• Care Review Clinician ( RN ) - Wisconsin

    Molina Healthcare (Madison, WI)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **_Wisconsin RN license required_** JOB DESCRIPTION Job SummaryProvides support...the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least… more
    Molina Healthcare (11/14/25)
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  • Supervisor Care Management RN - Usfhp

    Pacific Medical Centers (Renton, WA)
    …+ Coursework/Training Nursing (must be RN ) And + Upon hire: Washington Registered Nurse License + 5 years Clinical experience **Preferred Qualifications:** + ... **Description** The Supervisor Care Management RN is responsible for the supervision of case...the supervision of case management (CM) and utilization management ( UM ) functions of US Family Health Plan to achieve… more
    Pacific Medical Centers (10/11/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Dallas, TX)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least 2 years experience,… more
    Molina Healthcare (12/13/25)
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  • Case Manager, RN (Medicare - Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist...Certification required + Broad understanding of multiple areas (ie UM and CM). At this level, incumbent is required… more
    Excellus BlueCross BlueShield (12/08/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (North Las Vegas, NV)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least 2 years experience,… more
    Molina Healthcare (11/23/25)
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  • Unit Manager RN - Salary

    Signature Healthcare (Roanoke Rapids, NC)
    …other staff in the delivery of nursing care. What you Need to make a Difference + Registered Nurse with current state license. + One (1) to three (3) years of ... How you Will make a difference Our Unit Managers ( RN ) are responsible for the supervision of the delivery...+ Must have a current / active CPR certification. UM SCHEDULE IS AS FOLLOWS: Monday Wednesday Friday 10:30am-7pm… more
    Signature Healthcare (11/22/25)
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  • Care Coordinator RN

    CommonSpirit Health (Lakewood, CO)
    …total nursing experience required. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred. + Experience working with EMR ... external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!**... experience are eligible for a $20,000 sign-on bonus!** ** RN Care Coorindator may be eligible for a relocation… more
    CommonSpirit Health (11/22/25)
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  • Care Coordinator RN

    CommonSpirit Health (West Jordan, UT)
    …total nursing experience required. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred. + Experience working with EMR ... **Job Summary and Responsibilities** ** RN Case Managers may be eligible for a...flourish and leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression… more
    CommonSpirit Health (12/07/25)
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  • Care Coordinator RN

    CommonSpirit Health (Garden City, KS)
    …total nursing experience required. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred. + Experience working with EMR ... **Job Summary and Responsibilities** ** RN Case Managers may be eligible for a...flourish and leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression… more
    CommonSpirit Health (11/07/25)
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  • RN Care Coordinator

    Dignity Health (Oxnard, CA)
    …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed care and ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the...discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the… more
    Dignity Health (12/07/25)
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