• 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. (08/08/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
    Children's Hospital Boston (06/16/25)
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  • Utilization Review RN Case

    Penn Medicine (Philadelphia, PA)
    …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… more
    Penn Medicine (08/19/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The Case Manager will identify potential barriers to ... efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for Case Manager RN position and spend more time at the… more
    HCA Healthcare (07/23/25)
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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 (08/21/25)
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  • Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ 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 (08/08/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN ... Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart reviews for medical… more
    University of Miami (08/23/25)
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  • Registered Nurse (RN) - Case Manager

    LifePoint Health (Danville, VA)
    …patient ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social ... **Organization:** **SOVAH Health - Danville* **Title:** *Registered Nurse (RN) - Case Manager * **Location:** *Virginia-Danville* **Requisition ID:** *7455-13776* more
    LifePoint Health (08/09/25)
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  • RN Case Manager - Travel $3042/Wk

    Amergis (French Camp, CA)
    …weekends, 40 hours per week RNs will be doing denials, discharge planning, and utilization review **Needs Case Manager Experience in ACUTE setting** Current ... years Candidate with experience with PERFORMANT or CDCR denials DESIRED The RN Case Manager is responsible for coordinatingcontinuum of care activities for… more
    Amergis (08/30/25)
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  • Utilization Management LVN (Remote - CA…

    Actalent (Redlands, CA)
    Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager ... obtain appropriate contracts as necessary. + Identify cases requiring additional case management and coordinate care with relevant departments. + Collaborate with… more
    Actalent (08/21/25)
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