• Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management more
    Houston Methodist (10/11/25)
    - Related Jobs
  • Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …+ Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer ... Nursing preferred + 2-4 years of clinical experience in utilization review, case management , or...regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (10/14/25)
    - Related Jobs
  • Utilization Management RN

    UCHealth (Aurora, CO)
    …appropriate action. Requirements: + Bachelor's degree in Nursing. + State licensure as a Registered Nurse ( RN ). + 3 years of relevant experience. Preferred: ... 3 years of utilization or case management experience. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through… more
    UCHealth (10/21/25)
    - Related Jobs
  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization ...principles, practices, techniques and methods of utilization review/ management , discharge planning or case management more
    Ventura County (09/21/25)
    - Related Jobs
  • Registered Nurse Case Manager…

    Henry Ford Health System (Detroit, MI)
    …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review/ case management documentation systems. + Knowledge of ... (ADN) with at least two years of acute care case management experience is acceptable. + ADN...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (09/10/25)
    - Related Jobs
  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The...+ Current license to practice as a Registered Nurse in the State of Utah,… more
    University of Utah Health (10/02/25)
    - Related Jobs
  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....care experience required. Minimum of two (2) years of utilization review/ case management experience and… more
    HCA Healthcare (10/13/25)
    - Related Jobs
  • Social Worker - Case Manager

    Luke Staffing (Agana Heights, GU)
    …to Government and professional clinical standards and clinical protocols. . Participate in Utilization Management / Case Management meetings to review and ... services. . Provide patient referrals. Interface with the MTF RN Case Manager(s) in the development and... Manager(s) in the development and implementation of the Case Management Program (CMP). . Develop local… more
    Luke Staffing (08/07/25)
    - Related Jobs
  • Case Manager at St Peters Hospital -…

    Trinity Health (Albany, NY)
    …+ 2 years of experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Posting ** RN Case Manager** **Full-Time - Monday-Friday Days...Engage the patient and care team in the joint management of key patient outcomes such as management more
    Trinity Health (10/17/25)
    - Related Jobs
  • Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    RN + At least 2-5 years of experience in Utilization Management , Appeals Management or Case Management + Current/active certification/licensing ... self-directed and work independently **Desired Qualifications + Experience with a case management / utilization management software program and EPIC… more
    University of Michigan (10/23/25)
    - Related Jobs