• CHRISTUS Health (San Antonio, TX)
    …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
    Talent (09/24/25)
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  • CHRISTUS Health (Tyler, TX)
    DescriptionSummary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness ... other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network support.… more
    Talent (09/15/25)
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  • Delray Medical Center (Delray Beach, FL)
    …Up to $20,000 sign on bonus based on experience The Surgical Services RN works collaboratively with physicians, anesthesia personnel, and other health team members ... responsible and accountable for the delivery of clinical nursing care and utilization of the nursing process. 2503001261Employment practices will not be influenced… more
    Talent (10/12/25)
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  • Skaggs Community Hospital Association (Branson, MO)
    …and utilization of Aseptic Technique. Licensure/Certification/Registration: ▪ Required:Missouri State Registered Nurse AND Certified as a Registered ... and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered more
    Talent (10/08/25)
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  • Registered Nurse

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** for a temporary contract position in support of ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
    ERP International (09/13/25)
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  • Registered Nurse ( RN )…

    Monroe County, NY (Rochester, NY)
    Full Jobs List Full Exams List Registered Nurse ( RN ) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse ( RN ) ... Does related work as required. Minimum Qualifications Possession of a New York State License as a Registered Nurse . Download/View Full Announcement Apply Online more
    Monroe County, NY (08/02/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management...RN II + Six (6) months of experience in Utilization Management Per Diem RN III + Five ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem Registered Nurse II/III - Utilization Management VCMC… more
    Ventura County (09/27/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually Location Ventura and Santa Paula, CA Job Type Full-Time Regular… more
    Ventura County (09/21/25)
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  • Registered Nurse

    Beth Israel Lahey Health (Boston, MA)
    …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission… more
    Beth Israel Lahey Health (09/10/25)
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  • Clinical Registered Nurse

    Cognizant (Carson City, NV)
    …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... 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 Grievances, precertification,… more
    Cognizant (10/07/25)
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  • Registered Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
    Beth Israel Lahey Health (08/16/25)
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  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    …outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... Time: 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works collaboratively with the… more
    Crouse Hospital (09/25/25)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
    Commonwealth Care Alliance (10/02/25)
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  • Utilization Management Registered

    AdventHealth (Daytona Beach, FL)
    …32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
    AdventHealth (09/18/25)
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  • ED Utilization Management Registered

    AdventHealth (Tampa, FL)
    …you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... for additional review as determined by department standards. The Utilization Management Nurse is accountable for a...electronic health records of at least two years Preferred RN - Registered Nurse -… more
    AdventHealth (10/11/25)
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  • Registered Nurse -Quality Management…

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …The Tampa VA Health Care System is seeking an experienced, dynamic and talented Registered Nurse for Quality/ Utilization Management. Our ideal applicants are ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • RN Utilization Management…

    Trinity Health (Albany, NY)
    …and perceiving our world and that these differences often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - ... St. Peter's Hospital--Full-TIme Days** If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference, this could… more
    Trinity Health (09/30/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    Summary The Registered Nurse ( RN ) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, ... coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such...of patient status. 1. Collaborate and set standards with registered nurse ( RN ) case managers… more
    Guthrie (10/04/25)
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  • Registered Nurse ( RN )…

    Hartford HealthCare (Norwich, CT)
    …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... moment* matters. **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient (per diem)*… more
    Hartford HealthCare (10/10/25)
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  • RN Utilization Management - Acute…

    Trinity Health (Albany, NY)
    …in Albany, NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) per diem. The team is willing ... **Employment Type:** Part time **Shift:** Day Shift **Description:** ** RN for Utilization Management - Per...selected candidate will** : + Be responsible for the utilization management, both concurrent and retroactive for inpatient and… more
    Trinity Health (10/07/25)
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