• Clinical Transition Spec RN

    Carle Health (Urbana, IL)
    …and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures ... post - hospital providers to ensure responsive and appropriate care is provided post -discharge. Documents plan of care and utilization issues in appropriate… more
    Carle Health (10/22/25)
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  • Case Management Assistant

    University of Utah Health (Salt Lake City, UT)
    …nurse case management by coordinating with home care agencies, post - acute care facilities, durable medical equipment companies, transportation agencies and ... related field. + One year of experience in a utilization review or case management environment. +...monthly retirement benefits from URS are subject to URS' post -retirement rules and restrictions. Please contact Utah Retirement Systems… more
    University of Utah Health (10/24/25)
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  • Manager Care Management

    AdventHealth (Orlando, FL)
    …Worker: BSW Masters in related field 3 years in direct Care Management / Utilization Management experience in an acute care setting **Preferred ... outpatients each year **The role you'll contribute:** The Care Management Manager is under the general leadership of the...units to discuss transition of the patient to the post - acute setting and barriers to the plan.… more
    AdventHealth (10/18/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. ... care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the...of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred. + Post - acute levels of care such as Home… more
    Sutter Health (08/16/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated...managed care reimbursement. + Understanding of pre- acute and post - acute venues of… more
    Houston Methodist (08/08/25)
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  • RN Case Manager - Inpatient Case Management

    Cambridge Health Alliance (Somerville, MA)
    …and continued stay. With the patient, family and health care team, create a post - acute care plan appropriate to the patient's needs and resources and facilitate ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville...this transition in concert with that patient's inpatient and post - acute care teams. Qualifications/Experience: + Education: Bachelor… more
    Cambridge Health Alliance (09/25/25)
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  • Medical Director

    Blue KC (KS)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... within Medical Management , eg, medical policy, credentialing, utilization management , case management , patient...+ years or experience in direct clinical patient care post -residency or fellowship training. + Board certification in an… more
    Blue KC (10/04/25)
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  • RN Case Manager - Inpatient Case Management

    Cambridge Health Alliance (Everett, MA)
    …and continued stay. With the patient, family and health care team, create a post - acute care plan appropriate to the patient's needs and resources and facilitate ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett...this transition in concert with that patient's inpatient and post - acute care teams. Qualifications/Requirements: + BSN preferred… more
    Cambridge Health Alliance (09/03/25)
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  • Transitional Care RN - Case Management

    Mohawk Valley Health System (Utica, NY)
    …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... and follow-up for assigned patients who require medication reconciliation, adherence assessment, management of acute and chronic disease states, assessment of… more
    Mohawk Valley Health System (10/07/25)
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  • Associate Director, Behavioral Case…

    Banner Health (Glendale, AZ)
    …25 direct reports, including Masters level/licensed social workers and counselors, utilization management team members and Transitional Care Navigators. The ... on-site full-time position M-F. Our 156-bed campus provides inpatient acute behavioral health care for adolescents and adults. Our...state. Requires extensive knowledge in the areas of case management , utilization management , and/or social… more
    Banner Health (10/22/25)
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