• Clinical Operations Supervisor, RN

    Cedars-Sinai (Beverly Hills, CA)
    …care assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role in an ambulatory care ... You Will be Doing The Supervisor of Clinical Operations RN supports the physician and clinical staff in the...as a liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality… more
    Cedars-Sinai (12/17/25)
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  • Lead Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... performance to department management . Work closely with management to review performance and quality standards...clinical appeals and grievances experience in a managed care, utilization management and/or case management … more
    LA Care Health Plan (11/11/25)
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  • Staff RN

    UHS (Norwich, NY)
    Position OverviewThe Registered Nurse ( RN ) or Graduate Nurse (GN) protects, promotes, and optimizes health and abilities, prevention of illness and ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
    UHS (11/15/25)
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  • RN Care Manager - Case Coordination

    Hartford HealthCare (Torrington, CT)
    …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... convenient, safe and comfortable patient environment. *_POSITION SUMMARY/PURPOSE_* Care Management is a collaborative practice model including patients, nurses,… more
    Hartford HealthCare (12/23/25)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... State Licensure RN - Registered Nurse in MD, VA or Washington,...in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or… more
    CareFirst (12/24/25)
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  • FT Discharge Planning RN Case Manager…

    Penn Medicine (Philadelphia, PA)
    …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) **Credentials:** + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... hospice, community resources, transportation, and quality data collection and risk management referral. **Responsibilities:** + Utilization management … more
    Penn Medicine (12/13/25)
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  • Case Manager, Maternity ( RN or LMSW)

    Excellus BlueCross BlueShield (Rochester, NY)
    …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Associate Clinical Manager Ambulatory RN…

    Penn Medicine (Philadelphia, PA)
    …health system organization **Credentials:** + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) **Education or Equivalent Experience:** + ... practices including accurate timecard review and approval, review and manage all overtime utilization +...utilization + Assists with the implementation of change management strategies within the practice in alignment with department,… more
    Penn Medicine (09/27/25)
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  • RN Case Mgr PRN

    HCA Healthcare (Englewood, CO)
    …you will need:** + Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure. BLS certification through ... and family needs with the efficacious and cost effective utilization of resources. Through concurrent case management ,...personal growth, we encourage you to apply for our RN Case Mgr PRN opening. We promptly review… more
    HCA Healthcare (12/24/25)
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  • Case Manager

    Actalent (Portland, OR)
    …certification (must be through American Heart Association). + 1+ years of case management / utilization review experience. + Recent acute care experience in ... We are seeking a dedicated and experienced Case Manager ( RN ) to support hospital care management . This...Case Manager ( RN ) to support hospital care management . This critical role involves coordinating patient care, facilitating… more
    Actalent (12/20/25)
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