• Product Manager /Sr. Product Manager

    United Therapeutics (Research Triangle Park, NC)
    …and attend field ride-alongs in order to understand the audience and resource utilization **Senior Product Manager ** + Lead large, complex, and cross-functional ... rare disease treatment for Pulmonary Hypertension. As a **Product Manager ** or **Senior Product Manager ** , you'll...As a **Product Manager ** or **Senior Product Manager ** , you'll take ownership of complex, cross-functional initiatives… more
    United Therapeutics (08/10/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and ... care by ensuring appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
    Mayo Clinic (06/14/25)
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  • Medical Records Technician II- Cmhhip

    State of Colorado (Pueblo, CO)
    …renewal of authorizations. + Reports current authorization information or concerns to the Utilization Review Manager , weekly, at a minimum. + Schedules clinical ... CMS, and ORYX. This position provides back-up to the MRT III for utilization review. This position supports and provides back-up for all other duties listed… more
    State of Colorado (08/01/25)
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  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ** ... + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a … more
    Beth Israel Lahey Health (07/03/25)
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  • RN Case Manager

    Trinity Health (Chelsea, MI)
    …Part time **Shift:** Day Shift **Description:** **Registered Nurse** **Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI **Minimum ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and serve with us...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
    Trinity Health (07/24/25)
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  • RN Case Manager

    Trinity Health (Chelsea, MI)
    …Part time **Shift:** Rotating Shift **Description:** **Registered Nurse** **Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and serve with us...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
    Trinity Health (06/04/25)
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  • RN - Case Manager

    LifePoint Health (Danville, VA)
    …ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social Worker. *About ... *Registered Nurse, RN - Case Manager * Job Type:Full Time|Days *Your experience matters* At...American Heart Association Basic Life Support . Experience in Utilization Review preferred . Requires flexibility in scheduling and… more
    LifePoint Health (08/09/25)
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  • UM Care Manager (RN) - Flex FT

    UPMC (Pittsburgh, PA)
    …PA. Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review ... UPMC Health Plan is hiring a flex full-time UM Care Manager to support our UM Clinical Operations team. This role will work 8 - 10 hours shifts on Saturdays with… more
    UPMC (08/08/25)
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  • Hospitalist Nurse Navigator

    Billings Clinic (Billings, MT)
    …continuum of care. * Effectively collaborates and coordinates care with the RN Care Manager , Social Services Care Manager , Utilization Review RN, Physician ... through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of… more
    Billings Clinic (06/03/25)
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  • Territory Business Manager - Orange County,…

    Organon & Co. (Plymouth Meeting, PA)
    …Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... overall sales initiatives by developing effective relationships and partnering with physicians, working with staff, internal colleagues, and other pertinent parties within a defined territory. **Responsibilities:** + Employ business planning and local market… more
    Organon & Co. (08/08/25)
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