• Geisinger (Danville, PA)
    Job Title: RN - Registered Nurse Per Diem - Advanced Acute Care Orthopaedics Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered Nurse , ... now! To learn more about Geisinger opportunities, please contact Katy Baralt, Nurse Recruiter, at ###@geisinger.edu. Job Description The Registered Nurse more
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  • MedStar Health (Fairfax, VA)
    …skills.* Maintains current knowledge of clinical improvement strategies and outcomes management through self-study, literature reviews, site visits, educational ... skills. Maintains current knowledge of clinical improvement strategies and outcomes management through self-study, literature reviews, site visits, educational… more
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  • Community Counseling Centers of Chicago (Chicago, IL)
    Title: Psychiatric Nurse Practitioner Position Type: Full Time Who we are: C4 was founded in 1972 to help people released from psychiatric hospitals into the Uptown ... health populations. In addition, this professional will provide support, as needed, on site at our shared Collaborative Bridges Wellness Center in West Garfield Park… more
    Upward (07/23/25)
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  • Maine Medical Center (Westbrook, ME)
    …level of care due to the severity of their psychiatric symptoms. The Registered Nurse collaborates as a member of the interdisciplinary team to develop and deliver ... Unit treatment and programming includes comprehensive psychiatric evaluation, medication management , individual and family therapy, occupational therapy interventions, and… more
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  • CNS Healthcare (Waterford, MI)
    …serve the people of our communities. The Assertive Community Treatment (ACT) Registered Nurse serves as a member of a community-based mental health team that ... services for individuals experiencing serious mental illness. The ACT Registered Nurse provides integrated behavioral and physical healthcare including medication … more
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  • Tennessee Oncology (Nashville, TN)
    …community oncologists and the patients we serve. Job Description: The Triage Nurse monitors and returns calls/communications related to Tennessee Oncology (TN ONC) ... patients consulting with physicians/APPs when appropriate. The Triage Nurse must recognize physical, psychological, and spiritual aspects of care. The Triage … more
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  • One Medical (Hawthorne, CA)
    …employers and health networks. Our seamless in-office and 24/7 virtual care services, on- site labs, and programs for preventive care, chronic care management , ... teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures… more
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  • George Mason University (Fairfax, VA)
    …by providers. Additionally, the nurse participates in peer review, CQI, risk management and utilization review, and provides input for policy and procedure ... Health Promotion Nurse Job no: 10002684 Work type: Classified Staff...10002684 Work type: Classified Staff Location: Fairfax, VA, On Site Required Categories: Default Department: University Life - Student… more
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  • Ochsner Health (New Orleans, LA)
    …Health and discover your future today! This job works with organizational management to implement and maintain a nationally recognized Diabetes Self- Management ... are subject to change at the company's discretion. Education Required - Registered nurse diploma or bachelor's degree in related field Preferred - Master's degree in… more
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  • Adventist Health (Los Angeles, CA)
    …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse more
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  • Children's Health (Dallas, TX)
    …review process. The Prospective Review Nurse will work collaboratively with Utilization Management Nurses to monitor and resolve quality opportunities for ... Job Title & Specialty Area: Prospective Review RN Department: Utilization Management Location: Dallas Shift: Day Job...and healthier future for all. Summary: The Prospective Review Nurse is responsible for conducting utilization review… more
    Upward (07/07/25)
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  • CenterWell Primary Care (Decatur, GA)
    …Valid driver's license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management experience in a home ... Exempt Work Schedule : Full-time/40 Hours Position Type : On- site Branch Location : Tucker, GA This is not...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates… more
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  • Amberwell Health (Atchison, KS)
    …a clinician in an acute care nursing unit or experience in a Health Information Management field with Utilization Review job duties necessary. At least two years ... Shift Day Job Category Nursing - Hospital Description The Utilization Review/Case Manager will assure maximum coverage by third...scanner, photocopier, Microsoft Office applications and email. If a nurse holds this position, it may be necessary to… more
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  • DHR Health (Edinburg, TX)
    …and Spanish language. JOB KNOWLEDGE/EXPERIENCE : Knowledge in the areas of case management and utilization management , experience with Managed Care and ... management of patient care. The case manager is on- site and available seven days a week, as well... utilization management as it relates to third-party payers preferred. Three… more
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  • Wealthy Group of Companies LLC (Overland Park, KS)
    Management : Demonstrate strong fluency in utilizationreview and utilization management processes, including medicalnecessity documentation, concurrent ... (notMedicare/Medicaid) with a deep understanding of addiction treatmentoperations, including utilization review and management . Skills :Exceptional financial… more
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  • Georgia Department of Community Health (Atlanta, GA)
    …of clinical and treatment facilities, regulated entity operations and program management . Conducts utilization reviews, peer reviews, evaluation activities and ... with Healthcare Facility Regulation Division. This position will document and conduct on- site surveys and require regional travel. Regional travel may require up to… more
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  • UPMC Senior Communities (Pittsburgh, PA)
    …with 6-8 year of experience. 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
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  • Calvary Hospital (Bronx, NY)
    …Free On- Site Parking Qualifications: Current New York State Registered Nurse License, registration. Current BLS from AHA (American Heart Association), ACLS ... of at least five years. Demonstrated competence in a progressive leadership/ management position of 2-3 years. Education: Bachelor's Degree in Nursing required,… more
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  • Kaiser Permanente (Seattle, WA)
    …to minimize diversions, delays, or denials of patients. Functions as on- site administrative representative in the absence of regular hospital administration. ... to four (4) hours. Communicates at Huddles and directly with Charge Nurse to: Review current patients. Identify pending/potential discharges. Determine capacity for… more
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  • Sharp HealthCare (La Mesa, CA)
    …Other : Successful completion of LVN/LPN program. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians ... levels. Cost conscious in usage. Participates in and prepares for site inspections. Completes department inventories per guidelines. Enters authorizations in a… more
    Upward (07/01/25)
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