• Director of Nursing

    Sevita (TN)
    …state strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + Financial Management : + May be responsible for the ... accurate record-keeping for all clinical services, documents, assessments, progress, and activity; review records and logs to stay abreast of changes in service… more
    Sevita (09/09/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge ... years recent acute care experience required. Minimum of two (2) years of utilization review /case management experience and minimum of one (1) year experience… more
    HCA Healthcare (10/13/25)
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  • Quality & Patient Safety Specialist - Registered…

    Beth Israel Lahey Health (Cambridge, MA)
    …completed). **KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management . 2. Strong ... and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement quality improvement initiatives to deliver… more
    Beth Israel Lahey Health (10/30/25)
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  • Patient Financial Counselor

    Geisinger (Dickson City, PA)
    …all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management , Providers, Geisinger ... and out surgeries and outpatient clinical departments. + Follows Revenue Management policies and procedures regarding financial matters and payment arrangements. +… more
    Geisinger (11/01/25)
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  • Part Time Physician

    MTC (Chaparral, NM)
    …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... **401(k) Retirement Plan** + **Employee Assistance Program (EAP)** **Impact lives with Management & Training Corporation (MTC)! At the Otero County Prison Facility's… more
    MTC (10/28/25)
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  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …key revenue cycle stakeholders, including but not limited to, medical directors, utilization management leaders and equivalent representatives from the health ... FL **The role you will contribute:** This position is responsible for contract review and interpretation; as well as, the building and maintenance of rates and… more
    AdventHealth (09/12/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must… more
    Charter Care Health Partners (10/18/25)
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  • Registered Nurse

    MTC (Littlefield, TX)
    …clean; utilize appropriate sanitation methods. 17. Practice basic cost containment and utilization management for patient care and facility operations. 18. ... who values helping people turn their lives around.** At Management & Training Corporation, our foundation is based upon...on an individual or group basis, as required. 12. Review and process all reports and documents in a… more
    MTC (11/03/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
    Prime Healthcare (10/16/25)
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