• Registered Nurse - Utilization

    Cedars-Sinai (Los Angeles, CA)
    …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be ... with accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days… more
    Cedars-Sinai (01/02/26)
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  • Registered Nurse - Utilization

    Cedars-Sinai (Los Angeles, CA)
    …Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days ... us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials… more
    Cedars-Sinai (01/02/26)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
    University of Miami (12/20/25)
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  • Clinical Resource Management Nurse (RN)…

    Hartford HealthCare (Manchester, CT)
    …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration ... in the acute-care setting. * Minimum of 1 year Utilization Review experience preferred via industry clinical...Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in… more
    Hartford HealthCare (12/23/25)
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  • Utilization Management - Nurse…

    Sanford Health (Rapid City, SD)
    …time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven ... value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we...clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/management… more
    Sanford Health (12/17/25)
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  • Manager Utilization Review

    Community Health Systems (Franklin, TN)
    …identified issues and trends or escalated challenges. Communicates Utilization Review information with facility Case Manager Directors, proactively ... **Job Summary** The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical… more
    Community Health Systems (01/14/26)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (12/19/25)
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  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    …homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years experience ... **Job Description** **RN/ Case Manager MSH Case ...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case more
    Mount Sinai Health System (01/13/26)
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  • RN/ Case Manager (Inpatient)-Mount…

    Mount Sinai Health System (New York, NY)
    …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** **RN/ Case Manager (Inpatient) Mount Sinai Morningside...1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case more
    Mount Sinai Health System (01/15/26)
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  • Case Manager , RN

    UNC Health Care (Kinston, NC)
    case management, utilization review and discharge planning. The Case Manager must be highly organized professional with great attention to detail ... adaptable to frequent change, and compliant with regulatory and departmental guidelines and policies. Responsibilities: + Patients/Families, Hospital staff, Medical staff, Community agencies, and Insurance Companies are served by conducting interpersonal… more
    UNC Health Care (11/15/25)
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