• RN - Utilization Review

    Baptist Memorial (Jackson, MS)
    …referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - Hospital Department: HS Case Mgmt Administration Corporate ... Overview  Summary The Utilization Review Nurse is responsible...Category: Nurse RN Type: Clinical Work Type: Full Time Work Schedule: Days… more
    Baptist Memorial (02/17/25)
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  • Registered Nurse Supervisor (2nd…

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4882511) Apply  Registered ... in your nursing career! Selinsgrove Center is looking for compassionate and hard-working Registered Nurse Supervisors to lead our nursing staff. Your dedicated… more
    Commonwealth of Pennsylvania (04/19/25)
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  • Care Coordinator Nurse

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …identify the most appropriate resources to promote quality, cost effective outcomes. Utilization Review staff are responsible for providing clinical service ... insurance, other insurance carriers, and healthcare vendors. **QUALIFICATIONS** **Education** + High School Diploma or equivalent required **Work Experience** +… more
    Blue Cross and Blue Shield of Louisiana (04/16/25)
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  • Registered Nurse II - Medical…

    Northern Light Health (Pittsfield, ME)
    …direction and manages workflow and time. Credentials:Essential:* Registered Nurse Education:Essential:* High School Diploma/General Educational ... a $10,000 (minus tax) sign on bonus that is paid out incrementally. Summary:The Registered Nurse II is a fully competent practitioner of nursing. The incumbent… more
    Northern Light Health (03/19/25)
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  • Registered Nurse II - Medical…

    Northern Light Health (Pittsfield, ME)
    …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent...care. * Resource Management o Identifies opportunities to improve utilization of resources. * Professional Development o Takes responsibility… more
    Northern Light Health (03/19/25)
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  • Registered Nurse - Emergency…

    Northern Light Health (Pittsfield, ME)
    …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent...+ Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes… more
    Northern Light Health (02/13/25)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure ... RN - Registered Nurse in MD, VA or Washington,...experience working in Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct… more
    CareFirst (04/07/25)
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  • Med Mgmt Clinician Associate (US)

    Elevance Health (Miami, FL)
    …and Experiences:** + Valid Florida RN license strongly preferred. + Utilization review experience highly preferred. Please be advised that Elevance Health ... do not require the training or skill of a registered nurse . **How you will make an...a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid… more
    Elevance Health (04/19/25)
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  • Care Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …information below if Care Manager position is behavioral health focused. **Licenses/Certifications** + RN - Registered Nurse - State Licensure And/or Compact ... CareFirst application protocol and regulatory standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED **Experience** :...State Licensure RN - Registered Nurse in MD, VA or Washington,… more
    CareFirst (04/07/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …patient/family, payer based case managers, and appropriate community based providers. High school diploma or equivalent required. Bachelor's Degree required; ... license from Commonwealth of Massachusetts to practice as a Registered Nurse . Minimum of five years clinical...in an acute care facility required. Prior experience in case management, utilization review or discharge planning… more
    Brockton Hospital (03/04/25)
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