• Utilization Review Coordinator…

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable. + Knowledge, ... a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with… more
    Georgetown Behavioral Health Institute (12/30/25)
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  • Registered Nurse ( RN

    Trinity Health (Columbus, OH)
    …5-7 years of clinical nursing experience with at least 2 years experience in utilization review , discharge planning, case management, or disease management ... analysis, audit, provider relations and more. **Position Purpose:** The RN Case Manager MCHP is responsible for...common symptoms they might experience. + Coordinates with the utilization review , case management, discharge… more
    Trinity Health (01/07/26)
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  • Clinical Resource Management Nurse

    Hartford HealthCare (Manchester, CT)
    …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... Management* **Organization:** **Manchester Memorial Hospital* **Title:** *Clinical Resource Management Nurse ( RN ) - Case Coordination* **Location:**… more
    Hartford HealthCare (12/23/25)
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  • Complex Care - Registered Nurse

    Henry Ford Health System (Detroit, MI)
    …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems. + Knowledge of ... available for qualified experienced candidates with current 2 years RN Case Management in a large acute...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (12/11/25)
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  • Utilization Management - Nurse

    Sanford Health (Rapid City, SD)
    …preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management...Nursing and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains… more
    Sanford Health (12/17/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
    Ellis Medicine (12/11/25)
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  • RN Plan Case Manager

    PruittHealth (Albany, GA)
    …Minimum three years industry experience in a managed care setting focused on experience in utilization review / case management and at least two years case ... with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of… more
    PruittHealth (12/24/25)
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  • Oncology Prior Authorization Case Manager,…

    University of Miami (Miami, FL)
    …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (12/20/25)
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  • Care Advocacy Case Manager RN

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill ... and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location:...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
    Blue Cross and Blue Shield of Minnesota (10/21/25)
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  • RN - Case Manager - Full Time - Days…

    Mohawk Valley Health System (Utica, NY)
    RN - Case Manager - Full...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... - Days - 4 - 9.5 Hour Shifts Department: CASE MGMT Job Summary Reports to and is under...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
    Mohawk Valley Health System (11/15/25)
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