• Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (10/07/25)
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  • Oncology Prior Authorization Case

    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 ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
    University of Miami (10/18/25)
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  • Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230272/ case - manager ... qualifications: 1. Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least one-year experience in… more
    Prime Healthcare (10/18/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (10/16/25)
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  • Case Manager (RN )…

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230024/ case - manager -%28rn-%29 ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience preferred. At least… more
    Prime Healthcare (10/24/25)
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  • Case Manager (RN)…

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (10/10/25)
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  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229421/ case - manager -%28rn%29 ... other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6… more
    Prime Healthcare (10/24/25)
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  • Clinical Program Manager RN Full- time Day

    Providence (Orange, CA)
    …**Preferred Qualifications:** + Master's Degree Nursing. + 5 years Experience as a utilization / case manager in an acute care setting. + Experience ... Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience working with InterQual and MCG guidelines.… more
    Providence (10/24/25)
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  • Case Management Associate

    Ellis Medicine (Schenectady, NY)
    …to Medicare beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with ... Activities; Contacts referral agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers.… more
    Ellis Medicine (09/11/25)
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  • Nurse Care Manager - Primary Care

    University Medicine (Providence, RI)
    …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... Manager of Case Management, the nurse case manager is responsible for providing comprehensive...to identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED utilization more
    University Medicine (10/14/25)
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