• 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 (10/14/25)
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  • RN Care Manager Midshift

    Community Health Systems (Oro Valley, AZ)
    **$5k Sign on bonus offered to eligible qualified Care Manager RNs** **Full Time Case Manager RN at Oro Valley Hospital Mid-shift working in the ... - providing quality care to our patients. The Care Manager - RN is responsible for coordinating...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (08/21/25)
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  • RN Care Manager - Case

    Sanford Health (Bemidji, MN)
    …outcomes based on an integration among established clinical, financial and utilization data. Feels comfortable functioning in structured and unstructured health care ... the various disciplines and agencies/stakeholders, including managed care organization case managers involved in the treatment plan. **Qualifications** Bachelor's… more
    Sanford Health (10/15/25)
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  • Utilization Management Specialist

    Cleveland Clinic (Cleveland, OH)
    …of admission and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + ... School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic...Preferred qualifications for the ideal future caregiver include: + Case Management Certification (CCM) + Prior Utilization more
    Cleveland Clinic (10/18/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Hickory, NC)
    …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... sit on-site at our Hickory, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
    CenterWell (11/09/25)
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  • Care Manager RN

    Community Health Systems (Dothan, AL)
    Join us as a **_Registered Nurse ( RN ) - Care Manager ( Case Management)- FULL Time position_** at Flowers Hospital **Unit:** Care Manager ( Case ... available for Full and Part-Time roles **Department Description:** The Case Manager is responsible for assisting in...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (10/30/25)
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  • RN Case Manager

    Essentia Health (Brainerd, MN)
    …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is ... meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. **Education Qualifications:** Educational… more
    Essentia Health (11/12/25)
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  • RN Case Manager - Per Diem…

    Emanate Health (Glendora, CA)
    …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
    Emanate Health (11/01/25)
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  • RN Care Manager (Discharge Planner)…

    Logan Health (Whitefish, MT)
    …| Strive for Excellence. Logan Health Whitefish is looking for Care Manager to provide seamless discharge planning and coordination! Logan Health Whitefish is ... the mission, vision, and values of Logan Health. Qualifications: + Current Montana RN License or a multi-state compact license with authorization to practice nursing… more
    Logan Health (11/04/25)
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  • RN Weekend Regional Clinical Manager

    CenterWell (Atlanta, GA)
    …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical operations across multiple branch locations.** The **Weekend Regional RN Clinical Manager ** provides weekend oversight and...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
    CenterWell (11/09/25)
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