• RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred Qualifications:** - 7 years UM experience with ... is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are...reviews correct selection of criteria accurate prep to the UM Physician reviewer when indicated timely verbal and written… more
    Dignity Health (04/17/25)
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  • Registered Nurse : RN

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : RN ...+ Experience with EPIC, WORD, EXCEL. + Knowledge of UM -Health nursing policies and standards of practice. + Bachelor ... equal employment opportunity employer. **Job Detail** **Job Opening ID** 264380 **Working Title** REGISTERED NURSE : RN Coordinator- Post Lung Transplant… more
    University of Michigan (05/31/25)
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  • UM Care Manager RN - Usfhp

    Pacific Medical Centers (Seattle, WA)
    …in order to assure cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of services and ... insurance, commuter benefits and more! **Required Qualifications:** + Upon hire: Washington Registered Nurse License. + 5 years Clinical experience. +… more
    Pacific Medical Centers (05/22/25)
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  • RN Supervisor UM Inpatient Clinical

    Dignity Health (Bakersfield, CA)
    …monitoring productivity/performance required. - Graduate of an accredited school of nursing: Registered Nursing. - Clear and current CA RN license. **Preferred ... role is remote (with a clear and current CA RN license), but will be expected to work PST...of Utilization Management Inpatient Clinical will oversee clinical inpatient UM staff, ensuring they effectively perform utilization management (… more
    Dignity Health (05/21/25)
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  • Wound Care UM RN

    Elevance Health (Louisville, KY)
    …work-life integration, and ensures essential face-to-face onboarding and skill development. The RN Wound Care UM is responsible for performing pre-certification ... and experience which provides an equivalent background. + Current active valid unrestricted RN license to practice as a health professional within the scope of… more
    Elevance Health (05/16/25)
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  • RN : Registered Nurse - Home…

    United Methodist Communities (Pitman, NJ)
    Pitman, NJ, USA | Other | 42 per hour | Part Time Day RN : Registered Nurse - Home Care Visiting Nurse Part Time Days - 20 hours per week, scheduled by ... You care for them. We care for you! The RN Home Care Visiting Nurse will provide...orientation process + Supportive and encouraging team! Abou t UM C: + Our Mission is to serve our… more
    United Methodist Communities (05/17/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Carson City, NV)
    …experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + Transplant Experience + Bone Marrow and/or Stem Cell Experience + ... addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + Current RN state licensure required.Additional specific state licensure(s) may be… more
    Highmark Health (04/25/25)
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  • UM RN Care Coordinator Per Diem,…

    Trinity Health (Darby, PA)
    **Employment Type:** Part time **Shift:** Day Shift **Description:** The licensed Registered Nurse ( RN ) plans & provides professional nursing services & ... & education, state board of nursing & established policies & procedures. The RN integrates the art, science, leadership & knowledge of the nursing clinical practice… more
    Trinity Health (04/16/25)
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  • RN : Registered Nurse - Home…

    United Methodist Communities (Newton, NJ)
    Newton, NJ, USA | Other | 44 per hour | Full Time Day | Comprehensive Benefits RN : Registered Nurse - Home Care Visiting Nurse Full Time Days - $44/hr - ... Streamlined orientation process + Supportive and encouraging team! Requirements: RN 's must be Covid vaccinated and boosted and have...and valid Driver's License is also required. Abou t UM C: + Our Mission is to serve our… more
    United Methodist Communities (05/17/25)
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  • Registered Nurse Case Manager

    The Arora Group (Bethesda, MD)
    Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...regarding development, implementation, and management of the MTF healthcare UM /RM activities. Utilizes critical thinking skills to support, coordinate,… more
    The Arora Group (03/27/25)
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  • UM LVN Delegation Oversight Nurse

    Molina Healthcare (Long Beach, CA)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, and NCQA requirements,… more
    Molina Healthcare (05/29/25)
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  • Registered Nurse : Ambulatory Care…

    University of Michigan (Ann Arbor, MI)
    …in the care and management of patients receiving extracorporeal photopheresis. The Registered Nurse ( RN ) supports professional nursing practice across ... REGISTERED NURSE : Ambulatory Care Services (Dual...Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C.… more
    University of Michigan (05/31/25)
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  • Registered Nurse - Utilization…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    Summary The Utilization Management ( UM ) Registered Nurse ( RN ) is responsible and accountable for all elements of the nursing process when providing ... satisfaction throughout the continuum of care. Responsibilities The Utilization Management ( UM ) Registered Nurse ( RN ) is responsible for providing… more
    Veterans Affairs, Veterans Health Administration (05/23/25)
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  • Registered Nurse : Ambulatory Care…

    University of Michigan (Ann Arbor, MI)
    …education and the management of chemotherapy, biotherapy and immunotherapy administration. The Registered Nurse ( RN ) supports professional nursing practice ... REGISTERED NURSE : Ambulatory Care Services (Pediatric...and teaches patients, families, orients colleagues and peers. The RN administers injections, IV hydration, blood products, and chemotherapy,… more
    University of Michigan (05/31/25)
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  • Registered Nurse : University…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : University Hospital (Psychiatric Emergency Services) Apply Now **Job Summary** Provide clinical leadership in the nursing care of individuals, ... for age and physical condition. + Liaison with other UM Health System nurses in coordination of care. +... Nurse Recruitment at ###. **Required Qualifications Active Registered Nurse licensure in the State of… more
    University of Michigan (05/24/25)
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  • HMSA Care Manager - BH, UM Reviewer…

    Magellan Health Services (Honolulu, HI)
    …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience… more
    Magellan Health Services (05/28/25)
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  • Registered Nurse : University…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult Critical Care Cluster) Apply Now **Job Summary** This RN would be part of our ... Positions less than 20 hours/week may be combined. **Required Qualifications Current Michigan Registered Nurse License. Two (2) or more years experience (within… more
    University of Michigan (05/23/25)
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  • Registered Nurse : University…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult General Care Cluster) Apply Now **Job Summary** This RN would be part of our Central ... Benefits can you Look Forward to** Hourly range for Registered Nurses **$** **40.18-$62.31** **/ hour** **CSR RN...at ###. **Required Qualifications Must have a current Michigan Registered Nurse License. One (1) year or… more
    University of Michigan (05/24/25)
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  • Registered Nurse (PACS- Patient…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE (PACS- Patient Monitoring at...Nurse Recruitment at ###. **Required Qualifications + Current RN license in the state of Michigan + Two ... advancement **Responsibilities This position is responsible for serving as a telehealth Registered Nurse providing monitoring services to patients enrolled in… more
    University of Michigan (05/31/25)
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  • Registered Nurse (University…

    University of Michigan (Ann Arbor, MI)
    …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse ( RN ) to practice nursing in the state of Michigan. ... REGISTERED NURSE (University Hospital-Medical Procedures Unit)...Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C.… more
    University of Michigan (05/31/25)
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