• Utilization Review Services

    HCA Healthcare (Salem, VA)
    **Description** **Introduction** Do you have the career opportunities as a Utilization Review Services RN you want with your current employer? We have an ... of colleagues. Do you want to work as a Utilization Review Services RN...- 4 years of relevant case management/ utilization review experience preferred + Registered Nurse more
    HCA Healthcare (08/03/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …to promote quality effectiveness of healthcare services and benefit utilization . **Required Qualifications** + Active and unrestricted RN licensure in ... care **Preferred Qualifications** + NICU experience highly preferred + Managed care/ utilization review experience + Ability to multitask, prioritize and… more
    CVS Health (07/23/25)
    - Related Jobs
  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... and improve positive outcomes for your patients as a Registered Nurse RN Case Manager....a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
    HCA Healthcare (07/26/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    LifePoint Health (Warrenton, VA)
    …applicable federal, state or local law./ **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager* **Location:** ... Experience* *Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge planning, and clinical… more
    LifePoint Health (07/12/25)
    - Related Jobs
  • Case Manager Registered Nurse

    CVS Health (Richmond, VA)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (08/01/25)
    - Related Jobs
  • Registered Nurse , Case Manager…

    CVS Health (Richmond, VA)
    …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... a hospital setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
    CVS Health (08/01/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Richmond, VA)
    …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Clinical Nurse Educator - ... delivery **EMPLOYMENT QUALIFICATIONS:** Must be currently licensed as a Registered Nurse in the State of Virginia...Basic Life Support - American Heart Association + Valid RN Nursing License from the state of practice +… more
    Bon Secours Mercy Health (05/30/25)
    - Related Jobs
  • Registered Nurse ( RN

    Bon Secours Mercy Health (VA)
    …and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care ... management services to identified eligible patients; coordinating care to obtain...Bachelor's Degree Specialty/Major Nursing (BSN) **Licensing/ Certification** Licensure/Certification **Required** Registered Nurse with active License in State… more
    Bon Secours Mercy Health (06/26/25)
    - Related Jobs
  • Director of Case Management ( RN / RT / MSW…

    Select Medical (Newport News, VA)
    …Illness Recovery Hospital** **Director of Case Management** **_Clinical license as a registered nurse or respiratory therapist or master's in social work ... and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan… more
    Select Medical (07/08/25)
    - Related Jobs
  • RN Clinical Manager

    Erickson Living (Springfield, VA)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... (skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current… more
    Erickson Living (05/13/25)
    - Related Jobs