• RN Acute Case Manager - System Care…

    Guthrie (Sayre, PA)
    …experience: five (5) years of experience in an acute care setting with strong care management , utilization review , and payer knowledge. A Case Management ... levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
    Guthrie (12/25/25)
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  • Senior Medical Management Nurse…

    Ventura County (Ventura, CA)
    …the Senior Medical Management Nurse is responsible for performing utilization review , case management , and quality improvement functions to ensure ... in Case Management , Disease Management , Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must possess and maintain a… more
    Ventura County (12/07/25)
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  • Director Case Management & Social Services…

    Houston Methodist (Houston, TX)
    …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position...excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of… more
    Houston Methodist (11/18/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for ... initiatives. + Provides strategic vision and execution for case management and utilization review across...enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (10/16/25)
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  • Case Manager- Registered Nurse…

    Houston Methodist (Houston, TX)
    …the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management , which includes care transitions ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance… more
    Houston Methodist (11/15/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience… more
    Brockton Hospital (12/12/25)
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  • Director of Case Management ( RN…

    Select Medical (Lake Worth, FL)
    …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum… more
    Select Medical (12/27/25)
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  • Director of Case Management ( RN…

    Select Medical (Phoenix, AZ)
    …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... Sign On Bonus_** **Full Time: Monday - Friday 8-5pm** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum… more
    Select Medical (12/12/25)
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  • RN - Registered Nurse…

    Geisinger (Lewistown, PA)
    …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... of 2 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (11/05/25)
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  • RN Care Coordinator

    Corewell Health (Dearborn, MI)
    …management , utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... all hospitalized patients. + Identifies patients that need care management services (ie utilization review ;...accredited school of nursing. + Preferred Will consider non-BSN RN if actively pursuing a bachelor's degree in nursing… more
    Corewell Health (12/29/25)
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