• Geisinger (Wilkes-Barre, PA)
    Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - ... Program - occurs during your entire first year as a GN!Job Description:The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities… more
    Talent (10/06/25)
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  • Geisinger (Scranton, PA)
    Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: Inpatient RN - ... at ###@geisinger.edu!EducationGraduate from Specialty Training Program-Nursing (Required)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania;… more
    Talent (10/06/25)
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  • Yale New Haven Health (Bristol, CT)
    …day.Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse ( RN ) assesses, plans, implements, evaluates and ... level 2 or 3 experience preferredLICENSUREValid State of Connecticut Registered Nurse licenseSPECIAL SKILLSBLS required. NRP required within… more
    Talent (10/13/25)
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  • Yale New Haven Health (Waterford, CT)
    …every day.Works Under The Supervision Of The Patient Care Manager/Clinical Coordinator. The Registered Nurse ( Rn ) Assesses, Plans, Implements, Evaluates And ... Literature Searches Regarding Care For Patients.LICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBls Certification Required.YNHHS Requisition… more
    Talent (10/13/25)
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  • Christus Health (Carrollton, TX)
    …or demonstrated success in CHRISTUS RN Care Manager I position.Case management and Utilization Review experience preferred. Licenses, Registrations, or ... analytical thinking skills.Demonstrated clinical competency.Working knowledge of discharge planning, utilization management , case management , performance… more
    Talent (10/13/25)
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  • Skaggs Community Hospital Association (Branson, MO)
    …and utilization of Aseptic Technique. Licensure/Certification/Registration: ▪ Required:Missouri State Registered Nurse AND Certified as a Registered ... and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered more
    Talent (10/08/25)
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  • Yale New Haven Health (Briarcliff Manor, NY)
    …day.Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse ( Rn ) Assesses, Plans, Implements, Evaluates And ... Care For Patients.EXPERIENCEN/ALICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBLS Required Additional InformationMed/Surg RN more
    Talent (10/13/25)
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  • Yale New Haven Health (New London, CT)
    …day.Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse ( Rn ) Assesses, Plans, Implements, Evaluates And ... For Literature Searches Regarding Care For Patients.LICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBls RequiredYNHHS Requisition… more
    Talent (10/13/25)
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  • Yale New Haven Health (Yonkers, NY)
    …day.Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse ( Rn ) Assesses, Plans, Implements, Evaluates And ... Surg required and Rehab experience preferred.LICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBls Certification Required.YNHHS Requisition… more
    Talent (10/13/25)
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  • Bryan Health (Lincoln, NE)
    …to appropriate provider. *Maintains awareness of financial reimbursement methodology, utilization management , payer/reimbursement practices and regulations and ... practice guidelines and total quality improvement initiatives. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or… more
    Talent (10/13/25)
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  • Yale New Haven Health (Bronx, NY)
    …Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse . Is Responsible For The Immediate Sterile Field And ... Provides Assistance To Nursing And Anesthesia Staff. Assists With Inventory Management As Well As Equipment Maintenance. Provides Any Supportive Duties That… more
    Talent (10/13/25)
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  • Utilization Management

    Excellus BlueCross BlueShield (Rochester, NY)
    …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem Registered Nurse II/III - Utilization Management VCMC… more
    Ventura County (09/27/25)
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  • RN System Director Utilization

    Tufts Medicine (Burlington, MA)
    …to the utilization of resources, coordination of care across the continuum and utilization review and management . The position develops and leads the ... in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case… more
    Tufts Medicine (10/01/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Sacramento, CA)
    …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...with all policies and standards **Candidates must have a Registered Nurse ( RN ) license for… more
    Centene Corporation (10/08/25)
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  • Senior Manager, Behavioral Health…

    Centene Corporation (Phoenix, AZ)
    utilization management . + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines + Reviews ... Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
    Centene Corporation (09/14/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, 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 (08/08/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible ... reports to the Director of Utilization Management * Oversees clinical decision review for...reviews). * Hire, train and mentor UM staff, including nurse reviewers and support personnel. * Act as liaison… more
    Commonwealth Care Alliance (10/02/25)
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  • Utilization Management

    Crouse Hospital (Syracuse, NY)
    …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse ( RN...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
    Crouse Hospital (09/25/25)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role ... Utilization Management , the Nurse Utilization Management (UM) Reviewer is...**Essential Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety… more
    Commonwealth Care Alliance (10/02/25)
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