• Care Manager ( RN )

    Stanford Health Care (Palo Alto, CA)
    …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... + Uses logic and various problem-solving techniques to deal with technical queries. + Demonstrated ability to review utilization reports and data. + Ability… more
    Stanford Health Care (12/18/25)
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  • Utilization Management Clinical Team Lead…

    CVS Health (Columbus, OH)
    …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position ... sedentary work, including extended periods of sitting, computer use, and document review . + Participate in occasional on-call rotations, including some weekends and… more
    CVS Health (12/19/25)
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  • RN Care Mgr III

    Covenant Health Inc. (Harriman, TN)
    …requested. + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist +… more
    Covenant Health Inc. (12/14/25)
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  • RN Care MGR II

    Covenant Health Inc. (Harriman, TN)
    …duties + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as… more
    Covenant Health Inc. (09/26/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol +… more
    BayCare Health System (10/10/25)
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  • Care Transition Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …of Primary Function/General Purpose of Position** In the capacity of a Care Transition Nurse / Registered Nurse ( RN ), provide and facilitate coordination ... in Nursing (required) Bachelor's Degree in Nursing (BSN) (preferred) **Licensing/ Certifications:** Registered Nurse with active License in State of Patient Care… more
    Bon Secours Mercy Health (11/12/25)
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  • Clinical Supervisor RN

    Children's Home Healthcare (Albuquerque, NM)
    …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... * RN LICENSE REQUIRED, DO NOT APPLY IF YOU...on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
    Children's Home Healthcare (12/03/25)
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  • RN Case Manager

    HCA Healthcare (Anchorage, AK)
    …service. **What qualifications you will need:** + Current licensure as a Registered Nurse in the State of Alaska or RN compact license from participating ... (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. HCA Healthcare's Alaska… more
    HCA Healthcare (11/23/25)
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  • Manager of Care Management - RN

    Community Health Systems (Naples, FL)
    …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role… more
    Community Health Systems (11/22/25)
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  • Care Manager RN Full time

    Community Health Systems (Tucson, AZ)
    …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... and administration of the activities of clinical review , discharge planning, resource utilization and utilization review . Acts as a liaison between… more
    Community Health Systems (12/12/25)
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