Jobs in United States

Utilization Management Registered Nurse in United States

185 active opportunities · Updated October 2026

Explore current utilization management registered nurse jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.

S
📍 Loma Linda, California, United States
✓ Quality checkedCompany trend +364.7%

Work Flexibility: Field-based It's Time to Join Stryker! What You Will Do As the Clinical Specialist with Stryker Enabling Technologies you will provide clinical product support to hospital staff and provide on-site guidance and assistance during surgical procedures. You will provide surgeons and operating room staff with training and Clinical/Technical support in the operation of the company's navigation technologies, associated equipment and instruments to insure procedural efficiency. You will utilize proprietary software to prepare pre-operative scans for use in conjunction with the company's Enabling Technologies system, assists surgeon in preoperative planning and intra-operative guidance. You will provide prompt and accurate complaint reports per the requirements of Stryker Enabling Technologies quality system. You will provide case coverage at accounts. You will support the development and execution of the sales plan as well as grow the utilization of the navigation technologies by increasing volume with current and potential surgeons. You will actively sell the clinical benefits of the products, and build strong, positive relationships with key surgeons and OR staff at targeted accounts. <

C
📍 United States· Remote
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

SQLPower BiTableauAuditing
C
📍 United States· Remote
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

SQLPower BiTableauAuditing
C
📍 Duluth, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Austin, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Houma, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Denver, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
MT
📍 Boise, ID - ID1, United States
✓ High-confidence listingCompany trend +1266.7%
Quick readStrong listing-quality and freshness signals

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Vice President, Boise Front End Manufacturing Operations Location: Boise, Idaho Reports To: Senior Vice President, Global Front End Operations Position Summary Reporting to the Senior Vice President of Global Front End Operations, the Vice President, Boise Front End Manufacturing Operations is responsible for the overall leadership, performance, and strategic direction of Micron's Boise front-end manufacturing operations. This leader owns the safe, efficient, and predictable execution of all manufacturing activities while ensuring alignment with company objectives, technology roadmaps, customer requirements, and long-term capacity strategies. The Vice President serves as the senior operational leader for Boise manufacturing and is accountable for operational excellence across safety, quality, yield, cycle time, cost, delivery, workforce capability, and capacity utilization. As a member of the Global Front End Operations Leadership Team, the VP partners closely with Technology Development, Engineering, Business Units, Supply Chain, Procurement, Facilities, Quality, Finance, Human Resources, and peer manufacturing sites to drive world-class manufacturing performance and enterprise-wide outcomes. This leader will play a critical role in shaping the future of advanced semiconductor manufacturing through the deployment of next-generation technologies, automation, digital manufacturing capabilities, AI-enabled operations, and large-scale capacity expansions. Key Responsibilities<

Machine LearningArtificial IntelligenceAIFinance
C
📍 Warwick, United States
✓ Quality checkedCompany trend +340.2%

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Social Worker Company: Oak Street Health Role Description: The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers to help them improve their health status and avoid hospitalizations. Core Responsibilities: Proactively support our highest-need patients by providing comprehensive assessments, telephonic check-ins, and in-person visits. Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan. Maintain extensive knowledge of community resources and make referrals, as appropriate, to help ensure the patient's healthcare and psychosocial needs are met. Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits Provide both longitudinal and episodic comprehensive care coordination with the ultimate goal of empowering patients to independently manage

C
📍 Millis, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Silver Spring, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Grass Valley, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Beaver Falls, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Maricopa, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
C
📍 Glendale Heights, United States
✓ High-confidence listingCompany trend +340.2%
Quick readStrong listing-quality and freshness signals

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

ExcelCustomer Service
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