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Keywords: Utilization Management Clinician - RN, Location: USA

Page: 1

Charge RN II Emergency Department FT 7p to 7a

At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN), who..., as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position...

Location: Nassau Bay, TX
Posted Date: 03 Nov 2025

RN PRN 1 - OR

. At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse, an experienced clinician, functions... at the Competent to Proficient stage of Benner's model of clinical practice. The RN PRN position provides professional...

Location: Nassau Bay, TX
Posted Date: 03 Nov 2025

Behavioral Health Utilization Management Clinician for Substance Abuse- Remote VA and NC

:00AM EST Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information...Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 27 Nov 2025

Utilization Management Clinician (Tuesday-Saturday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 21 Nov 2025

Utilization Management Clinician (Tuesday-Saturday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Sunday-Thursday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Sunday-Thursday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Tuesday-Saturday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Location: USA
Posted Date: 12 Nov 2025

Utilization Management Clinician (Tuesday-Saturday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Tuesday-Saturday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Sunday-Thursday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 12 Nov 2025

Utilization Management Clinician (Sunday-Thursday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Location: USA
Posted Date: 12 Nov 2025

Utilization Management Clinician (Sunday-Thursday)

benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...

Posted Date: 11 Nov 2025

Utilization Review Clinician - Behavioral Health

Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh... Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers members...

Company: Centene
Location: USA
Posted Date: 12 Dec 2025

Utilization Review Clinician - ABA

Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh... regulatory guidelines and criteria Analyzes BH member data to improve quality and appropriate utilization of services Interacts...

Company: Centene
Location: USA
Posted Date: 05 Dec 2025
Salary: $26.5 - 47.59 per hour

Registered Nurse (RN) - Utilization Management - PCHP - PRN

Community Health Plan's (PCHP's) Utilization Management (UM) Clinician is responsible for processing authorization requests... implementation of utilization management policies, procedures, and protocols for physical health and/or behavioral health services...

Company: Parkland Health
Location: Dallas, TX
Posted Date: 03 Dec 2025

RN Med Management Clinician Sr. (UM/UR)

Anticipated End Date: 2025-12-23 Position Title: RN Med Management Clinician Sr. (UM/UR..., and ensures essential face-to-face onboarding and skill development. The Medical Management Clinician Sr is responsible...

Company: Elevance Health
Location: Richmond, VA
Posted Date: 07 Dec 2025

Behavioral Health Utilization Management Review

Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer... and American Society of Addiction Medicine (ASAM) criterion Utilization management experience within a managed care organization...

Location: Louisiana
Posted Date: 20 Nov 2025

RN Utilization Specialist-Utilization Review Casual Days

Career Areas Growth and Expansion RN Utilization Specialist-Utilization Review Casual Days Location Palos Heights.... From discovery to delivery, come help us shape the future of medicine. Description The RN Utilization Specialist reflects the...

Posted Date: 10 Dec 2025

Utilization Review Nurse (RN) Home Health (Full time, Monday - Friday, 8AM - 4:30PM)

Utilization Review Nurse (RN) reports to the Home Health Manager. This position specializes in optimizing patient care... Level: RN License - Unencumbered Salary Range: Undisclosed Travel Percentage: Up to 50% Job Shift: Days Job Category...

Posted Date: 19 Nov 2025