• RestoraCare Staffing (Houston, TX)
    RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge… more
    JobGet (05/28/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
    JobGet (05/28/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... to the next level of care; Responsible for length of stay management , regulatory compliance , and attending/participating with interdisciplinary team rounds on… more
    JobGet (05/28/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative ...and is required to frequently apply a set of management principles to ensure smooth operations of the department.… more
    JobGet (05/28/24)
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  • OU Health (Oklahoma City, OK)
    Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob Description:General Description: Under direction, the ... the department on assigned hospital committees.Ensures cost-effective care through utilization management and care coordination.General Responsibilities:Performs other… more
    JobGet (05/28/24)
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  • Signet Health (Clinton, MD)
    …package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day shifts for ... Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required One year Adult Psych,… more
    JobGet (05/28/24)
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  • Signet Health (Little Rock, AR)
    …Little Rock, AR \u202f Signet Health, a long-time national behavioral health management company, is recruiting an experienced Nurse Director to manage ... program\u202f\u202f Working knowledge of State, CMS, and TJC accreditation standards\u202f\u202f','directApply':true,'datePosted':'2024-05-14T04:00:00.000Z','title':' Nurse Director ( RN ), Behavioral Health Services -… more
    JobGet (05/28/24)
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  • Cambia Health Solutions, Inc (Lewiston, ID)
    …a current unrestricted RN license), BSN strongly preferred.3 years of case management , utilization management , disease management , or behavioral ... Integrated Care Management Nurse or ClinicianWork from home...LCSW, LICSW, LMHC, LPC, or LMFT)3 years of case management , utilization management , disease … more
    JobGet (05/28/24)
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  • Northeast Georgia Health System, Inc (Demorest, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (05/28/24)
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  • Signet Health (Clinton, MD)
    …Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social ... Collaboration and Coordination with providers and State agencies regarding Case management members. Collaboration with Community Support Programs. Utilization more
    JobGet (05/28/24)
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  • Dana-Farber Cancer Institute (Boston, MA)
    …of which must be in Nursing.Licensed as a Registered Nurse in the Commonwealth of Massachusetts.Hematology-Oncology experience required. Management experience ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
    JobGet (05/21/24)
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  • Signet Health (Louisville, KY)
    OverviewSignet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse Program Director to manage the ... monitoring, and evaluating nursing care and patient outcomes. Responsible for resource management , policy and program development, and fiscal management . Some… more
    JobGet (05/28/24)
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  • JobsRUs (Cape Girardeau, MO)
    …patient and/or significant others in decisions regarding care - Assists the RN in admission and discharge process - Performs patient assessments as indicated ... by the patients condition or as directed by the RN - Performs patient hand offs utilizing patient safety...a timely manner - Maintains effective communication through appropriate utilization of the chain of command - Communicates subjective… more
    JobGet (05/28/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …and visibility across all campuses. Responsibility includes the vision, direction, management and coordination of clinical invasive cardiac services, and vascular ... #LI-KR1#NGHSJOBS Minimum Job QualificationsLicensure or other certifications: Current Georgia RN licenseEducational Requirements: Bachelor's Degree in Nursing Required with… more
    JobGet (05/28/24)
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  • Manager, Behavioral Health Utilization

    Centene Corporation (Oklahoma City, OK)
    … (UM) to align to goals and objectives + Develops, implements, and maintains compliance with BH utilization management policies and procedures + Reviews ... management . + Manages behavioral health (BH) utilization review clinicians and ensures compliance with...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
    Centene Corporation (05/15/24)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …other related duties as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three years of recent ... high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management . Compliance with the Code of Ethics and… more
    Beth Israel Lahey Health (04/17/24)
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  • RN - Registered Nurse Senior…

    Geisinger (Danville, PA)
    …of 5 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic ... all written denial notifications prior to mailing to assure compliance with all regulatory time frames for verbal and...making and documentation processes. + Works with staff and management team to support recommendations for high risk members… more
    Geisinger (05/26/24)
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  • Registered Nurse

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management ** in support of the30th Medical Group at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (05/17/24)
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  • Associate Director, Registered Nurse

    Banner Health (AZ)
    …to bring your experience and skills to BPN. As an Associate Director Registered Nurse RN Care Management , you will call upon your background in ... care management in health plan/mgmt./quality. Requires current Registered Nurse ( RN ) license in...worked. Requires extensive knowledge in the areas of care management and utilization management . Must… more
    Banner Health (05/17/24)
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  • Registered Nurse RN Care…

    AdventHealth (Hinsdale, IL)
    …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes… more
    AdventHealth (04/25/24)
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