• Revenue Utilization Review (RUR) Nurse…

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    …of VHA and industry best standards. Responsibilities Responsibilities of the RUR Nurse Manager (NM) include, but are not limited, to the following: RUR Nurse ... Manager is accountable to the Consolidated Patient Account Center...and grow professionally. Applies the nursing process to conduct clinical reviews for the purpose of pre-certification, admission, continued… more
    Veterans Affairs, Veterans Health Administration (09/04/25)
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  • Utilization Review Coordinator

    Behavioral Center of Michigan (Detroit, MI)
    …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... the level of nursing care and collaborates with other departments in evaluation of projects affecting discharge plans. Supports clinical improvement activities… more
    Behavioral Center of Michigan (08/23/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Marietta, GA)
    **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... providing health and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and… more
    CenterWell (07/25/25)
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  • Clinical Manager , RN

    Erickson Living (Pompton Plains, NJ)
    Location: Cedar Crest Village by Erickson Senior Living Join our team as the Clinical Manager supporting our 25-bed s ub-acute rehab neighborhood. The ... Clinical Manager is an active member of... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance… more
    Erickson Living (08/23/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Austin, TX)
    …and more compassionate. And we do it all with heart, each and every day. ** Clinical Case Manager Behavioral Health** **Position Summary** This is a remote role, ... Dallas, Texas as well as the surrounding areas. The Clinical Case Manager utilizes advanced clinical...with their provider in healthcare decision-making. + Analyzes all utilization , self-report and clinical data available to… more
    CVS Health (09/04/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Charleston, WV)
    …counties: Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Webster. The Clinical Care Manager BH utilizes advanced clinical judgment ... participate with their provider in healthcare decision-making. o Analyzes all utilization , self-report, and clinical data available to consolidate information… more
    CVS Health (08/20/25)
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  • Clinical Resource Manager

    HCA Healthcare (Nashville, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Resource Manager with HealthTrust Supply Chain you can be a ... in our organization. We are looking for an enthusiastic Clinical Resource Manager to help us reach...of supply expense opportunities to improve product standardization and utilization . This process includes product selection, evaluation more
    HCA Healthcare (06/21/25)
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  • Clinical Account Manager

    Access Dubuque (Dubuque, IA)
    Clinical Account Manager **MedOne Pharmacy Benefit...attention to detail + Proficient in drug literature and clinical trial evaluation + Ability to work ... 1 Positions ID: 3543661 Posted On 09/02/2025 **Job Overview** **Position Overview:** The Clinical Account Manager will support all clinical aspects of… more
    Access Dubuque (09/04/25)
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  • Behavioral Health Clinical Case…

    CVS Health (Frankfort, KY)
    …participate with their provider in healthcare decision-making. + Analyzes all utilization , self-report and clinical data available to consolidate information ... with heart, each and every day. **Summary/Position Objectives:** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
    CVS Health (09/05/25)
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  • Clinical Assessment Manager

    CenterLight Health System (Flushing, NY)
    …reassessment, UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation . The Clinical Assessment Manager will ... to accurate and timely completion of UAS assessments. The Clinical Assessment Manager serves as a valuable...Intake, Enrollment, and Care Delivery teams by documenting critical clinical enrollment, evaluation , and documentation of correct… more
    CenterLight Health System (09/05/25)
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