• MDS Coordinator - RN, Registered Nurse

    Good Samaritan (Inver Grove Heights, MN)
    …Details** GSS-Inver Grove Heights is 46-room facility offering long-term care/skilled nursing care as well as post-acute rehabilitation services. This full-time 40 ... week MDS Coordinator will be a part of our management team. Primary responsibilities will be MDS duties for...rotation shared with the other supervisory staff. MN Registered Nurse , RN required. Prior MDS experience preferred. $10,000 Bonus… more
    Good Samaritan (10/06/25)
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  • Director, Healthcare Services; Utilization

    Molina Healthcare (GA)
    …of healthcare services professionals in some or all of the following functions: utilization management , care management , behavioral health and other ... of the following key health care services functions: care management , utilization management , care transitions,...and experience. * At least 3 years health care management /leadership required. * Registered Nurse (RN), Licensed… more
    Molina Healthcare (09/19/25)
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  • Care Coordinator, Utilization

    Hackensack Meridian Health (Brick, NJ)
    …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
    Hackensack Meridian Health (10/12/25)
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  • Director Utilization Management

    Texas Health Resources (Arlington, TX)
    Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
    Texas Health Resources (10/16/25)
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  • Care Manager (RN)

    Molina Healthcare (Las Vegas, NV)
    …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
    Molina Healthcare (10/15/25)
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  • RN/LPN- Utilization Manager

    Northeast Alabama Regional Medical Center (Anniston, AL)
    Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care of patients to facilitate achievement of positive ... care as appropriate. Participates in performance improvement initiatives related to the management of patient care. Works with physicians to ensure accurate and… more
    Northeast Alabama Regional Medical Center (10/14/25)
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  • RN, Care Manager

    Whidbey General Hospital (Coupeville, WA)
    …health, Hospice, skilled nursing , anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management / Utilization Plan that integrates ... resource utilization , the discharge planning and appeal/denial management . The RN - Care Manager serves...family and the interdisciplinary health care team using the nursing process to assess, plan, implement, monitor, and evaluate… more
    Whidbey General Hospital (10/01/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:** + Required Associates in ... Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
    BayCare Health System (10/10/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal ... completed the basic professional curricula of a school of nursing as approved and verified by a state board...and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional… more
    Saint Francis Health System (10/08/25)
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  • Care Manager - Rehab Unit

    Providence (Walla Walla, WA)
    …admission, allergies, and skilled services needed. Case Manager duties include utilization reviews and management , and support of the discharge planning ... Coordinator-Case Manager coordinates the patient referral, admissions, and case management for the Acute Rehabilitation Unit in collaboration with the attending… more
    Providence (09/17/25)
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