• Physician Advisor

    Hackensack Meridian Health (North Bergen, NJ)
    …benefits package. + Engage in the teaching, consulting, and advising of the care management and utilization review departments and hospital leadership. + ... outcomes. + Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. + Membership in the American… more
    Hackensack Meridian Health (01/09/26)
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  • RN Case Management Specialist & Analyst

    Carle Health (Champaign, IL)
    …for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of care… more
    Carle Health (12/17/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more
    Hartford HealthCare (12/17/25)
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  • Healthcare case manager

    US Tech Solutions (Topeka, KS)
    …for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... tools and resources. **Responsibilities:** - Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred… more
    US Tech Solutions (10/17/25)
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  • Senior Primary Therapist - Eating Disorder PHP/IOP…

    Penn Medicine (Princeton, NJ)
    …+ Effective and timely completion of documentation as well as coordination with utilization management reviewer . + Performance Improvement + Participate in ... treatment, treatment plan implementation and coordination, discharge planning, and case management with social service support systems, schools and other relevant… more
    Penn Medicine (12/27/25)
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  • Discharge Planner

    Prime Healthcare (North Las Vegas, NV)
    …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
    Prime Healthcare (12/19/25)
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  • Discharge Planner

    Prime Healthcare (Boonton Township, NJ)
    …Plan. Qualifications Education and Work Experience + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
    Prime Healthcare (12/10/25)
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  • Discharge Planner - Crisis Stabilization Unit

    Prime Healthcare (Chula Vista, CA)
    …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
    Prime Healthcare (12/04/25)
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  • Registered Nurse (Non-Practicing) (Bethesda, MD)

    Ivyhill Technologies LLC (Bethesda, MD)
    …nursing program. Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. ... Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions' premier… more
    Ivyhill Technologies LLC (12/08/25)
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  • Behavioral Health Referral Coordinator (RN)

    UNC Health Care (Hendersonville, NC)
    …consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management , and finance teams, the ... to ensure appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management , and/or legal… more
    UNC Health Care (12/10/25)
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