• Care Manager RN *Weekends

    Providence (Spokane, WA)
    …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or… more
    Providence (12/19/25)
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  • RN - Care Manager

    Providence (Olympia, WA)
    …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... in area of specialty upon hire. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case… more
    Providence (12/19/25)
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  • RN - Care Manager

    Providence (Olympia, WA)
    …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or… more
    Providence (12/18/25)
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  • Nurse Case Manager - Full Time

    Lakeview NeuroRehabilitation Center (Waterford, WI)
    …plan for the patient. + Has overall accountability for care coordination, utilization management , and discharge planning for patients within the assigned ... maintain funding for services in any phase of treatment. Participates in Utilization Management meetings to promote sharing of knowledge base, resources, and to… more
    Lakeview NeuroRehabilitation Center (12/18/25)
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  • Care Coordinator RN Care Coordination

    Dignity Health (Northridge, CA)
    …written, and presentation skills to effectively collaborate with diverse stakeholders. + Utilization Management & Case Management : Understanding of how ... utilization management and case management programs integrate to optimize patient care. + Teamwork...with CMS standards and requirements. + Organization & Time Management : Highly organized with excellent time management more
    Dignity Health (12/14/25)
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  • Case Manager II-Inpatient Psychiatry

    Sutter Health (Berkeley, CA)
    …planning, working with multidisciplinary treatment team. The position coordinates the utilization management , resource management , discharge planning, ... post-acute care referrals and care facilitation. This position oversees the management of acute patient populations across the care continuum with a focus to provide… more
    Sutter Health (12/12/25)
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  • Mental Health Program Specialist 2, Central…

    New York State Civil Service (Albany, NY)
    …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review. ? The ideal candidate(s) ... will have direct care and utilization management experience, including familiarity with the review of medical evidence, psychiatric evidence, a knowledge base of… more
    New York State Civil Service (12/09/25)
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  • Manager, Medical Economics (New York Health Plan)

    Molina Healthcare (Spokane, WA)
    …retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, ... and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard… more
    Molina Healthcare (11/21/25)
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  • RN Patient Placement Bed Manager

    Baystate Health (Springfield, MA)
    management as outlined in the evidence based practice guidelines + Uses Utilization Analysis / Management principles, insures that patient's site of care ... the health system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the patient throughput… more
    Baystate Health (12/10/25)
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  • RN Case Manager - Inpatient Case Management

    Henry Ford Health System (Detroit, MI)
    …Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems. + Knowledge of CMS, ... resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: + Conduct comprehensive patient… more
    Henry Ford Health System (11/27/25)
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