• RN - Clinical Transition Specialist Weekend

    Carle Health (Urbana, IL)
    …(IDFPR); Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Basic Life Support (BLS) within 30 days - American ... utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of… more
    Carle Health (12/17/25)
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  • Temporary to Hire Prior Authorization RN - Hybrid…

    Fallon Health (Worcester, MA)
    …* Refers high-risk cases to the appropriate FH internal teams (ie: Outpatient Case Management , NaviCare, ACO) and/or other community services according to ... clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed...care payer preferred. * One year experience as a case manager in a payer or facility… more
    Fallon Health (12/14/25)
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  • RN Care MGR II

    Covenant Health Inc. (Harriman, TN)
    …givers and chart findings to ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the patient's clinical ... on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at...Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or CPHQ OR… more
    Covenant Health Inc. (12/26/25)
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  • RN Care Mgr III

    Covenant Health Inc. (Harriman, TN)
    …givers and chart findings to ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the patient's clinical ... on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at...Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or CPHQ required.… more
    Covenant Health Inc. (12/14/25)
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  • Behavioral Health Provider (O-5 Billet)…

    Immigration and Customs Enforcement (Jena, LA)
    …services at ICE detention facilities. Responsibilities include biopsychosocial assessments, case management , staff training, and suicide prevention coordination. ... to, suicide prevention, hunger strike, abuse, neglect and trauma, and integrative case management . Establishes and maintains liaison with other health services… more
    Immigration and Customs Enforcement (12/10/25)
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  • AVP- Patient Care Services/RN

    Northern Light Health (Bangor, ME)
    …in the implementation, evaluation and modification of care coordination/ case management . + Facilitates multidisciplinary performance improvement ... and supplies, staffing and training of employees, and budgeting o Resource Management + Executes successfully the established plans and the services through… more
    Northern Light Health (12/19/25)
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  • Mgr Corprate CDI

    Covenant Health Inc. (Knoxville, TN)
    …area. Maintains optimal communication links with Integrity Office, Coding, Transcription, Quality Management , Case Management , Utilization Management ... objectives. + Works closely with KBOS, PAG Physician Advisors, Utilization Management , Quality Management and...+ Provides a direct clinical documentation quality link with case management function. + Follows policies, procedures,… more
    Covenant Health Inc. (10/13/25)
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  • RN Care Coordinator

    Dignity Health (Oxnard, CA)
    …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
    Dignity Health (12/25/25)
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  • Music Therapist, Partial Hospitalization Program…

    St. Luke's University Health Network (Allentown, PA)
    management duties as assigned by Supervisor. Case Management duties include individual assessments, utilization reviews, family or support interventions ... expressive therapy groups, the Music Therapist serves as a case manager and coordinates the treatment for...a positive outcome for patients. + Assists in the utilization management of psychiatric patients. + Maintains… more
    St. Luke's University Health Network (11/25/25)
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  • Interdisciplinary (Non Medical Clinical Counselor)

    Commander, Navy Installations (Virginia Beach, VA)
    …risk. Provides after-hours coverage for the FFSP, when required. Performs FAP Case Management duties, which include receiving initial reports of suspected ... all steps required under the FAP. Serves as designated case manager and primary FAP point of...Ability to communicate in writing to develop and prepare case management memos, correspondence, and reports; to… more
    Commander, Navy Installations (12/19/25)
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