• Utilization Management Nurse…

    Integra Partners (Troy, MI)
    The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures ... internal partners (eg, Provider Relations, Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal… more
    Integra Partners (08/26/25)
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  • Utilization Review Nurse…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I...SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48… more
    The County of Los Angeles (08/18/25)
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  • Supervisor , Utilization…

    Centene Corporation (Columbus, OH)
    …IN STATE OF OHIO IDEAL CANDIDATE WILL HAVE PRIOR AUTHORIZAION OR UTILIZATION MANAGEMENT EXPERIENCE PEOPLE LEADER EXPERIENCE STRONGLY PREFERRED **Position ... Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure… more
    Centene Corporation (08/23/25)
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  • Registered Nurse Supervisor

    MyFlorida (Chattahoochee, FL)
    REGISTERED NURSE SUPERVISOR - 60005446 Date: Aug 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858609 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60005446 Pay Plan: Career...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
    MyFlorida (09/10/25)
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  • Registered Nurse Supervisor (3rd…

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor (3rd Shift) - Wernersville State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5056320) Apply  ... Registered Nurse Supervisor (3rd Shift) - Wernersville State...City Wernersville, Pennsylvania Zip Code 19565 Contact Name Talent Management Division Contact Email ###@pa.gov + Description + Benefits… more
    Commonwealth of Pennsylvania (08/30/25)
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  • Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... overtime, and weekends based on business needs. **Responsibilities:** + Conduct utilization management reviews by assessing medical necessity, appropriateness of… more
    AmeriHealth Caritas (09/01/25)
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  • Nurse Supervisor (RN) - PreOp/PACU…

    Bon Secours Mercy Health (Toledo, OH)
    …care sites and clinicians are recognized for clinical and operational excellence. ** Supervisor PreOp/PACU - St Anne Hospital** **Job Summary:** The Surgery ... is responsible for oversite of the staff and management of day-to-day operations of the unit in accordance...policies, procedures, and guidelines of the organization. The Surgery Supervisor provides optimal services for patients and physicians in… more
    Bon Secours Mercy Health (06/19/25)
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  • Registered Nurse Supervisor…

    Trinity Health (Syracuse, NY)
    …strong orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes to ... the operational management of the unit to promote and support an...by various licensing, regulatory, and accreditation bodies. An RN Supervisor maintains a working knowledge of policies and procedures… more
    Trinity Health (08/16/25)
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  • Nurse Floor Supervisor

    Sea Mar Community Health Centers (Seattle, WA)
    …assist providers in procedures. + Facilitate emergency referrals according to the utilization management guidelines when the referral coordinator is unavailable. ... Mar is a mandatory COVID-19 and flu vaccine organization Nurse Floor Supervisor - Posting #27405 Hourly...patients who have yet to be seen. Responsible for management of nurse visit encounters. These will… more
    Sea Mar Community Health Centers (06/13/25)
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  • Utilization Review Specialist Sr.

    BayCare Health System (Tampa, FL)
    …Weekend + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions as... Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse… more
    BayCare Health System (08/26/25)
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