• Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
    Beth Israel Lahey Health (07/29/25)
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  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
    Children's Mercy Kansas City (06/17/25)
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  • Outcomes Manager , Utilization

    Virtua Health (Pennsauken, NJ)
    …UR Tech and AA to support UR and revenue cycle process.Position Responsibilities: Utilization Management* Utilizes Payer specific screening tools as a resource to ... resource group and payers.Documentation* Appropriate and complete documentation of clinical review and denial management in the case management documentation system… more
    Virtua Health (08/26/25)
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  • Utilization Review Case…

    Dartmouth Health (White River Junction, VT)
    Utilization Review Case Manager - Home Health .6 FTE/24 per Week, Days Why work as a Utilization Review Case Manager at Visiting Nurse and ... that enrich the lives of the people we serve. Utilization Review Case Managersat VNH focus on...equipment in patient care. * Collaborates with Home Health Manager in identifying items such as: patient concerns, educational… more
    Dartmouth Health (08/26/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    …Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard ... experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
    Children's Hospital Boston (06/16/25)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management or ... Using Seattle Children's leadership qualities and values-based behaviors the manager is accountable for achieving goals and key performance...utilization review leadership experience **Compensation Range** $115,277.00 - $172,915.00 per… more
    Seattle Children's (06/17/25)
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  • RN Case Manager - Denials, Discharge…

    Amergis (French Camp, CA)
    Salary: $3042 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if… more
    Amergis (08/22/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
    Mayo Clinic (06/14/25)
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  • Utilization Review Coordinator

    Behavioral Center of Michigan (Detroit, MI)
    …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
    Behavioral Center of Michigan (08/23/25)
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