• RN Utilization Manager - (Per Diem)…

    UNC Health Care (Smithfield, NC)
    …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in… more
    UNC Health Care (08/25/25)
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  • Utilization Manager -OASAS Program

    Samaritan Daytop Village (Rhinebeck, NY)
    …and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as ... needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. What qualifications do you need: + Bachelor… more
    Samaritan Daytop Village (08/22/25)
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  • Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:**… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    Utilization Management Manager Date Posted: Aug 22, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... health care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review, clinically… more
    State of Indiana (08/22/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... appropriate. + Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for individuals seeking services at Helio… more
    Helio Health Inc. (08/08/25)
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  • RN Care Manager - Utilization

    Trinity Health (Wilmington, DE)
    **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management** **Location:** Saint Francis Hospital **Department:** Care ... per Month/Vacation Coverage | 8hr shift **Position Purpose:** As a Case Manager in Utilization Management, you will be the key to ensuring patients receive… more
    Trinity Health (08/08/25)
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  • Utilization Review Case Manager

    Dartmouth Health (White River Junction, VT)
    Utilization Review Case Manager - Home Health .6 FTE/24 per Week, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for ... that enrich the lives of the people we serve. Utilization Review Case Managersat VNH focus on providing pain...equipment in patient care. * Collaborates with Home Health Manager in identifying items such as: patient concerns, educational… more
    Dartmouth Health (08/26/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
    Catholic Health Services (07/24/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    …Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard ... experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
    Children's Hospital Boston (06/16/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR and… more
    Beth Israel Lahey Health (07/29/25)
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