• CHRISTUS Health (San Antonio, TX)
    …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... 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)
    - Save Job - Related Jobs - Block Source
  • Geisinger (Wilkes-Barre, PA)
    …(Required), Bachelor's Degree-Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental… more
    Talent (11/16/25)
    - Save Job - Related Jobs - Block Source
  • RN Utilization Management

    Trinity Health (Troy, NY)
    …to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme TRACK weekends** If you ... are looking for an RN position in Case Management and a...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
    Trinity Health (11/07/25)
    - Save Job - Related Jobs - Block Source
  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
    Alameda Health System (11/07/25)
    - Save Job - Related Jobs - Block Source
  • RN - Utilization Management

    Sanford Health (Fargo, ND)
    …N, Fargo, ND 58102, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $34.00 - $51.00 **Pay Info:** ** ... ** **Job Summary** Provides expertise and leadership to ensure effective resource management for patient care delivery across the care continuum for assigned patient… more
    Sanford Health (09/24/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Review Nurse (37.5 Hour)

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    …+ LOCATION: 1000 Silver Street, Middletown, CT + UNIT: Addiction Services Division (ASD) Utilization Management + SCHEDULE: Full -Time, 37.5 Hours per Week, ... LICENSE, PLEASE: + Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) for CT license by… more
    State of Connecticut, Department of Administrative Services (11/19/25)
    - Save Job - Related Jobs - Block Source
  • RN Utilization Management

    Guthrie (Sayre, PA)
    Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse ( RN ) Utilization Management (UM) in collaboration with Care Coordination, ... coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer...of patient status. + Collaborate and set standards with registered nurse ( RN ) case managers… more
    Guthrie (11/11/25)
    - Save Job - Related Jobs - Block Source
  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Management Certification required + Minimum of 3 years of progressive experience in utilization management and appeal/denial management . + Holds a strong… more
    Beth Israel Lahey Health (10/30/25)
    - Save Job - Related Jobs - Block Source
  • RN Registered Nurse

    Penn State Health (Hershey, PA)
    …prohibit or outlaw discrimination._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - ... setting required. + Currently licensed to practice as a Registered Nurse by state of employment or...Utilization Management **Location** US:PA: Hershey | Nursing | Full Time **Req ID**… more
    Penn State Health (11/18/25)
    - Save Job - Related Jobs - Block Source
  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization ...EDUCATION, TRAINING, and EXPERIENCE Requires two (2) years of full -time professional registered nurse experience,… more
    Ventura County (09/21/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse RN ED…

    AdventHealth (Tampa, FL)
    …such as heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management nurse uses clinical expertise to review patient ... - required + 5 years Clinical nursing in an acute care setting - preferred + Utilization Management or Care Management - preferred This facility is an equal… more
    AdventHealth (11/07/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …process and initiatives as well as customer service programs. The Utilization Management /Float Registered Nurse ( RN ) is responsible for providing ... Center is looking for recruit for Registered Nurse - Utilization Management /...the Associate Director of Patient Care Services (ADPCS). The Utilization Management /Float ( RN ) follows procedures… more
    Veterans Affairs, Veterans Health Administration (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Prescott, AZ)
    Summary Northern Arizona VA Health Care System is looking for a Registered Nurse - Utilization Management to join the Quality & Patient Safety team! ... Utilization Management Coordinator (UMC) is a registered professional nurse who serves as a...insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or… more
    Veterans Affairs, Veterans Health Administration (11/19/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full -time ** Registered Nurse ( RN ) Utilization Management ** for a temporary contract position in ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (09/13/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN ) - Med…

    Bon Secours Mercy Health (Suffolk, VA)
    …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... ( RN ) - Med-Surg -Harbour View Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
    Bon Secours Mercy Health (10/01/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …Cardiac Life Support acceptable in lieu of BLS) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... and operational excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more
    Bon Secours Mercy Health (11/12/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - RN - CVICU…

    Bon Secours Mercy Health (Petersburg, VA)
    Full -time night shift/12hr shifts** **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
    Bon Secours Mercy Health (11/03/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …set us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** ... for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity.... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management more
    HCA Healthcare (11/10/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Guild Education (only an 18 month commitment)** **SHIFT/SCHEDULE** + Full Time: Scheduled for 36 Weekly Hours + Shift...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
    Bon Secours Mercy Health (10/31/25)
    - Save Job - Related Jobs - Block Source
  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Stroudsburg, PA)
    …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
    St. Luke's University Health Network (11/03/25)
    - Save Job - Related Jobs - Block Source