- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- Brockton Hospital (Brockton, MA)
- …preferred. Must have current license from Commonwealth of Massachusetts to practice as a Registered Nurse . Minimum of five years clinical experience in an acute ... guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison...care facility required. Prior experience in case management , utilization review or discharge planning… more
- Garnet Health (Harris, NY)
- …credentials, negotiated contracts, budget and internal equity). Qualifications Minimum Education: Registered Nurse with New York State Licensure or Master's ... make your career home with us as a Case Manager on our Case Management team at/in...Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review, team conferences and unit-based rounds. Acts as… more
- City and County of San Francisco (San Francisco, CA)
- …an accredited college or university AND LICENSE: Current, valid, unrestricted license as a Registered Nurse in the State of California AND EXPERIENCE: Four (4) ... on or after September 19, 2025 + Salary - 0942 Manager VII (https://careers.sf.gov/classifications/?classCode=0942) (Range A Salary between $207,558 and $264,836… more
- The Hartford (Hartford, CT)
- …of a Master's degree in Behavioral/Mental Health or related field. + Registered nurse with active licensure; with behavioral health/mental health experience. ... management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred + Licensed… more
- Fresenius Medical Center (East Hartford, CT)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …years acute care RN or acute care, transitional care, or chronic care RN /case management experience OR Associates degree in Nursing and five (5) years acute ... Job Summary: The Pediatric Clinical Case Manager 's primary responsibility is to facilitate the continuum... or acute care, transitional care, or chronic care RN /case management experience required. *If Associate in… more
- UTMB Health (Galveston, TX)
- Nurse Manager - Outpatient (Sealy Heart & Vascular Institute) **Galveston, Texas, United States** **New** **Hot** Nursing & Care Management UTMB Health ... clinical experience which includes two (2) years of progressive management experience (ie Charge Nurse , Nursing Supervisor,... experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant Nurse Manager… more
- Elevance Health (Washington, DC)
- …and experience, which would provide an equivalent background. **Preferred Qualifications** + Utilization review/ utilization management experience is a must ... Management team by managing and overseeing non-clinical medical management specialists to ensure utilization regulatory compliance...for this position. + A current unrestricted RN license issued by the Commonwealth of Virginia is… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board… more