• RN Case Manager - Commercial TOC

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …US Preferred Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing ... Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location:...of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
    - Related Jobs

  • RN Case Manager-Clinical Resource;…

    Meriter-UnityPoint Health (Madison, WI)
    …while the patient is a participant in the IOS program. + .Assists with utilization management to ensure optimal clinical and financial outcomes of the outpatient ... driver's license when driving any vehicle for work-related reasons. + Currently licensed as Registered Nurse and able to practice in the State of Wisconsin. +… more
    Meriter-UnityPoint Health (10/15/25)
    - Related Jobs

  • RN Case Manager (Northeast Indiana)

    Elevance Health (Fort Wayne, IN)
    …responsiveness to client needs, and direct, hands-on engagement. The ** RN Case Manager** is responsible for overall management of member's case ... ** RN Case Manager (LTSS Service Coordinator-...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
    Elevance Health (08/30/25)
    - Related Jobs

  • Utilization Management Specialist…

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective,… more
    CareFirst (10/29/25)
    - Related Jobs

  • Case Manager RN PRN

    HCA Healthcare (Alexandria, LA)
    … RN PRN opening and continue to learn! **Job Summary and Qualifications** Our RN Case Managers raise the bar by providing clinical expertise and the highest ... quality care in the most compassionate way. The RN Case Manager is responsible for promoting...Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and… more
    HCA Healthcare (10/12/25)
    - Related Jobs

  • Manager, Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... + One of the following: Licensed RN - Kansas, Registered Nurse ...days of hire + One of the following: American Case Management , Certified Case Manager… more
    Children's Mercy Kansas City (09/16/25)
    - Related Jobs

  • MDS Coordinator

    Prime Healthcare (Chicago, IL)
    …license. + Five (5) years of experience in acute hospital setting in a Utilization Review, Case Management , business office or related department. Experience ... Under the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion… more
    Prime Healthcare (10/13/25)
    - Related Jobs

  • RN Case Manager PRN

    Nuvance Health (Norwalk, CT)
    *Description* *Clinical Care Coordinator/ RN Case Manager - Per Diem Opportunity!* *Rate: $51.50* *Summary:* The Clinical Care Coordinator - Unit is responsible ... in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with...and written. Minimum Experience: three years Desired: Certification in Case Management preferred or willing to obtain.… more
    Nuvance Health (11/13/25)
    - Related Jobs

  • RN Case Manager

    Cleveland Clinic (Stuart, FL)
    …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... excellent medical facility and a home away from home. RN Case Managers work collaboratively with inter-professional...or CCM) + Two years of recent experience in utilization review, quality or care management +… more
    Cleveland Clinic (11/22/25)
    - Related Jobs

  • RN - Case Manager

    Cleveland Clinic (Vero Beach, FL)
    …include: + Bachelor of science in nursing (BSN) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional...or AHA) + 2 years of recent experience in utilization review, quality or care management +… more
    Cleveland Clinic (10/08/25)
    - Related Jobs