• Utilization Management

    Veterans Affairs, Veterans Health Administration (Richmond, VA)
    …position. Permanent Change of Station (PCS): Not Authorized Preferred Experience: Utilization Management per the paperwork. Requirements Conditions of Employment ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Clinical Registered Nurse

    Cognizant (Richmond, VA)
    …- Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/25/25)
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  • Utilization Management Nurse

    Humana (Richmond, VA)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/24/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
    CVS Health (11/24/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …will be for 11-8pm EST M-F** **Required Qualifications** 1+ years experience as a Registered Nurse , with an unrestricted license in state of residence. 1+ years ... of clinical experience **Preferred Qualifications** Utilization Management experience Managed Care Experience Proficiency in grammar and syntax Ability to… more
    CVS Health (11/20/25)
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  • SNF Utilization Management RN…

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Registered Nurse (RN) - Med/Surg…

    Bon Secours Mercy Health (Portsmouth, VA)
    …Grads welcome to apply **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a ... Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN-BC ( Registered Nurse - Board Certified) (preferred) CCRN Critical Care … more
    Bon Secours Mercy Health (11/25/25)
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  • Utilization Management Clinical…

    CVS Health (Richmond, VA)
    …and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • Registered Nurse (RN) - Behavioral…

    Bon Secours Mercy Health (Portsmouth, VA)
    …bonus eligible**_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse (RN) -** Psychiatric (https://www.semrush.com/analytics/keywordoverview/?q=Psychiatric&db=us) **-… more
    Bon Secours Mercy Health (11/25/25)
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