• RN - Care Manager

    Community Health Systems (Vicksburg, MS)
    … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
    Community Health Systems (09/10/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin + **Status:**… more
    BayCare Health System (10/10/25)
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  • RN Care Manager SCO - (Lowell…

    Point32Health (MA)
    …continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, and ... with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia… more
    Point32Health (11/13/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (The Woodlands, TX)
    …Master's degree in Case Management , or Master's Degree Nursing TX RN License **Licensure/Certifications:** Registered Nurse ( RN ) license **Where ... **Job Summary and Responsibilities** As a Care Coordinator RN with CHI health, you will coordinate the...team to achieve optimal outcomes through the tools of case management . The case manager… more
    Catholic Health Initiatives (11/06/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (Lake Jackson, TX)
    …Master's degree in Case Management , or Master's Degree Nursing TX RN License **Licensure/Certifications:** Registered Nurse ( RN ) license **Where ... **Job Summary and Responsibilities** As a Care Coordinator RN with CHI health, you will coordinate the...team to achieve optimal outcomes through the tools of case management . The case manager… more
    Catholic Health Initiatives (10/19/25)
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  • Multi-Site Director Case Management

    Prime Healthcare (Port Huron, MI)
    …leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... to creating a positive and supportive work environment. Responsibilities The Regional Director of Case Management will be responsible for the operations of the … more
    Prime Healthcare (10/13/25)
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  • Care Manager RN

    Baylor Scott & White Health (Dallas, TX)
    …- Associate's - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a health care system committed to ... Baylor University Medical Center 3500 Gaston Ave, Dallas, 75246** **Setting: Case Management ** **Schedule: Full Time- Monday-Friday 8am-5pm** **ESSENTIAL… more
    Baylor Scott & White Health (11/21/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Salt Lake City, UT)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
    Molina Healthcare (11/14/25)
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  • Clinical Supervisor RN

    Children's Home Healthcare (Albuquerque, NM)
    …an RN , BSN preferred + Current CPR + At least 2 years experience as a Registered Nurse + At least 1 year experience as a Clinical Supervisor in Home Health ... LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/ Case Manager! Children's HH is...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
    Children's Home Healthcare (11/01/25)
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  • RN Care Manager

    UNC Health Care (Lenoir, NC)
    …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... major in nursing within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to practice in North… more
    UNC Health Care (11/22/25)
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