• Manager Clinical Operations - RN - Ambulatory Pain…

    WellSpan Health (Lewisburg, PA)
    …leadership and Medical Group practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon ... safety and efficient care. Assists the Director of Clinical Operations in management of staff to deliver high quality, patient-centered care. Assists with directing… more
    WellSpan Health (11/12/25)
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  • Director PI Bed Management

    HCA Healthcare (Tallahassee, FL)
    …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Performs staffing ... want to join an organization that invests in you as a(an) Director PI Bed Management ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
    HCA Healthcare (11/26/25)
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  • Social Worker (Weekend Option 3) - York Case…

    WellSpan Health (York, PA)
    …Works in a team type assignment or Care Continuation Team (CCT) model (Case Management Nurse and Social Worker teams are assigned to physician practices) to ... as required. + Develops and initiates educational programs regarding utilization management principles. **Qualifications** **Minimum Education:** + Bachelors… more
    WellSpan Health (01/07/26)
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  • Acute Care Manager, Complex Care (RN)

    ChenMed (Columbus, OH)
    …patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management more
    ChenMed (12/31/25)
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  • Case Manager, RN - Case Management

    Hawaii Pacific Health (Honolulu, HI)
    …long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. EOE/AA/Disabled/Vets Hawai'i ... gastroenterology, geriatric medicine, internal medicine, vascular and urology. Straub is home to the Pacific Region's only multidisciplinary burn treatment center.… more
    Hawaii Pacific Health (12/18/25)
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  • RN or LCSW Manager Case Management

    HCA Healthcare (Savannah, GA)
    …an organization that invests in you as a **RN or LCSW Manager Case Management ** ? At Memorial Health University Medical Center, you come first. HCA Healthcare has ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...looking for a dedicated **RN or LCSW Manager Case Management ** like you to be a part of our… more
    HCA Healthcare (12/19/25)
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  • RN or LMSW Manager Case Management

    HCA Healthcare (Myrtle Beach, SC)
    …your application for the opportunity below: **RN or LMSW Manager Case Management ** Grand Strand Medical Center **Benefits** Grand Strand Medical Center offers a ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (10/30/25)
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  • UM RN

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** As a Utilization Management RN, you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... for physician review. You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and cost-effective care. Key… more
    Dignity Health (12/18/25)
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  • Temporary to Hire Prior Authorization RN - Hybrid…

    Fallon Health (Worcester, MA)
    Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests (prior-authorizations),… more
    Fallon Health (12/14/25)
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  • RN Case Manager - Inpatient Case Management

    Cambridge Health Alliance (Cambridge, MA)
    …**Work Days** : Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category** : Registered Nurse **Department** : Inpatient Case Management CH **Job Type** : ... RN Case Manager - Inpatient Case Management CH **Requisition Number:** 10375 **Pay Range:** $42.00...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
    Cambridge Health Alliance (01/08/26)
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