• Clinical Registered Nurse

    Sharecare (Salt Lake City, UT)
    …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
    Sharecare (05/10/25)
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  • Registered Nurse Care Manager…

    Molina Healthcare (Salt Lake City, UT)
    …be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... are encouraged to apply. Further details to be discussed during our interview process. Remote position with 10% travel Work schedule Monday through Friday 8:00 AM to… more
    Molina Healthcare (06/04/25)
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  • Care Manager, Registered Nurse

    Sharecare (Salt Lake City, UT)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (06/03/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Salt Lake City, UT)
    …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
    Public Consulting Group (04/05/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Salt Lake City, UT)
    …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
    Public Consulting Group (05/24/25)
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  • Hospital at Home Tele Registered

    Intermountain Health (Murray, UT)
    **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost ... for evenings, nights and weekends This position is not remote , working in office is required. **Job Essentials** +...+ Current RN license for state in which the nurse practices. + Three years of clinical more
    Intermountain Health (05/28/25)
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  • Clinical Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …appeals.Represent clients at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our hospital… more
    R1 RCM (06/05/25)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
    R1 RCM (05/21/25)
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  • Part Time Clinical Nurse Consultant…

    IQVIA (Salt Lake City, UT)
    …and education + Some travel may be needed **Job Qualifications:** + Clinical certification required; Registered Nurse (RN)/Advanced Practice Provider ... The **Part Time Clinical Consultant (PTCC)** role is an exciting opportunity...within an assigned client Franchise/Region. **THIS IS NOT A REMOTE ROLE.** This is a **FIELD BASED** role in… more
    IQVIA (06/07/25)
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  • Remote Accommodations Clinical

    Sedgwick (Salt Lake City, UT)
    …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
    Sedgwick (05/23/25)
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  • Utilization Review Nurse

    R1 RCM (Salt Lake City, UT)
    …schedule of four ten-hour shifts Friday to Monday. **Required Skills:** + Active Registered Nurse (RN) license in your state of residence, with eligibility ... **Location:** Remote , US **Shift:** Weekend Evening schedule **Fri/Sat/Sun/Mon 2...intelligent automation, and workflow orchestration. As our **Utilization Review Nurse ** , you will help our hospital clients by… more
    R1 RCM (05/23/25)
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  • Utilization Management Nurse

    Humana (Salt Lake City, UT)
    …skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and...Bilingual is a plus Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (06/05/25)
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  • Outpatient Nurse (RN)- Full-Time

    University of Utah Health (Salt Lake City, UT)
    …is to be obtained within 30 days of hire. + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire ... strong organizational and leadership skills to assess patient status, implement clinical nursing interventions to modify symptoms, and develop and implement patient… more
    University of Utah Health (06/06/25)
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  • Outpatient Nurse (RN)-…

    University of Utah Health (Salt Lake City, UT)
    …is to be obtained within 30 days of hire. + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire ... strong organizational and leadership skills to assess patient status, implement clinical nursing interventions to modify symptoms, and develop and implement patient… more
    University of Utah Health (05/09/25)
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  • Clinical Referral RN, Hospice, Work…

    Sutter Health (West Valley, UT)
    …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN- Registered Nurse license for state you reside + RN- Registered ... for patients and their families. Position Overview: The Hospice Clinical Referral Nurse serves as the initial...Advanced Illness Management (AIM), and hospice staff across offices. Remote Work: Eligible for work from home with reliable… more
    Sutter Health (05/10/25)
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  • National Utilization Management Director,…

    Humana (Salt Lake City, UT)
    …and programs **Use your skills to make an impact** **Required Qualifications** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for...projects. **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
    Humana (06/06/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Salt Lake City, UT)
    …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
    Highmark Health (05/10/25)
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  • Clinical Appeals Supervisor

    R1 RCM (Salt Lake City, UT)
    …identify targeted areas for additional support and engagement. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor** , you will help support clinicians who… more
    R1 RCM (04/18/25)
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  • Intake RN, Home Health, Work From Home

    Sutter Health (Salt Lake City, UT)
    …unrestricted RN license in your state of residence. + SCAH After Hours Department: RN- Registered Nurse of California within 90 days ​ **TYPICAL EXPERIENCE:** + 2 ... - UT **Position Overview:** Position Overview: The Home Health Clinical Referral Nurse serves as the initial...families, and referral sources. This position is eligible for mobile/ remote work if you meet eligibility requirements. Remote more
    Sutter Health (05/31/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Salt Lake City, UT)
    …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
    Zurich NA (05/22/25)
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