• Patient Navigator (Non RN)

    Community Health Systems (Milton, FL)
    …care transitions, improving patient outcomes, and supporting appropriate in-network resource utilization across the post - acute continuum. This role ... collaborates with clinical and administrative teams, post - acute providers, and community resources to reduce avoidable readmissions and ensure continuity of… more
    Community Health Systems (10/28/25)
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  • Case Manager, RN- Case Management

    Northwell Health (Staten Island, NY)
    …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... acute needs. + * Participates in the quality management of patient care outcomes. + Submits data to... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
    Northwell Health (10/28/25)
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  • Case Mgr, RN Casual- Case Management

    Northwell Health (Staten Island, NY)
    …another level of care according to regulatory standards. * * Performs concurrent utilization management using Interqual criteria. * Conducts chart review for ... acute needs. * * Participates in the quality management of patient care outcomes. * Submits data to... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
    Northwell Health (10/21/25)
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  • Registered Nurse (RN) - Case Manager

    Tenet Healthcare (Detroit, MI)
    …care and resource utilization for admission, continued stay, discharge and post - acute care) compared to evidence-based practice, internal and external ... for case management scope of services including: Utilization Management supporting medical necessity and denial...Review, l) assuring patient education is completed to support post - acute needs , m) timely complete and… more
    Tenet Healthcare (10/23/25)
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  • Per Diem RN - Case Management - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... as Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
    Sharp HealthCare (09/06/25)
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  • AVP Care Coordination

    Nuvance Health (Danbury, CT)
    …patient-centric vision and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge planning, social ... need for services, and facilitating timely discharge planning. * * Post - Acute Care Coordination:* Collaborate with post...of 5 years of progressive leadership experience in case management or utilization review * Proven leadership… more
    Nuvance Health (09/10/25)
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  • Clinical Transitions Specialist RN - Case…

    Carle Health (Normal, IL)
    …readmission and navigate strategies with patient and family to reduce risk through post acute planning. Arrange DME, Home Care, outpatient infusion and ... and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of Carle Health. Ensures patients receive… more
    Carle Health (10/01/25)
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  • Manager, Case Management

    CenterWell (Dallas, TX)
    …opportunities for managing populations and coordinating care to reduce acute and post - acute care utilization . The Manager role is hybrid with travel ... data analytics, and create action plans that will reduce acute and post - acute care utilization . + Solicits/shares feedback with market leaders on… more
    CenterWell (09/17/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
    Corewell Health (10/23/25)
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  • RN Care Coordinator

    Corewell Health (Dearborn, MI)
    …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
    Corewell Health (10/17/25)
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