• PRN Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... necessity, discharge planning, and payer requirements. + Documents all utilization review activities in the hospital's case ...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited … more
    Community Health Systems (12/03/25)
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  • RN Case Manager , Per Diem

    UCLA Health (Santa Monica, CA)
    …staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
    UCLA Health (12/10/25)
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  • RN Case Manager

    Blue Cross Blue Shield of Massachusetts (Quincy, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. Pedi Case Manager The Role The Clinical Care Manager is responsible for facilitating ... any barriers to care. The Team The Clinical Care Manager is part of a highly dedicated and motivated...to promote optimal member outcomes. * Interpret and apply case management criteria, processes, policies, and regulatory standards to… more
    Blue Cross Blue Shield of Massachusetts (01/06/26)
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  • RN Case Manager - United…

    Katmai (Usaf Academy, CO)
    **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more
    Katmai (12/07/25)
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  • RN Complex Care Case Manager…

    Trinity Health (Boise, ID)
    …exceptional service and the highest quality of care. We have a great opportunity available for an ** RN Complex Care Manager ** to join our team! As an RN Care ... accountable care organization (ACO) members with complex condition/illness, high utilization , and/or polypharmacy impacting health outcomes. Coordinates with physicians,… more
    Trinity Health (01/06/26)
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  • RN - Case Manager

    Amergis (Hyannis, MA)
    Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week ... + EPIC experience + 3 years of acute care case management experience in the last 5 years +...last 5 years + Experience in discharge planning & utilization review + Knowledge of InterQual or similar system… more
    Amergis (12/03/25)
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  • Case Manager RN - Bilingual

    Somatus (Mclean, VA)
    …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
    Somatus (12/23/25)
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  • RN Case Manager - Hospice…

    Good Samaritan (Nisswa, MN)
    …$51 **Pay Info:** $10,000 sign on bonus! **Department Details** Join our team as a FT Day RN Case Manager - Hospice! - $34+ per hour depending on experience ... based on an integration among established clinical, financial and utilization data. Defines the unit of care (family and...two years' clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where… more
    Good Samaritan (12/20/25)
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  • RN Case Manager , Long Term…

    Good Samaritan (Pipestone, MN)
    …Full time **Weekly Hours:** 40.00 **Salary Range:** $34.00 - $51.00 **Job Summary** The RN Case Manager , Long Term Care (LTC) assesses, implements, and ... outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described… more
    Good Samaritan (11/11/25)
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  • RN Case Manager

    BJC HealthCare (St. Peters, MO)
    **City/State:** Saint Peters, Missouri **Categories:** Case Coordination **Job Status:** Part-Time **Req ID** : 101124 **Pay Range:** $32.80 - $50.39 / hour (Salary ... position will support two locations! Seeking candidates with at least 2 years of bedside RN experience in a hospital setting + Benefits eligible + Monday - Friday +… more
    BJC HealthCare (01/10/26)
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