• LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …such as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + ... to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for… more
    Amergis (08/14/25)
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  • Clinical Appeals Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... Case Manager Upon Hire Preferred. + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred. **Experience:** 5 years...similar clinical experience OR 5 years' experience in Medical Review , Utilization Management or Case… more
    CareFirst (10/15/25)
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  • RN Case Manager - Hospital

    Marshfield Clinic (Marshfield, WI)
    …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... care team with regards to discharge planning, and provides review of medical utilization to third party...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
    Marshfield Clinic (10/02/25)
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  • RN Patient Flow Coordinator

    HCA Healthcare (Gainesville, FL)
    …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... the opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
    HCA Healthcare (10/16/25)
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  • RN Case Manager PRN

    HCA Healthcare (Charleston, SC)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager... Management is preferred. + Certification in Case Management or Utilization Review is… more
    HCA Healthcare (10/30/25)
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  • RN Case Manager PRN

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...required for this PRN role.** + Certification in Case Management or Utilization Review is… more
    HCA Healthcare (09/23/25)
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  • RN Case Manager PRN

    HCA Healthcare (Jacksonville, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...required for this PRN role. + Certification in Case Management or Utilization Review is… more
    HCA Healthcare (08/20/25)
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  • Director of Care Coordination / RNAC / RN

    Diversicare Healthcare Services & Diversicare Ther (Hartford, AL)
    …nursing 2. RN License 3. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 4. Experience providing strategic leadership, ... in and facilitate Engage/72 HR Admission meetings as part of the care management system. + Manage the restorative nursing program, integrating it with the activity… more
    Diversicare Healthcare Services & Diversicare Ther (10/31/25)
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  • RN Case Manager

    HCA Healthcare (Dublin, GA)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a ** Registered Nurse ( RN ) Case Manager** with **Fairview Park ... potential! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...highly preferred for this opening. + Certification in Case Management or Utilization Review is… more
    HCA Healthcare (10/31/25)
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  • Oncology Research Nursing Professional ( RN…

    Stanford Health Care (Palo Alto, CA)
    …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization ...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
    Stanford Health Care (10/24/25)
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