• RN Case Manager

    HCA Healthcare (Savannah, GA)
    …candidates! Do you want to join an organization that invests in you as a Registered Nurse ( RN ) Case Manager? At Memorial Health University Medical Center, ... make a difference. We are looking for a dedicated Registered Nurse ( RN ) Case Manager...or critical care is preferred. + Certification in case management or utilization review is preferred. +… more
    HCA Healthcare (09/21/25)
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  • Mobile Professional Care Manager - Clearfield…

    UPMC (Dubois, PA)
    …with an RN , LCSW, LSW, or LPC. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or case ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure… more
    UPMC (08/08/25)
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  • Case Manager RN - Evangelical - Days

    WellSpan Health (Lewisburg, PA)
    …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and..., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
    WellSpan Health (10/17/25)
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  • RN Case Manager

    HCA Healthcare (Independence, MO)
    …optimal care and appropriate resource utilization .​ **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelor's Degree, Registered ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is… more
    HCA Healthcare (10/18/25)
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  • RN Case Manager PRN

    HCA Healthcare (Independence, MO)
    …optimal care and appropriate resource utilization .​ **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelor's Degree, Registered ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...your knowledge and expertise! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is… more
    HCA Healthcare (10/13/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …you? + Minimum of 2-3 years of experience in utilization review, case management , or insurance coordination in a behavioral health or substance use treatment ... compliance. + Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in denials, approvals,… more
    BriteLife Recovery (10/04/25)
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  • Clinical Manager, Behavioral Health (UM)…

    Magellan Health Services (Boise, ID)
    …Professional Counselor - Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... , direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management ...required: BCBA, LCSW, LMFT, LMSW, LPCC, LPC, PC or RN . If RN , BSN preferred but ASN… more
    Magellan Health Services (10/17/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position… more
    HCA Healthcare (10/18/25)
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  • RN Case Manager

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the career opportunities as a Weekend ** Registered Nurse ( RN ) Case Manager** you want with your current ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. +… more
    HCA Healthcare (10/01/25)
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  • RN Case Manager Lead

    HCA Healthcare (Wichita, KS)
    …initiatives **Qualifications:** **Required:** + Current Licensure in the State of Kansas as a Registered Nurse ( RN ) or Current Multi-State Licensure as a ... management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists...Registered Nurse ( RN ) + Current Basic Life Support… more
    HCA Healthcare (10/10/25)
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