• Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages policies and… more
    CareFirst (07/12/25)
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  • Care Manager I - Transition in Care (Remote - Must…

    Houston Methodist (Houston, TX)
    …Houston area.** At Houston Methodist, the Care Manager I position is a licensed registered nurse ( RN ) who works collaboratively with the interprofessional ... nursing **WORK EXPERIENCE** + Five years hospital clinical nursing, case management and/or home health experience +...ambulatory care preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (09/09/25)
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  • Charge Nurse - Operating Room - Weekends

    Houston Methodist (The Woodlands, TX)
    …II Operating Room (OR) Department Premium WA Periop position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at ... progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (07/31/25)
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  • Supervisor, Health Homes Care Management

    Graham Windham (Bronx, NY)
    …Position Qualifications: + BA/BS with 2 years of relevant experience,ORa License as a Registered Nurse with 2 years of relevant experienceORMasters with 1 year ... Supervisor, Health Homes Care Management , Bronx Job Details Job Location 1946 Webster...consistent communication around the Care Plan with caregivers, providers, case planners and other stakeholders in the youth/family's life.… more
    Graham Windham (06/20/25)
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  • Mobile Professional Care Manager (Allegheny…

    UPMC (Pittsburgh, PA)
    …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure either in the state ... a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight role… more
    UPMC (08/29/25)
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  • Mobile Professional Care Manager - Clearfield…

    UPMC (Dubois, PA)
    …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure either in the state ... role will spend the majority of the time travelling ( travel will depend on caseload) out in their assigned...care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and… more
    UPMC (08/08/25)
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  • Senior Clinical Nurse Specialist Medical…

    Immigration and Customs Enforcement (Washington, DC)
    …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for… more
    Immigration and Customs Enforcement (09/12/25)
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  • Manager - Patient Services - Ventura County Health…

    Ventura County (Ventura, CA)
    …incumbent is responsible for managing and monitoring the activities of the utilization management , case management , disease management , and quality ... monitors the progress of the activities of the utilization management , case management , disease ...Must possess and maintain a valid license as a Registered Nurse Issued by the State of… more
    Ventura County (09/09/25)
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  • LTSS Service Care Coordinator

    Centene Corporation (Springfield, IL)
    …occasionally. Preference will be given to applicants with waiver, case management , advocacy or home visits/community travel experience who **reside in the ... NOTE: This is a hybrid-remote role with 75% local travel for (1) home visits focusing on Physically Disabled/Elderly...WOODFORD, STARK, FULTON & MARSHALL** **.** * Department: LTSS Case Management - Community * Caseload: Physical… more
    Centene Corporation (09/07/25)
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  • LTSS Service Care Coordinator

    Centene Corporation (Springfield, IL)
    …member homes. Preference will be given to applicants with past case management , advocacy or home visits/community travel experience who **reside within 30-40 ... Niles, Morton Grove, and Hanover Park).** * Department: LTSS Case Management * Caseload: Physical Disability &...must meet one of the 3 following criteria: 1. RN licensed in Illinois. 2. Bachelor or Master's Degree… more
    Centene Corporation (08/16/25)
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