• Coordinator Patient Care - Medical Observation…

    Munson Healthcare (Traverse City, MI)
    ENTRY REQUIREMENTS Current license as a Registered Nurse in the State of Michigan. Minimum of 2 years of relevant experience, 2 years in the specialty area ... and human resource data to support decision-making, which maximizes resource utilization . Facilitates and empowers registered nurses to assume accountability… more
    Munson Healthcare (01/13/26)
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  • Episodic Care Manager - Behavioral Health

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** We're seeking an Episodic Care Manager to join our Behavioral Health Team! The Episodic Care Manager is responsible for performing clinical ... against the criteria/guidelines to provide necessary information for MDs. **What You Bring** + RN with 3 years of clinical experience or LPN with 5 years of clinical… more
    BlueCross BlueShield of North Carolina (01/14/26)
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  • Manager Clinical Services

    CommonSpirit Health at Home (Colorado Springs, CO)
    …embody our mission of delivering hope and healing to those we serve. **As a Manager , Clinical Services** you will contribute to the delivery of high quality care by ... of clinical care follows a physician's approved plan of treatment. The Manager , Clinical Services facilitates the completion of documentation to comply with… more
    CommonSpirit Health at Home (01/10/26)
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  • Nurse Manager - Med/Surg

    UNC Health Care (Kinston, NC)
    …health and well-being of the unique communities we serve. Summary: + The Nurse Manager is responsible for planning, coordinating, and directing nursing practice ... utilization ; regulatory compliance; and the development and engagement of nursing staff. The Nurse Manager serves as a clinical and leadership role model with… more
    UNC Health Care (01/10/26)
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  • Behavioral Health Care Manager I

    Elevance Health (Atlanta, GA)
    …an accommodation is granted as required by law._ The Behavioral Health Care Manager I is responsible for managing psychiatric and substance abuse or substance abuse ... equivalent background. + Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
    Elevance Health (01/09/26)
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  • NICU Case Manager Austin Market Float Pool…

    HCA Healthcare (Austin, TX)
    **Description** **Introduction** Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you want in your current role? We invest in ... and retrospective review of patient medical records for purposes of utilization review, care coordination compliance with requirements of external review agencies… more
    HCA Healthcare (12/19/25)
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  • Social Work Case Manager

    University of Virginia (Charlottesville, VA)
    …progression and its contribution to the strategic plan. + Works collaboratively with the RN Case Manager and the treatment team members to develop and coordinate ... post-acute discharges for complex patients in collaboration with Care Management Discharge Manager . + Identifies the need for and conducts in a timely fashion… more
    University of Virginia (10/31/25)
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  • Medical Management Clinician

    Elevance Health (Cincinnati, OH)
    …moderately complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but ... a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted...+ Current active, valid and unrestricted LPN/LVN license or RN license and/or certification to practice as a health… more
    Elevance Health (01/17/26)
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  • Mgr Peninsula Outpt Svcs

    Covenant Health Inc. (Alcoa, TN)
    …preferred. Licensure Requirement Must have current TN License as a Registered Nurse or Licensed Therapist/Social Worker. RN License Apply/Share Send this job ... Overview Manager , Outpatient Services, Blount Clinic Full Time, 72...Assures that productivity targets are met. + Coordinates the utilization management plan for physicians and nurse … more
    Covenant Health Inc. (01/16/26)
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  • Medical Management Clinician Sr.

    Elevance Health (Miami, FL)
    …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How You Will ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
    Elevance Health (01/13/26)
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