• Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …in cooperation with multiple revenue cycle and hospital departments, such as Coding, Utilization Management (UM), Case Management , Quality and Physician ... organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay...**Minimum Qualifications:** 1. BSN degree 2. Licensed as a Registered Nurse 3. Five (5) years relevant… more
    Tufts Medicine (11/26/25)
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  • Care Management Educator Lead PRN

    AdventHealth (Maitland, FL)
    …Bachelors degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
    AdventHealth (11/13/25)
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  • Nurse Care Coordination

    Dignity Health (Gilbert, AZ)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... of nursing experience. **Licensure:** Active Arizona or Compact state RN License Preferred: + Certified Case Manager ...+ Collaborate effectively with multiple stakeholders + Understand how utilization management and case management more
    Dignity Health (11/15/25)
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  • Care Management Director

    UNC Health Care (Kinston, NC)
    management and leadership experience. LICENSURE/REGISTRATION/CERTIFICATION + North Carolina RN License, BSN required, Certification in a nursing specialty is ... the health and well-being of the unique communities we serve. **Summary:** The Manager provides efficient and effective delivery of patient care through case … more
    UNC Health Care (09/16/25)
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  • Patient Access Generalist

    Colorado State University (Fort Collins, CO)
    …and getting authorizations/pre-authorizations + Experience as a Medical Assistant, Licensed Practical Nurse , Registered Nurse , or other relevant medical ... who are absent or on leave, as requested by management , not to exceed 40 hours per week. The...+ Compile monthly reports as delegated by lead or manager + Notifies call nurse in appropriate… more
    Colorado State University (10/01/25)
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  • PICU Clinical Nurse Coordinator

    HCA Healthcare (Wichita, KS)
    …fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to strategic planning and program development and ... Wesley Medical Center! **Job Summary and Qualifications** The Assistant Nurse Manager provides leadership through collaboration with...date + Kansas or Multi State Registered Nurse License + 2 years management experience… more
    HCA Healthcare (11/10/25)
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  • Medical Management Clinician Associate

    Elevance Health (WA)
    …services in multiple states. **Preferred Skills, Capabilities and Experiences:** + Utilization Management and/ore Case Management experience strongly ... **Medical Management Clinician Associate** Carelon Post Acute Solutions A...a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted… more
    Elevance Health (11/12/25)
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  • Senior Clinical Strategist

    CVS Health (Albany, NY)
    …Operations and others on initiatives for Stars/quality improvement **Required Qualifications** - Registered Nurse with active and unrestricted license in state ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to...CM, gap closure, workflow discussions, and partnering with case manager supervisor/ manager and CMs - Serving as… more
    CVS Health (11/25/25)
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  • Psychiatric Technician III

    The County of Los Angeles (Los Angeles, CA)
    …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental Health… more
    The County of Los Angeles (10/06/25)
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  • Psychiatric Technician III/Correctional Health

    The County of Los Angeles (Los Angeles, CA)
    …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department of Mental… more
    The County of Los Angeles (10/18/25)
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