Supervisor B SPECIAL ENTRANCE RATE: $2919.20 ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4922155) Apply  REGISTERED NURSE SUPERVISOR B Salary $5,860.00 - $10,546.00 Monthly… more
    Louisiana Department of State Civil Service (04/29/25)
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