- Geisinger (Wilkes-Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing SupportSchedule: Rotation Work Type: Full...and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID:… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: LPN - Licensed ... Practical Nurse , Nursing and Nursing SupportSchedule: Rotation Work Type: Full...and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/01/2025Job ID:… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: RN- Experienced Registered Nurse (Geisinger Wyoming Valley, Wilkes Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing SupportSchedule: Rotation Work Type: Full...and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/08/2025Job ID:… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing SupportSchedule: Rotation Work Type: Full...and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/09/2025Job ID:… more
- SR International, Inc. (Phoenix, AZ)
- …Only/Mostly Remote/Onsite Trainings) Skills Required: *Medical nursing practice, medical case management protocols, quality management and utilization review ... LTC, chronic long-term elderly and physical disabled, developmentally disabled, behavioral /mental health, and Tribal *Healthcare delivery system nationally and… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative,...Compact State Licensure Required and + RN-BC - Case Management Nurse Preferred Children's is the very… more
- CVS Health (AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... variety of settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative, flexible, risk taker. **Licenses and… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- Centene Corporation (Phoenix, AZ)
- … issues related to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral health (BH) ... and ensures compliance with applicable guidelines + Reviews and analyzes BH utilization management (UM) activities, over/under utilization , operations,… more
- CVS Health (KY)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate, ... document and communicate all aspects of the utilization /benefit management program. **Required Qualifications** + Must reside in Kentucky or bordering Counties +… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... POTENTIAL FOR WEEKEND AND HOLIDAY ROTATIONS**'** MUST HOLD NORTH CAROLINA BEHAVIORAL HEALTH LICENSURE **Position Purpose:** Performs a clinical review and assesses… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse (40 Hour) Office/On-site...Valley Hospital (CVH), Blue Hills Campus + UNIT : Utilization Management Unit + ADDRESS : 500 ... Services (DMHAS (https://portal.ct.gov/dmhas) ), is seeking to hire a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&LinkSpec=RecruitNum2&R1=&R3=) at the Blue… more
- Molina Healthcare (Los Angeles, CA)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN (Registered Nurse ) . License… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …excellence. **_**Part Time**_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...(1) year of professional experience practicing as a Registered Nurse (RN) + Recent Behavioral Health experience… more
- CVS Health (OH)
- …and every day. **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a field-based/Remote position out ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Saint Francis Health System (Muskogee, OK)
- …**to login and apply.** Full Time Nights **Registered Nurse Fulltime Senior Behavioral ** Adult patients with ... may qualify for** Sign on bonus Relocation Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing… more
- Molina Healthcare (GA)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... or more of the following areas: utilization management , care management , care transitions, behavioral...experience. * At least 1 year of health care management /leadership experience. * Registered Nurse (RN), Licensed… more
