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Keywords: Registered Nurse - Utilization Management, Location: USA

Page: 4

Utilization Management Behavioral Care Advocate - Remote

national holiday per year to be worked. Primary Responsibilities: Perform utilization management, utilization review..., social work, counseling or related field, or registered psychiatric nurse Active, unrestricted, independent license...

Company: CPS Solutions
Location: Eden Prairie, MN
Posted Date: 12 Oct 2025
Salary: $58800 - 105000 per year

Manager, Utilization Management

About The Role The Manager, Utilization Management (UM) will manage the Utilization Management team consisting... Management team. Serve as the primary contact for day-to-day operational escalations related to the Utilization Management...

Posted Date: 12 Oct 2025

Care Coordinator, Utilization Management PD

management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 11 Oct 2025

RN Utilization Management ED

or designated leader for additional review as determined by department standards. The Utilization Management Nurse is accountable... failure, cancer and other diseases. The role youll contribute: The role of the Emergency Department Utilization Management...

Company: AdventHealth
Location: Tampa, FL
Posted Date: 11 Oct 2025

Care Coordinator, Utilization Management

management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 11 Oct 2025

Utilization Management RN

Imagine360 is seeking a Utilization Management, RN to join the team! The RN Utilization Management Nurse is responsible... by utilizing nursing education, clinical, and professional experience. The Registered Nurse will practice within the scope...

Company: Imagine360
Location: USA
Posted Date: 09 Oct 2025
Salary: $80000 - 85000 per year

Supervisor, Utilization Management

Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management... Collaborates with utilization management team to resolve complex care member issues Maintains knowledge of regulations...

Company: Centene
Location: USA
Posted Date: 09 Oct 2025
Salary: $73800 - 132700 per year

Clinical Evaluation Manager - Utilization Management

and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...

Location: New York City, NY
Posted Date: 09 Oct 2025
Salary: $85000 per year

RN Utilization Management - Acute Care - Per Diem

's Hospital in Albany, NY is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN...Employment Type: Part time Shift: Day Shift Description: RN for Utilization Management - Per Diem St. Peter...

Company: Trinity Health
Location: Albany, NY
Posted Date: 09 Oct 2025

Clinical Evaluation Manager - Utilization Management

and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...

Location: New York City, NY
Posted Date: 09 Oct 2025
Salary: $85000 per year

RN, Utilization Management Coordinator

The Utilization Management Coordinator Nurse performs duties consistent with the mission, vision and values of Goshen... Management Coordination Nurse utilizes advanced clinical skills to review documentation, complete UR, serve as a resource...

Company: Goshen Health
Location: Goshen, IN
Posted Date: 07 Oct 2025

Supervisor Behavioral Health Utilization Management Review

Role Overview Under the supervision of the Manager for Utilization Management, this position is responsible... for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members...

Location: USA
Posted Date: 04 Oct 2025

Manager Clinical Utilization Management RN (Waukesha WI)

Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...

Company: CPS Solutions
Location: Waukesha, WI
Posted Date: 04 Oct 2025
Salary: $89900 - 160600 per year

Utilization Management Admissions Liaison RN II

) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests... to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care...

Posted Date: 04 Oct 2025

Manager Clinical Utilization Management RN (Waukesha WI)

Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...

Company: CPS Solutions
Location: Waukesha, WI
Posted Date: 02 Oct 2025
Salary: $89900 - 160600 per year

Supervisor, Utilization Management

Imagine360 is seeking a Supervisor, Utilization Management to join the team! The Supervisor, Utilization Management... Utilization Management Nurses and associated programs and processes, as directed by the Senior Manager, Patient Review and Intake...

Company: Imagine360
Location: USA
Posted Date: 01 Oct 2025
Salary: $95000 - 100000 per year

After Hours Behavioral Health Utilization Management Reviewer

Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non... units and uses clinical judgment in their application. Education/Experience: Registered Nurse candidates...

Location: USA
Posted Date: 01 Oct 2025

Clinical Evaluation Manager, Utilization Management

and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...

Location: New York City, NY
Posted Date: 28 Sep 2025
Salary: $85000 per year

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY... as a Registered Nurse in the State of Oklahoma. Three years of acute care experience preferred. Two years of experience working...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 27 Sep 2025

Utilization Management Specialist - Springfield, IL

and presentations on utilization management data Other duties as assigned Job Requirements: Current IL licensure as a Registered... with your values. Utilization Management Specialists are responsible for: Obtaining initial and subsequent authorizations...

Location: Springfield, IL
Posted Date: 27 Sep 2025
Salary: $51463 - 82330 per year