• Director , Utilization

    Alameda Health System (Oakland, CA)
    Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (05/06/25)
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  • Corporate Director of Clinical…

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Corporate Director of Clinical ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical- utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare … more
    Prime Healthcare (06/22/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
    Commonwealth Care Alliance (05/21/25)
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  • Director Case Management

    HonorHealth (AZ)
    …hospitals, health plans and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the Chief Medical Officer and ... Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for departmental assessment,… more
    HonorHealth (06/13/25)
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  • Assistant Director of Case…

    Mount Sinai Health System (New York, NY)
    …and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care facilitation and ... **Job Description** The Assistant Director of Case Management supports the... management is preferred Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West… more
    Mount Sinai Health System (04/04/25)
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  • Associate Director , UM Nursing

    Humana (Indianapolis, IN)
    …of clinical experience + 2 or more years of management experience + Licensed Registered Nurse ( RN ) in the (appropriate state) with no disciplinary action ... of our caring community and help us put health first** The Associate Director , Utilization Management Nursing utilizes clinical nursing skills to support the… more
    Humana (06/18/25)
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  • Registered Nurse

    ERP International (Barksdale AFB, LA)
    **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical ... and other health team members. Submits all concerns through Utilization Management Director ; be able...4 (CPT-4) coding. Licensure:** Current, full, active, and unrestricted RN license from any state. Life Support Certifications:** AHA… more
    ERP International (06/18/25)
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  • Associate Director Registered

    Banner Health (Queen Creek, AZ)
    …our community to have state of the art surgical care where they live. As a Registered Nurse Associate Director for the Operating Room, you will be leading ... of the department. This role reports to the Peri-operative RN Director of Nursing. As a member...the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change… more
    Banner Health (06/20/25)
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  • Registered Nurse Utilization

    LifePoint Health (Louisburg, NC)
    Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:**… more
    LifePoint Health (05/15/25)
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  • Inpatient Registered Nurse

    St. Luke's University Health Network (Orwigsburg, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
    St. Luke's University Health Network (06/18/25)
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