• RN Case Management Specialist & Analyst

    Carle Health (Champaign, IL)
    …for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the...into critical benchmarks such as length of stay, readmissions, post - acute care metrics, etc.. About Us **Find… more
    Carle Health (09/18/25)
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  • Patient Care Manager - Full Time (32 Hours/Week)

    Munson Healthcare (Traverse City, MI)
    …- Acute Coordinators to monitor and facilitate the progress of completing complex post - acute services + Interface with utilization review specialists to ... skills at all times. + Maintains working knowledge/experience in utilization management , managed care, and payer issues...resource center and providers to determine patient's eligibility for post - acute services + May assist in training… more
    Munson Healthcare (10/15/25)
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  • Access Manager Nurse

    Catholic Health Initiatives (Little Rock, AR)
    …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute ... engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or… more
    Catholic Health Initiatives (10/26/25)
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  • Manager Care Management

    AdventHealth (Palm Coast, FL)
    …Worker: BSW Masters in related field + 3 years in direct Care Management / Utilization Management experience in an acute care setting. + State specific ... Palm Coast, 32164 **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… more
    AdventHealth (10/24/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, TX)
    …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated...managed care reimbursement. + Understanding of pre- acute and post - acute venues of… more
    Houston Methodist (10/11/25)
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  • Advanced Clinical Education Expert

    Dignity Health (Bakersfield, CA)
    …expert clinical and education resource; staff and leadership development consultant; and Utilization Management content expert for staff, leaders, physicians and ... customers across the ePH Utilization Management . This position will assist with...services. Must have a working knowledge of hospital and/or post - acute care operations, medical/nursing staff procedures, hospital… more
    Dignity Health (10/23/25)
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  • RN Case Manager

    Houston Methodist (Nassau Bay, TX)
    …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of...care reimbursement + Understanding of pre- acute and post - acute venues of… more
    Houston Methodist (09/23/25)
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  • Nurse Case Manager RN - ED - FT - Day

    Nuvance Health (Danbury, CT)
    …all patients early in the hospitalization, particularly for patients likely to have post - acute needs and every 1-2 days throughout their stay to facilitate ... by ensuring appropriate clinical follow-up is arranged and referrals to proper post - acute providers are initiated. 10. Communicates the plan effectively with… more
    Nuvance Health (10/03/25)
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  • Lead Medical Director

    Blue KC (MO)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... clinical initiatives by providing direction to physicians and other providers, Provides utilization management for medical, surgical and pharmacy activity. +… more
    Blue KC (08/26/25)
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  • Registered Nurse Case Management

    HCA Healthcare (Austin, TX)
    …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... make a real impact. As a(an) Registered Nurse Case Management you can be a part of change. **Benefits**...You will partner with Social Services to ensure the post - acute medical needs and level of care… more
    HCA Healthcare (10/14/25)
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