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Clinical Utilization Review Nurse (Hiring )
Alameda Health System
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Oakland, CA
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity ... - May 07
Travel RN Care Manager (Utilization & Case Management)
Nightingale Nurses
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Tuscaloosa, AL
Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Tuscaloosa, Alabama.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/23/2025Duration: 13 weeks40 hours per weekShift: 8 ... - May 07
RN - ED - Emergency Department in Olympia Fields, Illinois
Vetted
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Olympia Fields, IL
Vetted is seeking a RN - ED - Emergency Department for a travel job in Olympia Fields, Illinois. The job was posted 21 days ago. The assignment starts on May 5 and is 13 weeks long with 12 hour shifts 3 days a week. You must live 60 miles away from ... - Apr 28
Registered Nurse, Womens Services
Community Medical Center
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Missoula, MT, 59802
Mother/Baby Registered Nurse (RN) Status/FTE: This is a Bidded Charge FT (0.8-1.0) Shift length: 12 hours Start Time: 1900 ... Hiring Manager and contact information: Pamela Pearson, For additional details, please visit mtnurses.org to review the ... - May 08
Director, Commercial Utilization Management
Blue Shield of California
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Rancho Cordova, CA, 95741
... of services required to perform UM reviews Review and report out on Utilization Review (UR) trending for Commercial ... environment Your Knowledge and Experience Requires current CA RN License Bachelors of Science in Nursing or advanced degree ... - May 01
Utilization Review Nurse
University of Maryland Medical System
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Towson, MD, 21286
General Summary _ Onsite Position_ The Utilization Review Nurse coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve ... - Apr 29
Utilization Review Nurse
Dignity Health
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Gilbert, AZ, 85233
... degree in Case Management or Nursing field in lieu of 1 year experience RN: AZ or Compact License Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used Preferred: Bachelor's Degree in Nursing (BSN) or related ... - May 05
Director, Behavioral Health Utilization Management
Blue Shield of California
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Long Beach, CA, 90802
Your Role Blue Shield of California is looking for a clinical leader to oversee the behavioral health utilization management ... Your Work In this role, you will: Manage and monitor prior authorization, concurrent review, and transitions of care ... - May 03
Travel Nurse RN - Case Management - per week
Next Move Healthcare
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Olympia, WA, 98502
64.1 per hour
Next Move Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Olympia, Washington. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/26/2025 Duration: 13 weeks 40 hours per week ... - Apr 28
Utilization Management Nurse
Centurion Health
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South Fulton, GA, 30349
... Qualifications GA or compact RN license Utilization management experience, InterQual experience preferred Two (2) years of clinical nursing experience and one year of experience in performing prior authorization review Experience using medical ... - Apr 23