• Clinical Registered Nurse

    Cognizant (Washington, DC)
    …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)
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  • Utilization Management Nurse - Home…

    Humana (Annapolis, MD)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Humana (Washington, DC)
    …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
    Humana (10/18/25)
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  • Associate Manager, Clinical Health Services…

    CVS Health (Annapolis, MD)
    …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
    CVS Health (10/15/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Clinton, MD)
    …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
    Fresenius Medical Center (09/13/25)
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  • Registered Nurse - Same Day…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    Summary The primary purpose of the Registered Nurse , Same Day Patient Unit is to demonstrate leadership in delivering and improving holistic care through ... Major duties include, but are not limited to: The Registered Nurse (RN) is responsible for providing...alignment with the ANA Standards of Nursing Practice. Applies clinical knowledge/judgment to lead staff involvement in planning, decision… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • Case Manager, Registered Nurse

    CVS Health (Washington, DC)
    …+ 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 (10/18/25)
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  • Registered Nurse (Non-Practicing)…

    Ivyhill Technologies LLC (Bethesda, MD)
    Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center ... and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of… more
    Ivyhill Technologies LLC (09/08/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Annapolis, MD)
    **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)
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  • Full-Time Home Health Registered

    Trinity Health (Silver Spring, MD)
    …Overview - Day 1 Benefits, 10k Sign-on Bonus & More** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by developing ... this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. **Why...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
    Trinity Health (10/18/25)
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  • Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …standards in a fast-paced, high-volume environment. **Licensure:** + An active and unencumbered Registered Nurse license in the District of Columbia is required. ... SIGN ON BONUS** **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for… more
    AmeriHealth Caritas (09/01/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Washington, DC)
    …**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)
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  • Nurse Supervisor-IMC Unit

    Trinity Health (Silver Spring, MD)
    …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + BLS certification (American Heart Association) + Department specific ... Advancement Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse Supervisor is a designated clinical leader for a patient care… more
    Trinity Health (10/16/25)
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  • Nurse Manager Behavioral Health

    HCA Healthcare (Dulles, VA)
    …Crisis Intervention must be obtained within 30 days of employment start date** + ** Registered Nurse ** + **Bachelors Degree** + **2 years as a Nursing Manager, ... **Description** **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
    HCA Healthcare (08/10/25)
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  • Clinical Manager, RN

    Erickson Living (Springfield, VA)
    …(skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current ... in clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management/Safety… more
    Erickson Living (08/11/25)
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  • RN Director Clinical Practice (Home Health)

    BrightSpring Health Services (Arlington, VA)
    …a Medicare certified home health agency generally required + Currently licensed as a Registered Nurse (RN), in good standing in state of residence (additional ... Our Company BrightSpring Health Services Overview RN Director Home Health Clinical Practice Hybrid- Remote with 80% Travel Full-Time Provide oversight, leadership… more
    BrightSpring Health Services (08/26/25)
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  • Clinical Specialist (Field based)

    Stryker (Washington, DC)
    …related discipline required + Minimum 4 years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to track and ... As a Clinical Specialist you will deliver pre-sale and post-sale...internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant… more
    Stryker (10/11/25)
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  • Clinical Nursing Administrator, Per Diem…

    Howard University Hospital (Washington, DC)
    …nursing experience 3+ years nursing leadership experience in a hospital setting Current Registered Nurse License for the District of Columbia BLS through ... Clinical Nursing Administration Per Diem: As needed With...patients. The incumbent assists in the formulation of a nurse float pool and coordinates the daily use of… more
    Howard University Hospital (09/10/25)
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  • Director of Nursing RN

    Sunrise Senior Living (Silver Spring, MD)
    …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations + A minimum of two (2) years' experience ... not limited to the essential functions listed as follows: ** Clinical Care Delivery Operations** + Directs, supervises the management...highest quality standards for well being. + Ensures proper utilization of the Resident Care Plan by all team… more
    Sunrise Senior Living (10/06/25)
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  • Part-Time (24 Hours) Home Care RN - Rockville

    Trinity Health (Silver Spring, MD)
    …Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have ... monthly patient visit schedule to achieve care consistency, visit utilization ordered and operational efficiencies, avoiding duplication, interruption or overlap… more
    Trinity Health (09/15/25)
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