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5 rn registered nurse jobs found

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PH
RN Case & Utilization Management *** 100% REMOTE
PHAXIS New York, NY, USA
Utilization Review Registered Nurse (UM RN) – 100% Remote (NYS Licensed Required) Employment Type: Full-Time | Long-Term Temporary Role | Start: ASAP Schedule: Monday–Friday, 37.5 hours/week (bonus for weekend rotation availability) Shift Options: 8:30 AM – 4:30 PM 9:00 AM – 5:00 PM Hourly Rate: $62 Key Responsibilities: Conduct utilization review assessments and make clinical determinations in line with policies and regulations Review provider, member, and internal requests for medical services Deliver timely, accurate clinical notifications Collaborate with physicians, care managers, discharge planners, and member representatives to ensure coordinated care Monitor utilization trends and support tracking initiatives for efficient care delivery Ensure documentation meets regulatory, accreditation, and organizational standards Exercise independent clinical judgment under general supervision Required Qualifications: Active New York State...

Mar 17, 2026
Oa
Registered Nurse - Quality Management Specialist
Oil and Gas Job Search Ltd NY, USA
Summary The RN - QMS assesses, plans, implements, and evaluates delivery of care based on age-specific components. They demonstrate performance and leadership that is broad enough to improve the care for a group of patients; provide sound decision-making and judgment; and possess excellent interpersonal skills. They are self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency This job is open to all U.S. Citizens. Current, permanent employees of the Department of Veterans Affairs are encouraged to apply to announcement number CBTE-12911217-26-AB. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties Major duties include, but are not...

Mar 15, 2026
UV
Full time
 
Registered Nurse - Quality Management Specialist
US Veterans Health Administration Chicago, IL, USA
Summary The Captain James A. Lovell Federal Health Care Center (FHCC) is seeking a Quality Management Specialist (QMS), Registered Nurse (RN) for Quality Management Department. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. Duties VISN 12 is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as...

Mar 15, 2026
UV
Primary Care Quality Management Nurse
US Veterans Health Administration Cincinnati, OH, USA
Summary The Cincinnati VA Medical Center is seeking an RN Quality Management Consultant in Primary Care Services. The Quality Management Consultant RN demonstrates experience and creative approaches to improvement in quality-of-care outcomes. They demonstrate performance that improves the care for a group of patients and document outcomes at the program level. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency All qualified applicants are encouraged to apply. First consideration will be given to current permanent VA Employees. Must upload a 2026 SF50. NOTE: The 2-page Resume requirement does not apply to this position. For more...

Mar 13, 2026
UV
Registered Nurse (Case Management)
US Veterans Health Administration Chelsea, ME, USA
Summary This Registered Nurse position is in Connected Care services at the Togus VA Medical Center, located at the Augusta, Maine, location. This position is a full-time at 40 hours per week. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. Past/Current/Upcoming Graduates of VHA Health Trainee Programs (HPT) are eligible to apply (must send proof such as an SF-50 with application). NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties The Case Management (CM) Registered Nurse (RN) provides patient management, care...

Mar 13, 2026
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