• Corewell Health (Royal Oak, MI)
    …Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred Registered Nurse ( RN ) ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
    Upward (07/18/25)
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  • AmeriHealth Caritas Health Plan (Philadelphia, PA)
    …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager, or a ... review as needed. We're Hiring for: General UM ( RN ): Mon-Fri, 8 AM-5:30 PM. Occasional evenings/weekends based on...PM. Occasional evenings/weekends based on need. Pediatric Shift Care ( RN ): Mon-Fri, 8:30 AM-5 PM EST. Remote. Pediatric/ home more
    Upward (07/24/25)
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  • Team Select Home Care (West Palm Beach, FL)
    …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… more
    Upward (07/16/25)
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  • Esse Health (St. Louis, MO)
    …for keeping patients healthier. Esse Health is currently seeking a full-time Care Manager - Registered Nurse . The RN Care Manager is an integral member of ... activities comply with all applicable federal and state regulations. Preferred Qualifications: Registered Nurse with active licenses in Missouri and Illinois… more
    Upward (07/23/25)
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  • Doylestown Hospital (Doylestown, PA)
    …experience in a hospital, insurance company, or independent review company in utilization , quality review , home care or case management. Master level ... based on their education, experience and other skills. Disciplines to consider are Registered Nurse , Master Level Social Worker and Bachelor level in Social… more
    Upward (07/23/25)
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  • Veterans Health Administration (Houston, TX)
    Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and ... and US Citizens. Videos Duties Major Duties (To include but not limited to): The Registered Nurse Quality & Patient Safety Nurse Manager is the designated… more
    Upward (07/19/25)
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  • Compu-Vision Consulting, Inc. (Canton, GA)
    …groups, communities, and populations." Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent ... collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a...descriptions for Staff RN I to Staff RN VI therefore imply that a nurse more
    Upward (07/21/25)
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  • Hackensack Meridian Health (Eatontown, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The Registered Nurse , RN Community Based Care Management provides direct support ... and cost of patient care. Facilitate ongoing patient communications, review gaps in care and relevant outcome measures. HOMECARE...regulations. Responsibilities A day in the life of a Registered Nurse , RN Community Based… more
    Upward (06/26/25)
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  • Vensure Employer Services (Humble, TX)
    …interventions required, while promoting and ensuring optimal client care. The position of Registered Nurse shall be a criteria-based position with well- defined ... interface with physicians, third party payers. Maintains cost effective utilization of client supplies and soft goods and durable...is required Six months to one year as a Home /Community Service Staff Nurse preferred. Graduate of… more
    Upward (07/21/25)
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  • Veterans Health Administration (Phoenix, AZ)
    …include but not limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
    Upward (07/20/25)
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  • Progeny HR Solutions LLC (El Paso, TX)
    About the job REGISTERED NURSE MANAGER - CASE MANAGEMENT ( RN MGR - NCM) JOB RESPONSIBILITIES- Registered Nurse Manager - Case Management RN MGR - ... families as needed You will complete accurate and timely utilization review of patient charts to insure...community information and referrals JOB QUALIFICATIONS- Registered Nurse Manager - Case Management RN MGR… more
    Upward (07/18/25)
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  • HCA Healthcare (Dallas, TX)
    …provides satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as an OR Registered Nurse PRN you want with your...protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care… more
    Upward (07/18/25)
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  • Advocate Aurora Health (Chicago, IL)
    …licensure and completes required CEUs Performs other duties as assigned. Licensure: Nurse , Registered ( RN ) Education/Experience Required: Graduate from ... closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines and… more
    Upward (07/02/25)
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  • HCA Healthcare (Pasadena, TX)
    …and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... Introduction Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with...certification, preferred Current Texas licensure with State Board of Nurse Examiners as an RN 1+ years… more
    Upward (06/29/25)
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  • Veterans Health Administration (Albany, NY)
    …Open for all of the public to apply! Videos Duties The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based care ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Upward (07/23/25)
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  • Veterans Health Administration (Syracuse, NY)
    …for consideration as vacancies are available. The Nurse Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Upward (07/17/25)
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  • EvergreenHealth (Kirkland, WA)
    …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... coordinate post-discharge care. We help coordinate with skilled nursing facilities, home health, hospice, arrange for equipment, and arrange for additional services… more
    Upward (07/06/25)
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  • Hope At Home Health Care (Canton, MI)
    …only)! We currently have a position available for an experienced Home Health Care Registered Nurse ! An RN with ICU, PICC Line, Wound Care, and Infusion ... within the Tri-County area (Oakland, Macomb & Wayne). A Registered Nurse administers skilled nursing care to...review and performance improvement as assigned. Participates in utilization review of medical records as assigned.… more
    Upward (07/18/25)
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  • St. Elizabeth Healthcare (Lawrenceburg, IN)
    …License in good standing and reliable and insured transportation LICENSES AND CERTIFICATIONS: -Kentucky Registered Nurse ( RN ) Compact License (or any RN ... Regular Scheduled Hours: 40 Job Summary: Reports to the RN Manager of Care Coordination, the RN ...relationships communications with all interdisciplinary team members, management, and utilization review staff for coordination of care… more
    Upward (07/15/25)
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  • Northwell Health (New York, NY)
    …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally authorized (for example, ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care… more
    Upward (07/13/25)
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