• Utilization Manager Registered

    Commonwealth Care Alliance (Boston, MA)
    …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... 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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  • 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 Salary $118,668.43 - $141,888.74 Annually Location Ventura and Santa Paula, CA Job Type Full-Time Regular… more
    Ventura County (09/21/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …initiatives as well as customer service programs. The Utilization Management/Float Registered Nurse ( RN ) is responsible for providing competent, ... Miami VA medical 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 per established… more
    Veterans Affairs, Veterans Health Administration (12/04/25)
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  • Registered Nurse ( RN )…

    Dartmouth Health (Lebanon, NH)
    …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total compensation… more
    Dartmouth Health (12/04/25)
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  • Registered Nurse - Patient Flow…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    Summary The Patient Flow - Utilization Management Coordinator Registered Nurse ( RN ) considers all characteristics of the individual, in order to assist ... to: The primary purpose of the Patient Flow - Utilization Management Coordinator RN position is to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (12/04/25)
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  • Utilization Management Registered

    Katmai (Fort Carson, CO)
    …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    …and care coordination. Responsibilities The Utilization Management (UM) Consultant Registered Nurse ( RN ) demonstrates leadership, experience, and ... Summary The Hines VA Utilization Management (UM) RN reports to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (12/06/25)
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  • Registered Nurse

    McLaren Health Care (Bay City, MI)
    …duties as required and directed. #LI-LM1 **Qualifications:** _Required_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department:** Utilization Management **Shift:** Days **Daily Work Times:** 8am...Assigned: 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
    McLaren Health Care (11/22/25)
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  • Registered Nurse Utilization

    McLaren Health Care (Port Huron, MI)
    …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
    McLaren Health Care (11/12/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (San Juan, PR)
    Summary The Registered Nurse - Utilization Management will demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in ... by collaborating with members of the interdisciplinary team. Responsibilities The Utilization Management Registered Nurse at the San Juan VA Healthcare… more
    Veterans Affairs, Veterans Health Administration (12/06/25)
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  • 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 support of ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
    ERP International (09/13/25)
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  • Utilization Review Analyst…

    Beth Israel Lahey Health (Burlington, MA)
    …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management team ... medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case… more
    Beth Israel Lahey Health (10/30/25)
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  • Registered Nurse ( RN ), Main…

    Penn Medicine (Lancaster, PA)
    …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization + of human, material and financial resources. +...their NCLEX within 60 days of starting in their RN role.A graduate registered nurse more
    Penn Medicine (11/21/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods...- Med-Surg -Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
    Bon Secours Mercy Health (12/05/25)
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  • NCCPAC Revenue Utilization Review (RUR)…

    Veterans Affairs, Veterans Health Administration (Middleton, WI)
    Summary The Revenue Utilization Review (RUR) nurse is under...level degree in Nursing may have opportunity to become registered as a nurse with a state ... the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the Consolidated… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Registered Nurse ( RN )…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse ( RN ) - Nursing Admin - 2506002696 Description : DMC Detroit Receiving Hospital , Michigan's first Level I Trauma Center, helped pioneer the ... DMC Rosa Parks Geriatric Center of Excellence. SUMMARY The Registered Nurse ( RN ) is a...that established outcomes are achieved through availability and appropriate utilization of human, material and financial resources. 5. Evaluates… more
    Tenet Healthcare (12/06/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …bonus eligible**_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of ... safety and privacy of all persons. + Understanding and utilization of office and clinical technologies. + Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric… more
    Bon Secours Mercy Health (11/25/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Portsmouth, VA)
    …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
    Bon Secours Mercy Health (09/25/25)
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  • Registered Nurse ( RN ) - CVT…

    Bon Secours Mercy Health (Portsmouth, VA)
    …operational excellence. **Summary of Primary Function/General Purpose of Position** The Stepdown Registered Nurse ( RN ) delivers patient care utilizing the ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Progressive… more
    Bon Secours Mercy Health (09/23/25)
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  • 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 ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
    Bon Secours Mercy Health (11/30/25)
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