• Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (08/08/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
    Children's Hospital Boston (06/16/25)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    … experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director… more
    Seattle Children's (06/17/25)
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  • Utilization Review RN Case

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
    Penn Medicine (08/19/25)
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  • Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
    Houston Methodist (07/12/25)
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  • Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
    Prime Healthcare (08/08/25)
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  • Case Manager (RN)…

    Prime Healthcare (Chino, CA)
    …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219949/ case - manager -%28rn%29 … more
    Prime Healthcare (08/14/25)
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  • Case Manager (RN)…

    Prime Healthcare (San Dimas, CA)
    …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/ case - manager -%28rn%29 … more
    Prime Healthcare (07/15/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …**Job:** **Please select a valid job field* **Organization:** ** **Title:** * Clinical Case Manager * **Location:** *NC-Rutherfordton* **Requisition ID:** ... hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization...as indicated.13. Discusses payer criteria and issues on a case -by- case basis with clinical staff… more
    LifePoint Health (08/09/25)
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  • Utilization Manager Reviewer, RN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to ... license required. Bachelors degree preferred. + Minimum of three years of clinical experience required. Utilization Management experience preferred. + Must… more
    Excellus BlueCross BlueShield (08/23/25)
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