• RN Utilization Management Nurse Care…

    Corewell Health (Grand Rapids, MI)
    …experience clinical nursing and or case management/managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required ... (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination...prior authorizations, initial reviews, continuous stay reviews and appeals. Nurse Care Manager - Plans and prioritizes care for… more
    Corewell Health (11/21/25)
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  • Home Health RN

    UPMC (Harrisburg, PA)
    …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... Registered Nurse Home Health Harrisburg Are...shifts with rotations for on-call and weekends. As an RN with UPMC Home Healthcare, you'll collaborate with our… more
    UPMC (12/08/25)
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  • RN -Case Manager

    ERP International (Macdill AFB, FL)
    **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management** at MacDill AFB, FL. Apply online today ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
    ERP International (11/19/25)
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  • RN Care Manager

    OhioHealth (Columbus, OH)
    …State of Ohio Board of Nursing, BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing **Additional Job ... Description:** RN from an accredited school of Nursing with a...**Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** UM Care Coord-South Central Hu Join us! if your… more
    OhioHealth (10/24/25)
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  • RN , Clinical Document Spec

    University of Rochester (Rochester, NY)
    …record. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree Registered Nurse ( RN ) required + Bachelor's degree in Nursing ... through query processes. + Provides oversight for EPARC, including UM work queues and unbilled work queues. + Communicates...HDM, Cobius, and Sharepoint preferred **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse -… more
    University of Rochester (12/05/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Orem, UT)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/01/25)
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  • RN Manager - Case Management

    Providence (Santa Rosa, CA)
    **Description** RN Manager - Case Management unit at Santa Rosa Memorial Hospital, CA. This position is Full-time and will work 8-hour Day Shifts. Providence Santa ... department direction and has daily operations oversight of the RN Case Managers in the Care Management Department. The...- Nursing Preferred. + Bachelor's degree for Case Management/ UM Review: Nursing or related field. + 2 years… more
    Providence (11/21/25)
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  • RN - FT Days Observation Unit - Samaritan…

    Trinity Health (Troy, NY)
    …to meet those needs **What you will need:** + A current license to practice as a Registered Nurse in the State of New York + ASN required, BSN preferred from an ... on M/S units. Will work closely with Hospitalist and CM/ UM assigned to unit. Here at St. Peter's Health...that the plan of care is evaluated + The RN is directly accountable to the Nurse more
    Trinity Health (12/08/25)
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  • RN Case Manager - Value Based Service Org…

    University of Southern California (Alhambra, CA)
    …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system… more
    University of Southern California (11/19/25)
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  • Care Coordinator RN

    Virginia Mason Franciscan Health (Silverdale, WA)
    …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... within hospital Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred **Where You'll Work** Virginia Mason… more
    Virginia Mason Franciscan Health (11/16/25)
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