• Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …nursing, health care administration or related field preferred or commensurate experience and Case Management Certification required + Minimum of 3 years of ... and Barnstable counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions...progressive experience in utilization management and appeal/denial management .… more
    Beth Israel Lahey Health (10/30/25)
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  • RN Case Manager - 40 Hour, Days

    Beth Israel Lahey Health (Beverly, MA)
    …of an accredited school of nursing BSN preferred **Certification/License:** Current Massachusetts RN licensure Certification in Case Management preferred ... showcasing all that New England has to offer and more! **Job Description:** Case managers serve as the care coordinators for patients, care givers, and families.… more
    Beth Israel Lahey Health (11/06/25)
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  • RN Case manager - Per Diem

    Beth Israel Lahey Health (Newburyport, MA)
    …**Certification/License:** 1. Current Massachusetts RN licensure 2. Certification in Case Management preferred **Pay Range:** $35.85 - $77.82 This position ... the opportunity to reach their full potential. **Job Description:** **Position Summary:** Case managers serve as the care coordinators for patients, care givers, and… more
    Beth Israel Lahey Health (10/30/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Lenoir City, TN)
    Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... services within the scope of practice as a registered nurse meeting all required standards both...assigned responsibility. RN with 1 year acute hospital case management experience preferred. Licensure Requirement: Current… more
    Covenant Health Inc. (09/04/25)
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  • Regional Care Manager - Must be Located in…

    Wellpath (Centennial, CO)
    …Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience + ... MS Word, Excel, and PowerPoint LICENSES/CERTIFICATIONS + Current Nursing Licensure + Case Management Certification preferred **We are an Equal Employment… more
    Wellpath (09/30/25)
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  • LPN/ RN Charge Nurse , PRN

    Access Dubuque (Dubuque, IA)
    Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization Management Nurse Cottingham & Butler/ SISCO ER Medical Surgical ... **Similar Jobs** CMA/LPN/ RN - Cardiology Medical Associates RN Case Manager PRN Dubuque MercyOne Float...RN - Registered Nurse MercyOne ER Medical Surgical ...RN - Registered Nurse MercyOne ER Medical Surgical RN more
    Access Dubuque (11/08/25)
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  • Quality Outcomes Specialist ( RN )

    Houston Methodist (Houston, TX)
    …activities in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + ... years of leadership experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (09/09/25)
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  • Manager of Utilization Management II

    Elevance Health (Tampa, FL)
    …employment, unless an accommodation is granted as required by law. The **Manager of Utilization Management ll** is responsible for managing a team of physical ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...UM + Assists and provides back up coverage to Case Management team **Minimum Requirements:** + BA/BS… more
    Elevance Health (11/06/25)
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  • Manager of Utilization Management II

    Elevance Health (Washington, DC)
    …each week. The office is located at 609 H. Street NE.** The **Manager of Utilization Management ** **ll** is responsible for managing a team of physical health ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...UM + Assists and provides back up coverage to Case Management team **Minimum Requirements:** + BA/BS… more
    Elevance Health (10/16/25)
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  • Temporary Behavioral Health Utilization

    CDPHP (Latham, NY)
    …New York State license is required) + In lieu of behavioral health license, Registered Nurse with valid New York State license, with experience treating ... care experience in a hospital setting required. + Minimum one (1) year quality/ utilization management experience in health care setting preferred. + Experience… more
    CDPHP (10/16/25)
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