• Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Madison, WI)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more
    Select Medical (12/09/25)
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  • Medical Director - Medicaid (remote)

    Humana (Baton Rouge, LA)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (12/07/25)
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  • Nurse Navigator - Women's Health

    Rochester Regional Health (Rochester, NY)
    …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... assist with continually improving the quality and effectiveness of case management /patient navigation. RESPONSIBILITIES: + Reviews the medical record with referring… more
    Rochester Regional Health (12/03/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Chicago, IL)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more
    Select Medical (11/04/25)
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  • Medical Director - Medicaid N. Central

    Humana (Indianapolis, IN)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/25/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning ... : + Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue Cycle… more
    Catholic Health Services (10/16/25)
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  • Behavioral Health - Supervisor Healthcare Services

    Molina Healthcare (KY)
    …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities in… more
    Molina Healthcare (12/21/25)
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  • Supervisor, Healthcare Services (Remote…

    Molina Healthcare (MI)
    …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities in… more
    Molina Healthcare (12/12/25)
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  • Case Manager ( RN / RT / SW / LPN ) Sign On Bonus

    Select Medical (Alexandria, VA)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more
    Select Medical (12/09/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Lake Worth, FL)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more
    Select Medical (12/05/25)
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