• RN Manager , Healthcare Services (Nevada…

    Molina Healthcare (North Las Vegas, NV)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (08/13/25)
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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the ... care/treatment, The Joint Commission Standards, Federal/State regulations relative to utilization /case management , discharge planning, Medicare, Medicaid, and… more
    UPMC (07/11/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... like family! Jump-start your career as an RN Case Manager Part Time today with HCA Florida Capital Hospital....position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (10/05/25)
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  • Manager , Care Management

    Humana (Springfield, IL)
    …nurses, care coordinators and behavioral health professionals responsible for care management . The Manager , Care Management , works within specific ... tactical operations for projects and initiatives involving own departmental area. The Manager , Care Management supervises, direct and evaluate a diverse group… more
    Humana (08/29/25)
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  • System Manager of Case Management

    Bozeman Health (Bozeman, MT)
    Position Summary: The System Manager of Case Management is responsible for assisting with planning, directing, organizing, monitoring and staffing the Case ... DNV and the hospital administrative team. Provides oversight of case management , discharge planning and utilization review. Provides leadership, direction,… more
    Bozeman Health (09/06/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... you have the career opportunities as a RN Case Manager you want in your current role? We invest...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (09/21/25)
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  • Health Home Care Manager I

    HCR Home Care (Rochester, NY)
    …$19.00 - $26.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home Program clients ... using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home Care… more
    HCR Home Care (10/07/25)
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  • Health Home Care Manager II

    HCR Home Care (Canton, NY)
    …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... solutions and resources for all primary, complex chronic diseases, behavioral health and long-term care needs in the Health...Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care… more
    HCR Home Care (10/03/25)
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  • RN Care Manager Case Management

    UNC Health Care (Eden, NC)
    …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to… more
    UNC Health Care (09/26/25)
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  • Manager , Care Integration Team

    CenterWell (Dallas, TX)
    …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses,...managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients… more
    CenterWell (09/17/25)
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