• RN Clinical Appeals Nurse Remote

    Molina Healthcare (WI)
    …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. *… more
    Molina Healthcare (01/02/26)
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  • RN Care Mgr I

    Covenant Health Inc. (Knoxville, TN)
    …care givers and chart findings to ensure patient is meeting daily objectives + The care manager modifies the case management plan to meet the changing needs ... on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at...Spoon || ###@covhlth.com Responsibilities Assessment: + The RN care manager utilizes case finding criteria to screen… more
    Covenant Health Inc. (12/16/25)
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  • Sr. Clinical Sales Executive - Central Region

    Danaher Corporation (Houston, TX)
    …that includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient ... leaders from nursing, emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This… more
    Danaher Corporation (10/19/25)
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  • Director Care Transition

    Texas Health Resources (Arlington, TX)
    …Master's Degree Preferred Experience 5 Years Directly related experience in hospital case management , demonstrating progressive developmental and management ... Cardiopulmonary Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM... Upon Hire Preferred Or CPUM - Certified Professional Utilization Manager Upon Hire Preferred Or Other… more
    Texas Health Resources (01/06/26)
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  • Senior Mental Health Nurse

    Ventura County (Ventura, CA)
    …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... Post Stabilization notifications; + Acts as a liaison and case manager between the inpatient facility and...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
    Ventura County (11/16/25)
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  • Lead Respiratory Therapist (RT)

    Genesis Healthcare (York, PA)
    …of the respiratory department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... responsible for assisting the Vent Manager / District Manager in the efficient management of respiratory...of the highest standard of respiratory services through appropriate utilization of resources, the promotion of clinical programs, and… more
    Genesis Healthcare (11/26/25)
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  • RN Structural Heart (TAVR) Coordinator - Full Time…

    University of Southern California (Arcadia, CA)
    ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards ... all professional and patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to… more
    University of Southern California (12/11/25)
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  • Sales Executive, Strategic Accounts - Boston…

    ZOLL Medical Corporation (Boston, MA)
    …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
    ZOLL Medical Corporation (11/15/25)
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  • LVN-Hybrid

    Actalent (Sacramento, CA)
    …experience (eg, med-surg, telemetry, ICU) . At least 1 year of experience in utilization review, case management , or hospital discharge planning . ... Hybrid LVN-Inpatient Job Duties: . Perform timely utilization reviews for Medicare inpatient admissions, continued stays,...of EZ-CAP, EZ-Net, InterQual, and MCG preferred. . Certified Case Manager (CCM), CPUR, or CPHM credential… more
    Actalent (01/06/26)
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  • LVN

    Actalent (Sacramento, CA)
    …experience (eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review, case management , or hospital discharge planning + ... of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and...of EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential… more
    Actalent (12/24/25)
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