• Clinical Registered Nurse

    Cognizant (Richmond, VA)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/15/25)
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  • Utilization Management Nurse - Home…

    Humana (Richmond, VA)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
    Humana (09/12/25)
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  • Utilization Management Appeals Nurse

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action… more
    Humana (11/12/25)
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  • Utilization Management Nurse

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
    Humana (11/13/25)
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  • Utilization Management Nurse

    Humana (Richmond, VA)
    …make an impact** **Required Qualifications** + Associate's Degree or higher + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... health first** This is an opportunity to use your clinical knowledge and research skills to support the coordination,...an 8.5-hour shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication,… more
    Humana (11/12/25)
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  • Case Manager Registered Nurse RN PRN

    HCA Healthcare (Richmond, VA)
    …us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** Henrico ... for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity. **Job Summary...policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will… more
    HCA Healthcare (11/10/25)
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  • Registered Nurse - RN - CVICU…

    Bon Secours Mercy Health (Petersburg, VA)
    …**Full-time night shift/12hr shifts** **Summary of Primary Functions** The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the ... TNCC Trauma Nursing Core Course (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. *… more
    Bon Secours Mercy Health (11/03/25)
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  • House Supervisor Registered Nurse RN

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** We are seeking a House Supervisor Registered Nurse RN with Johnston-Willis Hospital to promote growth and unlock possibilities. ... vary by location._ We are seeking a House Supervisor Registered Nurse RN for our team to...policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will… more
    HCA Healthcare (11/10/25)
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  • Registered Nurse , ER, RN, Remote…

    ChenMed (Richmond, VA)
    …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional ... on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
    ChenMed (11/08/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse (RN)** in the (appropriate state)… more
    Humana (09/12/25)
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  • Registered Nurse Ambulatory Care…

    Bon Secours Mercy Health (Richmond, VA)
    … and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more
    Bon Secours Mercy Health (11/12/25)
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  • Registered Nurse (RN) - FT…

    Bon Secours Mercy Health (Richmond, VA)
    …and clinicians are recognized for clinical and operational excellence. Job Description ** Registered Nurse (RN) - FT - Orthopedic Operating Room - St. Mary's ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies *...Science, nursing (preferred) **Minimum Years and Type of Experience** Registered Nurse with a minimum of 2… more
    Bon Secours Mercy Health (10/31/25)
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  • Clinical UM Nurse

    CenterWell (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
    CenterWell (11/12/25)
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  • UM Behavioral Health Nurse

    Humana (Richmond, VA)
    …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
    Humana (11/15/25)
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  • RN Telephonic Advice Line Nurse

    Humana (Richmond, VA)
    …**Use your skills to make an impact** **Required Qualifications** + **Active Registered Nurse (RN) Multi-state/Compact State license with no disciplinary ... medication adherence and is trained to act as a clinical concierge. The NAL Telephonic Nurse role...care, skilled or rehabilitation setting, home health, DME, triage, utilization , or case management. + **Ability to work ANY… more
    Humana (11/15/25)
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  • Disease Management Nurse - Remote

    Sharecare (Richmond, VA)
    …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
    Sharecare (10/22/25)
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  • Patient Navigator (RN)

    Bon Secours Mercy Health (Richmond, VA)
    …create an environment where associates want to work and help communities thrive. ** Registered Nurse (RN) Navigator -** **Richmond Health Source Shared Services** ... accommodation. **Education:** Bachelor's degree in nursing (preferred) **Licensure/Certification:** + Licensed Registered Nurse in state of practice (required) +… more
    Bon Secours Mercy Health (11/12/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Richmond, VA)
    clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • House Administrative Supervisor RN

    HCA Healthcare (Richmond, VA)
    …and continue to learn! **Job Summary and Qualifications** As a Nursing Supervisor Registered Nurse (RN), you will provide direct nursing care in accordance ... policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will...school of nursing. Bachelor's Degree preferred. + Licensed a Registered Nurse in the Commonwealth of Virginia… more
    HCA Healthcare (11/10/25)
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  • Director Womens Childrens Services

    HCA Healthcare (Richmond, VA)
    …Required: Licensed or eligible for licensure in the State of Virginia as a Registered Nurse . American Heart Association BLS or CPR through American Red Cross ... operations for multi-disciplinary nursing functions. Quality: Cultivates a superior clinical identity by identifying and implementing evidence-based practices to… more
    HCA Healthcare (11/10/25)
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