• Appeals RN - Care Management Per Diem…

    Providence (Torrance, CA)
    …the best people, we must empower them. **Required Qualifications:** + Associate's Degree Nursing . + Upon hire: California Registered Nurse License. + 2 years ... Bachelor's Degree in Nursing . Or Master's Degree Nursing . + Upon hire: Case management certification....Part time **Job Shift:** Multiple shifts available **Career Track:** Nursing **Department:** 7000 UTILIZATION MGMT CA SOCAL… more
    Providence (11/19/25)
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  • Medical Director (NV)

    Molina Healthcare (Fort Worth, TX)
    …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
    Molina Healthcare (11/21/25)
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  • Outpatient Care Management RN

    Carle Health (Hoopeston, IL)
    …Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC) **Education:** College Diploma: Nursing (Required) **Experience:** ... Clinic Hybrid position with 1 day remote and 4 in office The OP Care Management RN provides care management and population health services to patients. The… more
    Carle Health (09/18/25)
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  • LPN Case Manager

    Ochsner Health (Slidell, LA)
    …in utilization review. **Certifications** **Required** - Current licensed practical nurse (LPN) license in the state of practice. **Knowledge Skills and ... Description** **Education** **Required** - Graduate of an accredited licensed practical nurse (LPN) program. **Work Experience** **Required** - 3 years of… more
    Ochsner Health (10/23/25)
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  • SW Case Manager MSW

    HCA Healthcare (Bountiful, UT)
    …goals. Unlock your potential! **Job Summary and Qualifications** As a Social Worker in Case Management at our facility you will be joining a team that has a passion ... plan of care. + Provide crisis intervention and support. + Assist the Case Manager in facilitating patient movement across the continuum of care and identify and… more
    HCA Healthcare (10/23/25)
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  • Pediatrics RN

    AdventHealth (Hinsdale, IL)
    …compliance with established policies, procedures and protocols under the supervision of the Nurse Manager , Director, and Vice President of Clinical Services, and ... Nurse is responsible for the delivery of coordinated nursing care for a patient or an assigned group...within a patient care unit and for the day-to-day management and supervision of the related clinical activities. The… more
    AdventHealth (10/02/25)
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  • Practice Manager - Primary Care

    Virtua Health (Evesham, NJ)
    …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... local regulatory guidelines. Job Responsibilities: Financial / Revenue Cycle Management Oversees the daily/monthly expenditures, staffing and overtime hours. Ensures… more
    Virtua Health (11/25/25)
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  • Manager , Sterile Processing

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Promotes and maintains effective interdepartmental relations with medical and nursing staff. + Organizes inventory control and ordering supplies. + Acts ... and monitors departmental budget. + Ensures appropriate provision and utilization of departmental resources. + Actively participates in setting, monitoring… more
    Emory Healthcare/Emory University (11/22/25)
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  • Sr. Case Manager

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …processes and CRM preferred. + Experience in a combination of home care management , case management review, utilization review, social service support, ... and maintaining compliance. Exhibit a high level of case management expertise and demonstrated leadership skills. Utilize care coordination...with a focus on Health Care, Social Work, or Nursing , preferred. A minimum of 2 years of equivalent… more
    PSKW LLC dba ConnectiveRx LLC (10/10/25)
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  • Float Pool LPN I

    Southeast Health (Dothan, AL)
    …manner. + Demonstrates appropriate utilization of the skills of the License Practical Nurse as approved by the Alabama Board of Nursing . + Demonstrates the ... Always the right career direction. Job Description Summary "Licensed Nursing Staff with competency in one (1) of the...care based on these needs. + Demonstrates effective time management techniques. + Demonstrates appropriate utilization of… more
    Southeast Health (11/21/25)
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