• The University of Kansas Health System (Kansas City, KS)
    …years clinical experience in health care setting Required Licensure and Certification Licensed Registered Nurse (LRN) - Single State - State Board of Nursing ... Position Title Access Case Manager - Utilization Review (Evergreen) Sudler Position... Registered Nurse in State of Kansas Time Type: Full time Job… more
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  • Tucson Medical Center (Tucson, AZ)
    …patient in collaboration with bed control, case management, coding, and billing. The Utilization Nurse Manager is responsible for monitoring listservs and ... direction of the Director of Professional Staff Services, the Utilization Manager acts as a liaison to...experience. Master's degree preferred. EXPERIENCE : Three (3) years RN nursing experience, preferably in an acute care setting.… more
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  • EXL Service (Albuquerque, NM)
    …to the right patient at the right time. Utilization Management & Complex Case Manager , Registered Nurse This is a remote, telephonic position in the ... the care they need? Join our team as a Utilization Management & Complex Case Management Nurse ,...am - 8 pm ET Qualifications: Required Current, unrestricted RN license in state of residence with multi-state privileges… more
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  • Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review, case management. Strong working knowledge of hospital billing, managed… more
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  • PacificSource (Bend, OR)
    …preferred. Prior supervisory or management experience required. Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other ... improvement opportunities. Serve as back-up for the Director of Care Management and Utilization Management Manager , as needed. Work collaboratively with the UM… more
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  • Optum (Portland, ME)
    …and discover the meaning behind: Caring. Connecting. Growing together.? The Care Manager , RN provides leadership in the coordination of patient-centered care ... all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and… more
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  • Beth Israel Lahey Health (Plymouth, MA)
    …improve the denial management, documentation, and appeals process. Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established ... the job that may reasonably be required. Education/Experience Required: Current MA RN licensure Bachelor's Degree in Nursing or advanced degree in healthcare… more
    Upward (07/23/25)
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  • Team Select Home Care (Phoenix, AZ)
    …more heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring comfort and confidence to families ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and… more
    Upward (07/21/25)
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  • Life Care Center of Scottsdale (Scottsdale, AZ)
    …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse ( RN ) license in good standing throughout employment ... Position Summary The RN Case Manager is responsible for...in post acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred Certified Case… more
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  • NavitsPartners (Boston, MA)
    Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in...a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the… more
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  • NYULMC (New York, NY)
    …Instagram. Position Summary: We have an exciting opportunity to join our team as a Registered Nurse , Care Manager , Day Shift. In this role, the successful ... such as Eclipsys Sunrise Manager , Canopy, and ECIN. Required Licenses: Registered Nurse License-NYS, Basic Life Support Cert Qualified candidates must be… more
    Upward (07/10/25)
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  • Signature Healthcare (Brockton, MA)
    …the lives and health of our patients. Position Summary: Purpose of Position: The Registered Nurse provides nursing care to assigned patients newborn to geriatric ... independently within established department policies and goals. Refers problems to nurse manager or appropriate supervisor. Supervisory Responsibilities: Direct… more
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  • Methodist Health System (Council Bluffs, IA)
    …mandatory education requirements Experience No experience necessary License/Certifications Current valid Registered Nurse ( RN ) License, valid compact ... according to the individualized needs of the patient. Ask your recruiter/hiring manager about the following incentives that may be available for this position:… more
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  • Progeny HR Solutions LLC (Lake Worth, FL)
    …and scheduling with appropriate utilization of personnel. JOB QUALIFICATIONS- Registered Nurse Manager - Med/Surg RN MGR - MED/SURG Full-Time ... NURSE MANAGER - MED / SURG JOB RESPONSIBILITIES- Registered Nurse Manager - Med/Surg RN MGR - MED/SURG Full-Time Registered Nurse more
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  • Atlantic Health System (Basking Ridge, NJ)
    …Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 4PM to 2AM / 4 days per week in the ... reimbursement ($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Job Qualifications/Experience: Required Current NJ RN License BSN… more
    Upward (07/23/25)
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  • RCM Health Care Services (New York, NY)
    …and up-to-date patient care plans, making amendments as needed Qualifications Current and valid Registered Nurse ( RN ) license in the State of New York ... long-term care facility is seeking a compassionate and experienced Registered Nurse Supervisor to lead and support...nursing operations. This role is ideal for a dedicated RN who thrives in a leadership position and is… more
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  • CVS Health (Haddonfield, NJ)
    …Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
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  • Optum (Delano, MN)
    …and discover the meaning behind Caring. Connecting. Growing together . The Case Manager RN is responsible and accountable for coordination of patient services ... Takes lead role in directing disposition of patients and utilization considerations Assumes leadership role to facilitate interdisciplinary collaboration Effectively… more
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  • Prisma Health (Columbia, SC)
    …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... registered nurse experience, will accept successful completion...nurse . Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State… more
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  • Veterans Health Administration (Martinsburg, WV)
    Summary The Community Living Center (CLC) Registered Nurse is responsible for providing evidence based care to residents with oversight of Licensed vocational ... nurses and nursing assistants. The Registered Nurse will assist in directing the...Set (MDS) Coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. Communicates and collaborates as an… more
    Upward (07/19/25)
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