• CHRISTUS Health (San Antonio, 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
    Talent (09/24/25)
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  • Utilization Manager

    Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... 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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  • 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) - ... to, and works under the general supervision of a Nurse Manager , or other higher-level staff member....Qualifications Possession of a New York State License as a Registered Nurse . Download/View Full Announcement Apply… more
    Monroe County, NY (08/02/25)
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  • Registered Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established ... 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 Review Nurse Coordinator…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    …Apply View Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a Registered Nurse (RN) interested in a career where you can ... Utilization Review Nurse Coordinator (40 Hour)...(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
    State of Connecticut, Department of Administrative Services (10/01/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... advancement, and overall patient outcomes. **Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated… more
    University of Utah Health (10/02/25)
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  • Utilization Review Nurse - Full Time

    Dayton Children's Hospital (Dayton, OH)
    …preferred Education Requirements: Bachelors: Nursing (Required) Certification/License Requirements: [Lic] RN: Registered Nurse (RN) - Ohio Board of Nursing At ... Utilization Review TeamSchedule:Full timeHours:40Job Details:Under the supervision of the Manager of Utilization Management, the Utilization Review… more
    Dayton Children's Hospital (10/04/25)
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  • Nurse Supervisor, Healthcare Services…

    Molina Healthcare (Los Angeles, CA)
    …must be current and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN ( Registered Nurse ) . License must be current, ... in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
    Molina Healthcare (09/25/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning… more
    HCA Healthcare (09/20/25)
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  • Registered Nurse - Case…

    WellSpan Health (Lebanon, PA)
    … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of… more
    WellSpan Health (07/16/25)
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  • Registered Nurse Case Manager

    Tenet Healthcare (Detroit, MI)
    Registered Nurse Case Manager Contingent Days - 2506002318 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart ... physicians throughout the nation. Job Description: The RN Case Manager is responsible to facilitate care along a continuum...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
    Tenet Healthcare (08/29/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager ** you can be a part of change. ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager **...a hospital setting preferred. + Previous case management or utilization review experience preferred. Chippenham Hospital has provided quality… more
    HCA Healthcare (09/06/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …at HCA Houston Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN....patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (09/19/25)
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  • Manager - Certified Registered

    Henry Ford Health System (Detroit, MI)
    The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
    Henry Ford Health System (08/27/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …with purpose and integrity. We care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare Northwest. ... vary by location._** Come join our team as a(an) Registered Nurse Case Manager . We...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (09/19/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …Healthcare Northwest we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (08/16/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Corpus Christi, TX)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager PRN? At Corpus Christi Medical Center, you ... make a difference. We are looking for a dedicated Registered Nurse Case Manager PRN...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (09/19/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** Education & Experience:… more
    HCA Healthcare (09/21/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …David's Round Rock Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager . We...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** Education & Experience:… more
    HCA Healthcare (08/08/25)
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  • Inpatient Registered Nurse or Social…

    St. Luke's University Health Network (Easton, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
    St. Luke's University Health Network (10/03/25)
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