• Unit Manager Clinical Operations

    Health Care Service Corporation (Richardson, TX)
    …involved in a variety of behavioral health clinical operations such as Utilization Management , Case Management and/or Disease Management . Responsible ... the organization in delivery of services to the customer. **JOB REQUIREMENTS** **:** + Registered Nurse ( RN ), with current, unrestricted license to practice… more
    Health Care Service Corporation (10/15/25)
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  • Onsite Clinical Navigator (Hybrid)

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... of care. Utilizing experience and skills in both care management and utilization management , the...State Licensure. + RN - Registered Nurse in… more
    CareFirst (10/09/25)
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  • Sharp Mesa Vista - Outpatient Supervisor - Full…

    Sharp HealthCare (San Diego, CA)
    …Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences **OR** California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Licensed Clinical Psychologist (LCP) - CA...Clinical Psychologist (LCP) - CA Board of Psychology; California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (10/08/25)
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  • Sr. Spec-PI-Quality/Safety

    Sharp HealthCare (La Mesa, CA)
    …Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse ( RN ) - CA Board of Registered ... Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety -PREFERRED + California Registered Nurse ( RN ) - CA Board of Registered … more
    Sharp HealthCare (09/24/25)
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  • Clinical Navigator (Onsite)

    CareFirst (Baltimore, MD)
    …in addition to the required work experience. **Licenses/Certifications Upon Hire Required** : + RN - Registered Nurse - State Licensure And/or Compact State ... of care. Utilizing experience and skills in both case management and utilization management , the...Licensure RN - Registered Nurse in MD, VA or Washington,… more
    CareFirst (08/14/25)
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  • Clinical Navigator (Remote)

    CareFirst (Baltimore, MD)
    …required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - Active State Licensure And/or ... of care. Utilizing experience and skills in both case management and utilization management including...Compact State Licensure RN - Registered Nurse in MD,… more
    CareFirst (10/11/25)
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  • Care Manager PreService & Retrospective

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …to improve provider performance and member satisfaction. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie LICSW, ... The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness...* 3 years of related, progressive clinical experience (ie RN or LPN to RN mix). *… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • Bone Marrow Transplant Coordinator

    HCA Healthcare (Austin, TX)
    …Healthcare, we are proud to be the only FACT accredited facility in Austin, Texas. As a Registered Nurse ( RN ) on the TCT unit you will be responsible for the ... transplant services + Minimum 3 years' experience in Case Management / Utilization Education + Graduate of an accredited...preferred Licenses and Certifications + Current State of Texas Registered Nurse ( RN ) license or… more
    HCA Healthcare (10/03/25)
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  • Case Manager

    AnMed Health (Anderson, SC)
    …databases and documentation systems as required. Qualifications + BSN and Current South Carolina Registered Nurse License; BSN required, but if no BSN at the ... health specialists, and nurses to achieve timely, appropriate patient management . + Utilizes the RN process as...as a collaborative team member. + Licensed as a Registered Nurse in South Carolina. + Minimum… more
    AnMed Health (09/17/25)
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  • Care Review Clinician - Resident of NM or TX…

    Molina Healthcare (TX)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
    Molina Healthcare (10/18/25)
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