- Humana (Charleston, WV)
- …interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 - Onsite Nurse located at the ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes...determination of the appropriate courses of action at an onsite facility. This hybrid position will have limited hours… more
- Access Dubuque (Dubuque, IA)
- Utilization Management Nurse **Medical Associates** 1 Positions ID: oQ7fwfws Posted On 06/05/2025 **Job Overview** **Description** Medical Associates is ... looking for a ** Utilization Management Nurse ** to join...Practitioner Hillcrest Family Services RN - Float Pool Registered Nurse MercyOne RN - Onsite Virtual Registered… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Elevance Health (Woodbridge, VA)
- …and adaptable workplace. The office is located at 609 H. Street NE. The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... RN Utilization Review Nurse (Washington DC Medicaid)...the District of Columbia is required. **Preferred Qualifications:** + Utilization Management /Review in managed care strongly preferred.… more
- Ascension Health (Pensacola, FL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... or Panama City Hospital. Must be able to be onsite for orientation and training for a minimum of...offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/case management /clinical/or combination; 2 of 4 years ... interviews on ms teams will be required to be onsite for the 1st week and then will be...effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is… more
- UNC Health Care (Kinston, NC)
- …and well-being of the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is provided ... the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of...Health Entity: UNC Lenoir Health Care Organization Unit: Care Management Work Type: Full Time Standard Hours Per Week:… more
- ChenMed (North Miami Beach, FL)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes and managing quality of care… more
- WellSpan Health (Gettysburg, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... serves as a nursing resource for clinical staff. Position may be onsite , hybrid or remote. **Duties and Responsibilities** **Essential Functions:** + Obtains patient… more
- Trinity Health (Mishawaka, IN)
- …This is NOT a remote position.** **_About the job:_** The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in ... & Stewardship:** Incorporates caring process (Caritas), advocacy & appropriate resource utilization as an essential component of nursing practice through concrete… more