• Utilization Management

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
    Crouse Hospital (03/20/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Salisbury, NC)
    Summary The Registered Nurse ( Utilization Management ) is aligned within the Office of Quality & Patient Safety and is responsible for providing the ... for the implementation of the medical center's Utilization Management program. Responsibilities The Registered Nurse ( Utilization Management )… more
    Veterans Affairs, Veterans Health Administration (04/09/25)
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  • Registered Nurse

    Aspen Medical (Aurora, CO)
    JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
    Aspen Medical (01/22/25)
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  • Utilization Management RN

    Ellis Medicine (Schenectady, NY)
    Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
    Ellis Medicine (04/03/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …+ FTE:1 + Posted:April 10, 2025 **Summary** **SUMMARY:** The System Utilization Management SUM Inpatient Denial Registered Nurse (RN) is responsible for ... System Utilization Management SUM Inpatient Denial RN...of successful completion of educational requirements for a Board-Certified Registered Nurse as defined by the State… more
    Alameda Health System (04/11/25)
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  • Utilization Management Nurse

    CVS Health (Augusta, ME)
    …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (04/02/25)
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  • Reimbursement Integrity Nurse

    Trinity Health (Langhorne, PA)
    …and acceptable clinical outcomes, through integration and implementation of utilization management . The licensed Registered Nurse (RN) plans & provides ... aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific… more
    Trinity Health (04/04/25)
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  • Registered Nurse Coordinator…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
    Trinity Health (04/02/25)
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  • Utilization Review Nurse (RN)

    Matrix Providers (Aurora, CO)
    …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
    Matrix Providers (01/29/25)
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  • Registered Nurse -Access Care-…

    Henry Ford Health System (Detroit, MI)
    …clinical experience required. + Previous utilization management or case management experience preferred. + Registered Nurse with a valid, ... Would you like to speak with a Nurse Recruiter? (https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/) At Henry Ford Hospital, all… more
    Henry Ford Health System (03/04/25)
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