• Social Worker

    ChenMed (Cincinnati, OH)
    …family situations. Additional duties and responsibilities include working closely with the nurse case managers to transition patients to the appropriate level of ... records and activity reports. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: + Assists with the management and plan for transitions of care, discharge and post discharge… more
    ChenMed (10/09/25)
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  • Case Manager Care Continuity Services RN - Care…

    Truman Medical Centers (Kansas City, MO)
    …in English, both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review , utilization management , or case ... We are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse committed to optimizing both patient outcomes and healthcare resources. In this… more
    Truman Medical Centers (10/01/25)
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  • Vascular Surgery APRN

    AdventHealth (Tampa, FL)
    …including coordination of discharges and transfers. They also work closely with utilization review and multidisciplinary teams to optimize length of stay ... to the team: **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** A cardiac-vascular nurse practitioner's duties encompass a broad range of responsibilities aimed at… more
    AdventHealth (11/06/25)
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  • NP/PA - Ctvs/General Robotic

    Trinity Health (Ann Arbor, MI)
    …managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the ... : Master's Degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** :… more
    Trinity Health (11/05/25)
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  • Patient Access Generalist

    Colorado State University (Fort Collins, CO)
    …Prepares reports or summaries related to referral activity, patient outcomes, or service utilization , as needed for institutional review or reporting. + Performs ... can thrive, grow, and make a lasting impact. + Review our detailed benefits information here. (https://hr.colostate.edu/wp-content/uploads/sites/25/2021/01/benefits-summary-afap.pdf) + Explore… more
    Colorado State University (10/01/25)
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  • Pre Post Endoscopy Services Specialty Educator

    HCA Healthcare (Nashville, TN)
    …improvement opportunities to enhance the effectiveness and efficiency of the competency management program through the review of evidence for best practices ... department performance in accordance with established budget, including the utilization of staffing, supplies, equipment identifying cost reduction opportunities to… more
    HCA Healthcare (11/09/25)
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  • Corporate Coordinator Transition to Practice

    HCA Healthcare (Nashville, TN)
    …improvement opportunities to enhance the effectiveness and efficiency of the competency management program through the review of evidence for best practices ... assist with operations of RN Residency/RN Fellowship programs (HCA Healthcare Nurse Residency), HCA Healthcare Center for Clinical Advancement (HHCCA) Preceptor… more
    HCA Healthcare (11/07/25)
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  • RN Case Manager

    HCA Healthcare (Dublin, GA)
    …Case Management is highly preferred for this opening. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... colleagues invested over 156,000 hours volunteering in our communities. As a **Registered Nurse (RN) Case Manager** with **Fairview Park Hospital** you can be a part… more
    HCA Healthcare (10/31/25)
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  • RN Clinical Denials Appeals Specialist

    CommonSpirit Health (Centennial, CO)
    …as a Registered Nurse . 3 years with progressive experience in utilization review , preferred. Prior experience writing clinical denial appeal letters ... indicated through research and coordination of completion of medical records and utilization review processes. Identifies areas for documentation and/or process… more
    CommonSpirit Health (11/07/25)
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  • Clinical Pharmacy Specialist - Transplant

    Northwell Health (Manhasset, NY)
    …team and provide pharmacy recommendations + Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
    Northwell Health (11/02/25)
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