• Manager , Healthcare Services;…

    Molina Healthcare (GA)
    …experience. * At least 1 year of health care management /leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/19/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Sayre, PA)
    …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant...admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b.… more
    Guthrie (10/15/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The… more
    LA Care Health Plan (10/14/25)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. ... passion for patient care. Apply today for our Case Manager Registered Nurse RN... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management more
    HCA Healthcare (10/05/25)
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  • Registered Nurse ( RN )…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
    Tenet Healthcare (10/23/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Pearland, TX)
    …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** HCA ... patient care. Apply today for our Registered Nurse RN Case Manager opportunity....utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (10/13/25)
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  • RN Registered Nurse Care…

    AdventHealth (Killeen, TX)
    …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...Registered Nurse Work Experience Preferred + Certified Case … more
    AdventHealth (10/02/25)
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  • UM Care Manager ( RN ) - PA…

    UPMC (Pittsburgh, PA)
    Are you a registered nurse with a background in utilization management ? Are you interested in the opportunity to work from home? UPMC Health Plan is ... looking for you! We are hiring a full-time Utilization Management Care Manager to...management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
    UPMC (10/23/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Tomball, TX)
    …we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist with every ... job skills. Apply today for our Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current RN License in the State of Texas or Multi-State… more
    HCA Healthcare (10/13/25)
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  • Inpatient Registered Nurse

    St. Luke's University Health Network (Lehighton, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates… more
    St. Luke's University Health Network (10/17/25)
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