• RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/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 (10/16/25)
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  • Utilization Review Case

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
    Dallas Behavioral Healthcare Hospital (10/30/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
    Mayo Clinic (10/02/25)
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  • RN Supervisor Case Management - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
    Mohawk Valley Health System (10/07/25)
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  • Registered Nurse (RN)

    Vighter Medical Group (Glendale, CO)
    …no nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conductclinical reviewsof medical ... at theOffice of Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse,...years of RN experiencewithin the past 3 years - Case Management, Utilization Review , or… more
    Vighter Medical Group (11/13/25)
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  • UR Case Manager

    Eastern Connecticut Health Network (Manchester, CT)
    POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the ... 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
    Eastern Connecticut Health Network (11/01/25)
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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 (10/18/25)
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  • Registered Nurse - Utilization

    Trinity Health (Langhorne, PA)
    …required. + Active PA RN License required. + CCM or Accredited Case Manager certification preferred. + Previous experience in Utilization review highly ... is seeking an experienced Registered Nurse to join our team in Utilization Review ! The UM Registered Nurse is responsible for the coordinating and facilitating… more
    Trinity Health (11/13/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
    Ellis Medicine (10/24/25)
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  • Case Manager - AOMC

    Arnot Health (Elmira, NY)
    …to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... Job Description CASE MANAGER - Up to $10,000 Sign...Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for...and participates in them. . The Case Manager tracks and trends LOS , resource utilization more
    Arnot Health (11/06/25)
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