• RN Case Manager, Health Plan - SD/ND

    Sanford Health (Sioux Falls, SD)
    …Nursing: Will consider applicant with significant background in case management , transplant services and/or other utilization review experience. Minimum of ... for a registered nurse to join our Care Transitions Case Management Team. Day position with no...telephonically in an office environment and onsite as needed. Travel may be required as necessary. **Qualifications** Depending on… more
    Sanford Health (06/07/25)
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  • Remote RN Admissions Case Manager - PRN…

    Ochsner Health (New Orleans, LA)
    …based experience in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current ... (CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare … more
    Ochsner Health (04/30/25)
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  • Healthcare case manager

    US Tech Solutions (Topeka, KS)
    …for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... full-time telework role in Kansas, however, will require 50-75% travel for face-to-face visits in assigned area once COVID...critical thinking and judgment to collaborate and inform the case management process, in order to facilitate… more
    US Tech Solutions (07/18/25)
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  • FirstChoice RN Case Manager

    Trinity Health (Mason City, IA)
    …goals, identification of avoidable delays at department approved levels, and other Case Management initiatives. Coordinates with the interprofessional team in ... patient/family education. Educates hospital leadership and colleagues to current case management practices, patient coordination issues, and unit… more
    Trinity Health (06/13/25)
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  • Clinical Case Manager Behavioral Health…

    CVS Health (Newark, NJ)
    …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... the State training modules, and field mentoring component **Preferred Qualifications** + Case management and/or discharge planning experience + Managed Care… more
    CVS Health (07/18/25)
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  • Behavioral Health Case Manager, Hybrid,…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …be within 25 miles of Murfreesboro, Tennessee\.** **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases ... utilization of benefits\. + Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, outcomes… more
    BlueCross BlueShield of Tennessee (07/14/25)
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  • Case Manager, Marillac

    St. Catherine's Center for Children (Albany, NY)
    …(but must have a high school diploma or GED equivalent). + Previous experience in case planning or case management , preferred. + A professional record of ... a large network of area service providers. + The Case Management Team will support and facilitate...+ budgeting + meal preparation and nutrition + time management + parenting skills + utilization of… more
    St. Catherine's Center for Children (07/24/25)
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  • Dementia Case Manager, RN or LSW

    Bluestone Physician Services (St. Paul, MN)
    …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... complexities over the same time period. Our care teams travel directly to patients who reside in Assisted Living,...Licensed Social Worker + 3-5 years of experience in case /care management or care coordination + Experience… more
    Bluestone Physician Services (07/11/25)
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  • Registered Nurse Case Manager - Field…

    CVS Health (Monroe Township, NJ)
    …the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, ... Field in Middlesex County, NJ** This is a remote Case Manager role with 50-75% field travel ...expense reimbursement policy **Preferred Qualifications** + LTSS experience + Case management and/or discharge planning experience +… more
    CVS Health (07/13/25)
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  • Case Planner - Foster Care

    House of the Good Shepherd (Watertown, NY)
    …and procedure (eg log entries, mileage, medical, incident reports, intake, Uniform Case Record (UCR), Plan amendments, affidavits, utilization reviews, service ... CASE PLANNER - FOSTER CARE - WATERTOWN Job...Type Full Time Salary Range $25.47 - $25.47 Hourly Travel Percentage Up to 50% Job Shift Day Description… more
    House of the Good Shepherd (07/15/25)
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