• RN Hospital Case Manager

    Amergis (Santa Rosa, CA)
    …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
    Amergis (07/09/25)
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  • Senior Care Manager (RN)

    Centene Corporation (Springfield, IL)
    … (RN) with active Illinois license** + **Experience in case management and/or utilization review ** + **Previous work in an inpatient hospital environment is ... **Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our dedicated team at our Illinois… more
    Centene Corporation (06/20/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Mountain Home, AR)
    …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/16/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in areas of...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/09/25)
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  • Primary Care Physician (PCP) - FT

    STG International (Auburn, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/02/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (05/07/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Knoxville, TN)
    …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist , as necessary ... Overview Registered Nurse Care Manager, Continuum of Care Full Time,...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
    Covenant Health Inc. (07/11/25)
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  • Lead Case Manager, RN - Inpatient Specialty…

    Cedars-Sinai (Beverly Hills, CA)
    …required + 3 years of previous experience in case management, discharge planning, utilization review , and HMO in the acute inpatient or outpatient settings ... their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/ specialist and case manager to… more
    Cedars-Sinai (07/20/25)
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  • HIM - Analyst

    UnityPoint Health (Madison, WI)
    …adult acute care RN experience in med/surg, critical care, emergency or Utilization review . + Previous experience in clinical documentation improvement is ... + Knowledge of ICD CM/PCS coding guidelines License(s)/Certification(s): + Registered Nurse licensure required + Certified Clinical Documentation Specialist … more
    UnityPoint Health (06/21/25)
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  • RN Care Coordinator Transitional Care - Strategic…

    Guthrie (Sayre, PA)
    …leadership and autonomy in nursing practice. Preferred experience with care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... or Advanced Practitioner is scheduled and assists with scheduling other specialist visits as indicated. The Care Coordinator-Transitional Care identifies available… more
    Guthrie (07/18/25)
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