• TrackFive (Clarksburg, WV)
    …a doctor's verification of illness and a medical clearance for duty note given to manager prior to returning to work.RPLMT BH Modified 5:00:00 AM Account ... completed in West Virginia at least 7-10 business days prior to start. Traveler must be available to travel...profile (work history), Specialty specific skills checklist, Minimum 3 Manager /Charge References (within past 2yrs.), RN License… more
    Talent (07/17/25)
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  • TrackFive (Warren, MI)
    TravelNurseNetwork is working with Lancesoft Inc to find a qualified Case Manager RN in Pontiac, Michigan, 48340!Pay Information$2,100 to $2,200 per weekAbout ... Management Certification (ACM) - Required will accept if willing to obtain prior to startingUtilization Review - PreferredInsurance Authorization experience -… more
    Talent (07/10/25)
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  • Medical University of South Carolina (Lancaster, SC)
    Job Description Summary The Registered Nurse reports to the Nurse Manager . Under general supervision, the Registered Nurse provides ... and Experience Requirements/Eligibility Must have current South Carolina license as a Registered Nurse . Must meet (5+) years Nursing experience in an… more
    Upward (07/20/25)
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  • Summit Health (Morristown, NJ)
    …@villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. Job Description As a Registered Nurse ( RN ) at Summit Health ... the direction of the Primary Care Provider, Clinical Practice Manager and Office Supervisor, the RN works...known allergies in EHR. Initiates and follows through with prior authorization requests, DME orders, home health… more
    Upward (07/16/25)
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  • State Of California (Fresno, CA)
    …Supervising Registered Nurse II/III, Correctional Facility (CF), the Resource Registered Nurse (Resource RN ), CF organizes and provides necessary ... a variety of correctional health care settings. The Resource RN , CF serves as the Care Manager ...resources. Minimum Qualifications: Possession of a current license as Registered Nurse in California. (Applicants who do… more
    Upward (07/21/25)
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  • CVS Health (Warwick, RI)
    …Performs other related duties as assigned What we're looking for Required Qualifications: Active Registered Nurse ( RN ) Licensure in good standing with the ... Street Center Nurse ! Our Center Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent… more
    Upward (06/22/25)
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  • LHC Group, Inc. (Nutley, NJ)
    Job Description The Home Health RN Patient Care Manager is responsible for the overall supervision and coordination of clinical services. Coordinates and ... assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates...indicated by the physician. Receives report from field clinicians prior to scheduled days off on patient status and… more
    Upward (07/18/25)
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  • Regal Medical Group, Inc. (West Covina, CA)
    …appropriately and clearly with physicians, in patient case managers and Prior - Authorization nurses Identifies and addresses psychosocial needs of the ... Position Summary: The Outpatient Case Manager is responsible for the assessment, treatment planning,...with all members of the healthcare team (concurrent review, pre- authorization , PCP/SPC, Social Services, Pharmacy) to coordinate the continuum… more
    Upward (07/15/25)
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  • Health eCareers (Hilo, HI)
    Job Summary:Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In ... patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects,… more
    Talent (06/22/25)
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  • Regal Medical Group, Inc. (Northridge, CA)
    …with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD). The Renal Care Manager Outpatient RN will assess and develop a care plan in collaboration ... health care professionals. The goal of the Renal Care Manager Outpatient RN is to effectively manage...and clearly with physicians, in patient case managers and Prior - Authorization nurses Identifies and addresses psychosocial needs… more
    Upward (07/05/25)
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  • Carle Health (Olney, IL)
    …Only Under the supervision of the Nurse Manager , the staff Registered Nurse ( RN ) is a professional caregiver who assumes responsibility for ... department in 20 minutes or less. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) -...using safety precautions, performs timeouts upon entry of suite, prior to incision, and prior to exiting… more
    Upward (07/19/25)
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  • Trinity Health (Dublin, OH)
    …administer direct care to patients, functioning under the direction of the provider or registered nurse and practice manager , following all policies and ... weight and vitals Review medical history chief complaints and gather other information Prior authorization and referrals Answer in basket message, patient follow… more
    Upward (07/06/25)
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  • Blue Shield of California (Rancho Cordova, CA)
    …promotes quality, cost-effective care. Knowledge of Coordination of Care, Medicare regulations, prior authorization , level of care and length of stay criteria ... including clinical nurses and treating MDs. The Case Management Nurse , Senior will report to the Manager ,...Nursing or advanced degree preferred. Requires a current CA RN License. Certified Case Manager (CCM) Certification… more
    Upward (07/17/25)
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  • Community Health Centers of the Central Coast (Santa Maria, CA)
    …Clinical Services Supervisor ( RN ) Department: Medical Reports To: Health Center Manager FLSA Status: Exempt Wage Range that the Company Expects to Pay: $3,600.00 ... care plan. Coordinates with the Care Team (Primary Care Provider, Health Educator, Registered Dietitian, RN , Behavioral Health Provider, Director of Nursing, or… more
    Upward (07/18/25)
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  • Kaiser Permanente (Lihue, HI)
    …5K possible eligible! Local 5 - Grade 12 Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect ... patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects,… more
    Upward (07/11/25)
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  • Associate Manager - Duals Prior

    CVS Health (Lansing, MI)
    …the employee level **Required Qualifications** + Candidate must have active, current and unrestricted Registered Nurse ( RN ) Licensure in state of residence + ... heart, each and every day. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff....**License** + Candidate must have active, current and unrestricted Registered Nurse ( RN ) Licensure in… more
    CVS Health (06/28/25)
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  • Registered Nurse - Case…

    Mayo Clinic (Rochester, MN)
    …rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... Competitive retirement package to secure your future. **Responsibilities** The RN CASE MANAGER provides ongoing support to...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
    Mayo Clinic (06/14/25)
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  • Registered Nurse - Case Management…

    Mayo Clinic (Eau Claire, WI)
    …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
    Mayo Clinic (07/15/25)
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  • Home Health Admissions Registered

    Aveanna Healthcare (Cedar Rapids, IA)
    …shared on-call rotation. Position Overview TheAdmissions Registered Nurse ( RN )works next to the Clinical Manager and/or Executive Director to initiate ... Home Health Admissions Registered Nurse RN Full...Home Health Admissions Registered Nurse RN Full Time 15K Sign...client start of care * Submit required documentation for prior authorization of client services as needed… more
    Aveanna Healthcare (07/04/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and… more
    Dana-Farber Cancer Institute (07/01/25)
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