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Keywords: Registered Nurse - Utilization Management, Location: USA

Page: 14

Per Diem Registered Nurse- Pain Management

Summary: We have an exciting opportunity to join our team as a Per Diem Registered Nurse- Pain Management. In this role... Qualifications: To qualify you must have a Current Registered Professional Nurse in New York, Bachelor's degree in Nursing...

Location: New York
Posted Date: 30 Aug 2025

Denials Management Specialist, Registered Nurse (RN) License Required. Remote within Local Geography, PA or NJ Residence required. Experience writing appeals preferred

of an accredited professional nursing program. Registered nurse with current license to practice in the state of Pennsylvania or seek... management and/or utilization management required. Prefer financial experience related to appeal processes with insurance...

Posted Date: 21 Aug 2025

Pool Registered Nurse Case Manager, Case Management, Per Diem, Shift Varies

management and computer skills. Current working knowledge of discharge planning, utilization management, case management... and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization...

Company: Baptist Health
Location: Boca Raton, FL
Posted Date: 08 Aug 2025
Salary: $45 per hour

Advanced Registered Nurse Practitioner - Weight Management Clinic

BASIC FUNCTION AND RESPONSIBILITY Function as an Advanced Practice Nurse and change agent incorporating the primary... role of nurse practitioner and the supporting roles of consultant, educator, researcher, and administrator to support...

Location: Iowa City, IA
Posted Date: 22 Oct 2025

Nurse, Care Management

, Transition Coordination, and Utilization Management. DUTIES & ESSENTIAL JOB FUNCTIONS NOTE: The following are the duties... Management in an acute setting or utilization review at a medical group or health plan. Required Licenses/Certifications...

Location: Oakland, CA
Posted Date: 19 Oct 2025

Director of Case Management ( RN / RT / MSW / LPN )

as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management..., but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial...

Company: Select Medical
Location: Madison, WI
Posted Date: 17 Oct 2025

Quality Management, Nurse Consultant

in clinical setting with diverse cultural dynamics of clinical staff and patients. - Registered Nurse (RN) required. Preferred... utilization to improve clinical care and outcomes. - Provides training and education to healthcare professionals, staff...

Company: CVS Health
Location: Illinois
Posted Date: 17 Oct 2025
Salary: $66575 - 142576 per year

Medical Management Clinician Associate - Licensed Practical Nurse

Anticipated End Date: 2025-11-01 Position Title: Medical Management Clinician Associate - Licensed Practical Nurse... of a registered nurse. How You Will Make an Impact Primary duties may include, but are not limited to: Confirms medical services...

Company: Elevance Health
Location: Tampa, FL
Posted Date: 16 Oct 2025

Risk Management Nurse/Quality Manager

Registered Nurse (RN) OR Licensed Practical Nurse (LPN) License. Up to date First Aid and CPR certification. Ability to pass...This Job is being Advertised for our Tulsa, OK Location. Are you are a Nurse who is passionate about care, determined...

Company: Bridges Health
Location: Tulsa, OK
Posted Date: 15 Oct 2025

Care Management Nurse (RN)

management, including denial management, utilization management, access to the appropriate level of care, discharge planning... will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced Nurse Licensure Compact...

Company: WVU Medicine
Location: USA
Posted Date: 12 Oct 2025

Medical Management - Medical Review Examiner Nurse 145

: Current, active, unrestrictive license to practice as Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State...JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 12 Oct 2025

Risk Management Nurse/Quality Manager

. Required Experience and Education Current and unencumbered Oklahoma Registered Nurse (RN) OR Licensed Practical Nurse (LPN) License. Up...Are you are a Nurse who is passionate about care, determined to improve residents' quality of life, and willing...

Company: Bridges Health
Location: Shawnee, OK
Posted Date: 11 Oct 2025

Risk Management Nurse/Quality Manager

. Required Experience and Education Current and unencumbered Oklahoma Registered Nurse (RN) OR Licensed Practical Nurse (LPN) License. Up...Are you are a Nurse who is passionate about care, determined to improve residents' quality of life, and willing...

Company: Bridges Health
Location: Shawnee, OK
Posted Date: 08 Oct 2025

Nurse, Care Management

Coordination, and Utilization Management. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed.... Within the last 3 years, experience in Case Management in an acute setting or utilization review at a medical group or health...

Posted Date: 04 Oct 2025

Director of Case Management ( RN / RT / MSW / LPN )

Overview Critical Illness Recovery Hospital Director of Case Management Clinical license as a registered nurse... to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management...

Company: Select Medical
Location: Oxford, FL
Posted Date: 03 Oct 2025

Director of Case Management ( RN / RT / MSW / LPN )

Overview Critical Illness Recovery Hospital Director of Case Management Clinical license as a registered nurse... to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management...

Posted Date: 02 Oct 2025

RN Appeals Management Nurse

Case Management system, including appropriate resource utilization and identification of avoidable days. Maintains records... of utilization review/management. Utilizes and analyzes current medical/clinical information as well as medical record information...

Company: MedStar Health
Location: Baltimore, MD
Posted Date: 26 Sep 2025
Salary: $89065 - 162801 per year

Nurse Practitioner Care Management Per Diem

utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise... Professional Registered Nurse License. 2. Advanced Nurse Practitioner (w/ Master's Degree). 3. BLS AHA Basic Health Care Life...

Posted Date: 19 Sep 2025
Salary: $71.54 per hour

Nurse Practitioner Care Management Per Diem

utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise... Professional Registered Nurse License. 2. Advanced Nurse Practitioner (w/ Master's Degree). 3. BLS AHA Basic Health Care Life...

Posted Date: 19 Sep 2025
Salary: $71.54 per hour

Nurse Practitioner Care Management Per Diem

utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise... Professional Registered Nurse License. 2. Advanced Nurse Practitioner (w/ Master's Degree). 3. BLS AHA Basic Health Care Life...

Posted Date: 19 Sep 2025
Salary: $71.54 per hour