- CHRISTUS Health (Selma, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Daiichi Sankyo, Inc. (Chesapeake, VA)
- …driver's license with a driving record that meets company requirements Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... customer needs.Monitor, collect, and communicate to the Director, Clinical Nurse Manager on customer insights regarding their...State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- PharmaCord (Jeffersonville, IN)
- …Be optimistic and pursue goals persistently despite obstacles and setbacks Requirements: Registered Nurse licensed in the state of Indiana or Kentucky. ... relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management...Call Center Case Management , a plus. Case management or Clinical Trial Nurse experience, a… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: ... Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager ...- 16:30 Experience: Minimum of 2 years in Case Management License: Registered Nurse License… more
- Geisinger (Wilkes-Barre, PA)
- …Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of ... the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Previous surgical circulator experience preferred, but not required. 2. Current Illinois registered nurse licensure 3. BLS/CPR, PALS and ACLS certification ... Full Time Salary Range $25.00 - $45.00 Hourly Description JOB TITLE: INTRAOPERATIVE RN DEPARTMENT: SURGERY GENERAL SUMMARY The Operating Room Circulator RN is… more
- Geisinger (Scranton, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
- Geisinger (Wilkes-Barre, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: LPN -… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- … RN is a professional practitioner who functions as both a caregiver and care manager . In the caregiver role, the RN assumes responsibility for a group of ... use of self. In the dominant role of care manager , the RN directs and oversees the...individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- …(2) years supervisory experience CERTIFICATES, LICENSES, REGISTRATIONS Preferred: Active state Registered Nurse license or Certified Coding Specialist credential ... development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding… more
- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... managing the daily operation of the Utilization Management Review Nurse and...decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Centene Corporation (Oklahoma City, OK)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... perspective on workplace flexibility. **Position Overview** + **Oklahoma residency required** + Manager -level role overseeing two Utilization Management (UM)… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management /Inpatient Care Coordination Nurse Manager demonstrates leadership expertise in regards inpatient care coordination and ... Nurse or Nurse Manager Minimum of two years Utilization Management experience Minimum five years varied RN clinical experience to include acute… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Utilization Management ** ** Manager ll** is responsible for managing a team of ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN … more
- CVS Health (UT)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals experience in Utilization ... **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Actalent (Santa Barbara, CA)
- Remote Utilization Management RN Leading...and helpful team + Fully remote!! REQUIREMENTS: + California Registered Nurse ( RN ) and/or ... working as soon as possible! Description: + REMOTE + RN with experience in providing Case Management ...such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical… more
