• Utilization Management

    Vanderbilt University Medical Center (Tullahoma, TN)
    …preeminent programs in patient care, education, and research. **Organization:** Utilization Management 10 **Job Summary:** Facilitates optimal reimbursement ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (09/22/25)
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  • Utilization Management

    AnMed Health (Anderson, SC)
    Responsible for performing daily operations of Utilization Management (UM) program including certification management , medical necessity determinations, ... performance tracking and regulatory compliance. Qualifications: Requires current SC RN . Minimum of two years of clinical experience required. UM experience preferred… more
    AnMed Health (09/11/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
    Commonwealth Care Alliance (10/02/25)
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  • Registered Nurse RN

    AdventHealth (Maitland, FL)
    …(8am-5pm or 9am-6pm)** **Location** : 600 Courtland Street, Maitland **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
    AdventHealth (09/16/25)
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  • RN - Professional Development…

    Geisinger (Pittston, PA)
    …within 3 years of hire - American Nurses Credentialing Center (ANCC); Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support ... to the Central region. A minimum of 2 years RN work experience is required. Job Duties: + Assist...and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing… more
    Geisinger (09/10/25)
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  • Registered Nurse RN Home…

    AdventHealth (Orlando, FL)
    …32807, 32825, 32813, 32822, 32829, 32812, 32809 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...+ Associate's Degree + 1 year Recent, relevant clinical RN experience + Registered Nurse more
    AdventHealth (08/16/25)
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  • Registered Nurse RN Home…

    AdventHealth (Winter Haven, FL)
    …Home Health visits in the Polk County area. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...of professional nursing + 1 year of relevant clinical RN experience + Registered Nurse more
    AdventHealth (09/20/25)
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  • Registered Nurse RN Case…

    AdventHealth (Fletcher, NC)
    …Henderson, Polk, Buncombe and Transylvania Counties.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...to succeed:** **Minimum qualifications:** + 1 years relevant clinical RN experience + Registered Nurse more
    AdventHealth (09/19/25)
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  • Registered Nurse RN Care…

    AdventHealth (Shawnee Mission, KS)
    …Franklin, Douglas and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...**Minimum qualifications:** + Active American Heart Association BLS + Registered Nurse - State Licensure and/or Compact… more
    AdventHealth (10/03/25)
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  • Registered Nurse Specialist

    MyFlorida (Macclenny, FL)
    REGISTERED NURSE SPECIALIST -... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida ... Requisition No: 861824 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60042416...knowledgeable of and utilize the principles of Total Quality Management . Nursing will provide guidance in the care and… more
    MyFlorida (10/01/25)
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  • Charge Registered Nurse ( RN

    Roper St. Francis (Charleston, SC)
    …Charge Nurse I. Experience: Experience: At least 2 years� experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. Licensure/Certification: Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more
    Roper St. Francis (09/04/25)
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  • Traveling Registered Nurse

    WelbeHealth (Los Angeles, CA)
    …vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care ... RN Clinic Nurse ) as needed in multiple markets. The Travel RN Specialist is accountable for providing nursing care to participants in the program… more
    WelbeHealth (07/19/25)
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  • Registered Nurse - Clinical…

    Cedars-Sinai (Los Angeles, CA)
    …Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
    Cedars-Sinai (09/18/25)
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  • Quality Assurance Performance Improvement…

    Hartford HealthCare (Mansfield Center, CT)
    …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less… more
    Hartford HealthCare (08/08/25)
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  • Registered Nurse Transition…

    AdventHealth (Minneola, FL)
    …body and spirit in the Minneola community. **The role you'll contribute:** The Transition Specialist Registered Nurse ensures that a care plan is carried ... the care plan. Works as part of the Care Management team to implement Advent Health's readmission prevention programs,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
    AdventHealth (09/13/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary ... of medical necessity are core competencies of this role.The RN Care Manager facilitates the collaborative management ... Diploma degree Two (2 ) years of hospital Registered Nursing experience State specific RN license… more
    AdventHealth (09/27/25)
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  • Registered Nurse RN Rural…

    Banner Health (Ogallala, NE)
    …bariatrics, pain management , and ophthalmology as well as a Retina Specialist . Our commitment to compassionate, innovative patient care is evidenced in our ... Century town. Ogallala Community Hospital is looking for a RN Rural Shift Lead in Ogallala, Nebraska. This ...This position provides operational supervision of campus workflow, resource utilization and management , and operations for all… more
    Banner Health (08/03/25)
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  • Bed Control Specialist Registered

    McLaren Health Care (Port Huron, MI)
    …Degree in Nursing (BSN) from an accredited program + Current State of Michigan Registered Nurse license + BLS and/or Canadian equivalent + Minimum two (2) ... excellent problem solving and critical thinking skills. 4. Works with Case Management and Utilization Review regarding potential admissions. 5. Responsible to… more
    McLaren Health Care (09/26/25)
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  • Quality & Patient Safety Specialist

    Beth Israel Lahey Health (Cambridge, MA)
    …SKILLS, AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management . 2. Strong spreadsheet, ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing...on the key performance indicators and quality measures, the RN specialist also aims to foster a… more
    Beth Israel Lahey Health (08/08/25)
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  • Registered Nurse

    Fenway Health (Boston, MA)
    …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health ... to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
    Fenway Health (10/01/25)
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