• 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… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • RN Care Manager - Rex Case…

    UNC Health Care (Raleigh, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (07/24/25)
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  • RN Care Manager - (Per Diem)…

    UNC Health Care (Smithfield, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (08/25/25)
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  • RN Utilization Manager - (Per Diem)…

    UNC Health Care (Smithfield, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
    UNC Health Care (08/25/25)
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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 ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely… more
    Beth Israel Lahey Health (07/29/25)
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  • Utilization Review Case…

    Dartmouth Health (White River Junction, VT)
    Utilization Review Case Manager -...patient satisfaction to guide patient care and utilization . * Completes clinical review of referrals and ... .6 FTE/24 per Week, Days Why work as a Utilization Review Case Manager at...provided. * Coordinates and manages the patient's plan of care , including but not limited to: order review more
    Dartmouth Health (08/26/25)
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  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
    Children's Mercy Kansas City (06/17/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... 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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  • Utilization Review RN Case…

    Penn Medicine (Philadelphia, PA)
    …or Equivalent Experience: + Bachelor of Arts or Science (Required) + Utilization Review experience (Required) + Bachelor's Degree in Nursing required.2+ ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (08/19/25)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management or ... In partnership with the director, Care Coordination provides leadership, supervision, and oversight of...utilization review leadership experience **Compensation Range** $115,277.00 - $172,915.00 per… more
    Seattle Children's (06/17/25)
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