• Care Manager, Registered Nurse

    Sutter Health (Roseville, CA)
    …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
    Sutter Health (09/26/25)
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  • Case Manager II, Registered Nurse

    Sutter Health (Burlingame, CA)
    …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
    Sutter Health (09/19/25)
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  • Nurse Practitioner - Spanish Speaking

    ChenMed (Berwyn, IL)
    …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... completes appropriate paperwork. + Works collaboratively with physicians, nurses, PT, social workers , family and key caregivers to transition the patient to a lower… more
    ChenMed (09/04/25)
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  • Behavioral Health Nurse - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …+ Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of ... Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating,...+ Experience in a managed care, case management, or utilization review setting + Strong understanding of… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • Adult Geriatric Nurse Practitioner

    Adelante (Mesa, AZ)
    …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... Adult Geriatric Nurse Practitioner Job Details Job Location Adelante Healthcare...maintain an environment which supports and engages patients and co- workers in a caring team-based model to promote wellness… more
    Adelante (09/28/25)
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  • Registered Nurse Case Manager

    Beth Israel Lahey Health (Exeter, NH)
    …outcomes. 3. Serves as a liaison among the patient, family members, physicians, nurse , social worker , UR nurse , insurance representative and community ... Registered Nurse Case Manager + Full Time + Exeter,...nursing care rehab services, respiratory services, patient/family education and utilization of community resources in order to assure the… more
    Beth Israel Lahey Health (09/27/25)
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  • Registered Nurse - Surgical ICU - Night

    WellSpan Health (York, PA)
    …(acute and chronic), external pacer and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **Department Summary** Surgical ... (acute and chronic), external pacer and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **General Summary** Provides… more
    WellSpan Health (07/15/25)
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  • Registered Nurse (Non-Practicing)…

    Ivyhill Technologies LLC (Bethesda, MD)
    …and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the...of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and… more
    Ivyhill Technologies LLC (09/08/25)
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  • Contract Workers Compensation Field Case…

    Rising Medical Solutions (Los Angeles, CA)
    …nursing, medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional ... Advance Your Career with Rising Medical Solutions Are you an experienced workers ' compensation nurse case manager eager to bring your expertise to a team that's… more
    Rising Medical Solutions (07/04/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case… more
    Sutter Health (08/16/25)
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