• Utilization Review Intake

    AdventHealth (Glendale Heights, IL)
    …60139 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,...capacity to prioritize multiple tasks and role components. + Registered Nurse ( RN ) Required +… more
    AdventHealth (06/13/25)
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  • Director of Care Coordination

    Catholic Health Services (West Islip, NY)
    …with Hospital Conditions of Participation. Implements care management programs, including utilization review , intake and discharge planning. Evaluates ... but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle...Master of Science degree strongly preferred. Licensure: New York Registered Nurse ( RN ) License &… more
    Catholic Health Services (07/18/25)
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  • Registered Nurse RN Manager

    Horizon Services, Inc. (Albuquerque, NM)
    …collective experiences enrich each other's growth. This position, which must be held by a Registered Nurse ( RN ), serves as the clinical and operational lead ... RN is responsible for ensuring the safe clinical intake of individuals arriving via EMS and other referring...Medical Center. What else is required? + New Mexico Registered Nurse ( RN ) + 3+… more
    Horizon Services, Inc. (07/12/25)
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  • Intake Coordinator- RN Lhtc/…

    Villa of Hope (Rochester, NY)
    …SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... RN SUPERVISORY POSITION JOB TITLE: Intake Coordinator- RN / Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager/Health Coordinator… more
    Villa of Hope (05/03/25)
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  • Assessment & Referral Registered

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Assessment & Referral Registered Nurse PAY RANGE: $63.00-$78.00 per hour REPORTS TO: ... and procedures, ensuring compliance with regulations, standards and requirements. The Registered Nurse - Assessments & Referrals maintains knowledge,… more
    Sacramento Behavioral Healthcare Hospital (07/15/25)
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  • RN BH Intake Specialist

    HCA Healthcare (Tampa, FL)
    …your career path, we encourage you to apply for our RN Psych Intake Specialist opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a RN Psych Intake Specialist you want in...will collaborate medical treatment with third party payers and utilization review department to qualify patients for… more
    HCA Healthcare (07/14/25)
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  • Manager, Intake Operations (Managed…

    CVS Health (New York, NY)
    …all with heart, each and every day. **Position Summary** The Manager, Intake Operations (Managed Long-Term Care) will oversee the day-to-day management and ... for the MLTC plan. + Manage a team of intake representatives, oversee enrollment processes, and work with various...initial assessments and plan of care assignment with internal RN team and external vendors. + Oversee delivery of… more
    CVS Health (07/13/25)
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  • Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …groups and clinical committees. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's degree in nursing, (or ... About The Role The Director, Utilization Management (UM) will manage the Utilization...team consisting of Clinicians and Non-Clinical support staff from Intake through Appeals processing. The ideal candidate will have… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Hospital Level Care at Home Intake

    Intermountain Health (Murray, UT)
    …- Case management Certification. - and - Experience in Case management, Utilization review , and/or discharge planning. **Physical Requirements:** Ongoing need ... is located at Utah Valley Hospital Minimum Qualifications Current RN license for state in which the nurse practices. - and - Three years of clinical nursing… more
    Intermountain Health (07/13/25)
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  • Senior Care Manager ( RN )

    Centene Corporation (Springfield, IL)
    …**Candidates must reside within 30 miles of Peoria.** **What We're Looking For:** + ** Registered Nurse ( RN ) with active Illinois license** + **Experience in ... case management and/or utilization review ** + **Previous work in an...4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
    Centene Corporation (06/20/25)
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