• Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    …of three (3) years of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience ... Utilization Management Manager Date Posted: Aug...provides the skills needed to conduct oversight of all utilization management practices and clinical criteria evaluations.They… more
    State of Indiana (08/22/25)
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  • Utilization Management Reviewer

    Commonwealth Care Alliance (Boston, MA)
    Utilization Management Reviewer reports to the Utilization Management Manager . * Conducts timely clinical decision review for services requiring prior ... Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation more
    Commonwealth Care Alliance (07/31/25)
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  • Utilization Review Coordinator

    Behavioral Center of Michigan (Detroit, MI)
    …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... the level of nursing care and collaborates with other departments in evaluation of projects affecting discharge plans. Supports clinical improvement activities… more
    Behavioral Center of Michigan (08/23/25)
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  • RN - Utilization Management

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. The UM RN ... observation, admission, and continued stay patients. Responsibilities The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible and accountable… more
    Veterans Affairs, Veterans Health Administration (08/23/25)
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  • Clinical Manager , Home Health

    CenterWell (Oxford, AL)
    **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... providing health and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and… more
    CenterWell (08/16/25)
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  • Clinical Manager , RN

    Erickson Living (Pompton Plains, NJ)
    Location: Cedar Crest Village by Erickson Senior Living Join our team as the Clinical Manager supporting our 25-bed s ub-acute rehab neighborhood. The ... Clinical Manager is an active member of... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance… more
    Erickson Living (08/23/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Winston Salem, NC)
    …support residents' health and well-being within these communities. **Role Highlights:** As an RN Clinical Manager , you will have the unique opportunity to lead ... and drive clinical excellence in a dynamic environment. The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided… more
    CenterWell (08/23/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Charleston, WV)
    …counties: Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Webster. The Clinical Care Manager BH utilizes advanced clinical judgment ... participate with their provider in healthcare decision-making. o Analyzes all utilization , self-report, and clinical data available to consolidate information… more
    CVS Health (08/20/25)
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  • Clinical Resource Manager

    HCA Healthcare (Nashville, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Resource Manager with HealthTrust Supply Chain you can be a ... in our organization. We are looking for an enthusiastic Clinical Resource Manager to help us reach...of supply expense opportunities to improve product standardization and utilization . This process includes product selection, evaluation more
    HCA Healthcare (06/21/25)
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  • Clinical Case Manager -Oncology…

    Sharp HealthCare (San Diego, CA)
    …requirements for the position, and employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be a patient advocate providing ... that there are multiple options for patients and are provided excellent care. The Clinical Case Manager will be responsible for collecting data regarding patient… more
    Sharp HealthCare (07/18/25)
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