• Clinical Registered Nurse

    Cognizant (Charleston, WV)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager, Registered Nurse

    CVS Health (Charleston, WV)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (10/15/25)
    - Save Job - Related Jobs - Block Source
  • SNF Utilization Management RN - Compact Rqd

    Humana (Charleston, WV)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse (RN)** in the (appropriate state)… more
    Humana (09/12/25)
    - Save Job - Related Jobs - Block Source
  • Disease Management Nurse - Remote

    Sharecare (Charleston, WV)
    …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
    Sharecare (09/13/25)
    - Save Job - Related Jobs - Block Source
  • Consultant, Nurse Disability I

    Lincoln Financial (Charleston, WV)
    …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
    Lincoln Financial (10/10/25)
    - Save Job - Related Jobs - Block Source