• Coordinator Special Needs Waiver Populations,…

    CVS Health (Baton Rouge, LA)
    …it all with heart, each and every day. **Position Summary** The Utilization Management Coordinator/UMNC assists in ensuring that authorization request decisions are ... ie generators, housing, rentals) * Collaborate with care management and utilization management teams in monitoring behavioral health services, assure assessments for… more
    CVS Health (12/19/25)
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  • Utilization Management Representative I

    Elevance Health (Costa Mesa, CA)
    ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification… more
    Elevance Health (12/19/25)
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  • Utilization Management Rep II

    Elevance Health (West Des Moines, IA)
    ** Utilization Management Representative II** **Location:** The selected candidate for this position must reside in Iowa. **_Virtual:_** This role enables associates ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
    Elevance Health (11/25/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn-case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical… more
    Prime Healthcare (12/19/25)
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  • Utilization Management RN Weekender

    Grace Hospital (Morganton, NC)
    …and their families ." THE POSITION Join our dynamic healthcare team as a Utilization Management RN Weekender, where you will play a vital role in ensuring the ... contributions to improving healthcare delivery. Must have licenses to practice as a Registered Nurse in North Carolina and have practiced 3 years in an acute care… more
    Grace Hospital (12/06/25)
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  • RN Admissions Coordinator/ Utilization

    PeaceHealth (Eugene, OR)
    **Description** PeaceHealth is seeking a RN Admissions Coordinator/ Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. The ... nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric Mental Health Nursing… more
    PeaceHealth (12/05/25)
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  • LVN Care Coordinator - Utilization

    Sharp HealthCare (San Diego, CA)
    …1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program. + California Licensed Vocational Nurse... Nurse (LVN) program. + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &… more
    Sharp HealthCare (12/14/25)
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  • MDS Coordinator

    WMCHealth (Warwick, NY)
    …to ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion ... - $41.60 Apply Now External Applicant link Internal Applicant link Job Details: The MDS Nurse provides leadership and clinical assistance to all facility personnel… more
    WMCHealth (12/12/25)
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  • Registered Nurse - Case Manager - Full time

    WellSpan Health (York, PA)
    …**_Occasional Weekend_** **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use ... patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** **Essential… more
    WellSpan Health (12/09/25)
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  • Registered Nurse - Case Manager - PRN

    WellSpan Health (Lebanon, PA)
    …Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews… more
    WellSpan Health (11/15/25)
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