• Utilization Review Case Mgr…

    UTMB Health (Webster, TX)
    Utilization Review Case Mgr -...**_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum of ... observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all… more
    UTMB Health (08/21/25)
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  • Utilization Review Case

    Dartmouth Health (White River Junction, VT)
    …Manager - Home Health .6 FTE/24 per Week, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? ... CT, MA, MD, NJ, NY, OH, RI, WY. Visiting Nurse and Hospice for VT & NHcovers more than...that enrich the lives of the people we serve. Utilization Review Case Managersat VNH… more
    Dartmouth Health (08/26/25)
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  • Manager, Case Management…

    Seattle Children's (Seattle, WA)
    …Clinical experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or ... in a clinical setting **Required Credentials** Current Washington State RN license. National certification in case management...previous case management or utilization review leadership experience **Compensation Range** $115,277.00… more
    Seattle Children's (06/17/25)
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  • Utilization Review Nurse

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of ... case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (07/12/25)
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  • Utilization Review RN

    Penn Medicine (Philadelphia, PA)
    …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... Canopy concurrentlyAccounts for all patient days accurately in CanopyEnters review indicating "pending" status of case if...Experience: + Bachelor of Arts or Science (Required) + Utilization Review experience (Required) + Bachelor's Degree… more
    Penn Medicine (08/19/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
    BriteLife Recovery (08/03/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech… more
    US Tech Solutions (07/31/25)
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  • Program Mgr UR/ Case Management - CMC…

    UTMB Health (Friendswood, TX)
    …a safe and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff....Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
    UTMB Health (08/01/25)
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  • Registered Nurse Case Manager…

    Henry Ford Health System (Detroit, MI)
    …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (07/10/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Warrenton, VA)
    …in employment." // // **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager PRN* **Location:** *Virginia-Warrenton* ... you can provide exceptional care to others. As an RN Case Manager, you're embracing a vital...3 years of nursing experience required * Experience in Utilization Review , Case Management, Discharge… more
    LifePoint Health (08/09/25)
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