• 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 (11/07/25)
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  • Executive System Director

    UNC Health Care (Morrisville, NC)
    …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... operational leader responsible for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a… more
    UNC Health Care (10/29/25)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …regulatory agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital ... staff and function for the system, reporting to the Director of Utilization Management within...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
    Huron Consulting Group (11/27/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered… more
    Prime Healthcare (10/18/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (10/03/25)
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  • Asst Director Patient Care…

    RWJBarnabas Health (Newark, NJ)
    Asst Director Patient Care Registered Nurse ( RN ) Full Time Days CTICUReq #:0000204650 Category:Nursing Management / Leadership Status:Full-Time ... Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title:Asst Director Patient Care Location:Newark Beth Israel Medical Ctr Department...you need. Required Certifications and Licenses: + Active NJ RN License or Multistate RN License with… more
    RWJBarnabas Health (10/27/25)
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  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... manager of in-patient care management and the Director of Utilization Management . **Required...experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (10/07/25)
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  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Quakertown, 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 (12/13/25)
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  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Bethlehem, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... care. May require occasional coverage of Easton campus should census warrant The Registered Nurse or Social Worker Care Manager is responsible for coordinating… more
    St. Luke's University Health Network (10/15/25)
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  • Registered Nurse RN Associate…

    Banner Health (Torrington, WY)
    …of recreational opportunities. Torrington Community Hospital is looking for a full-time RN Associate Director to lead the Emergency department in Torrington, ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
    Banner Health (09/19/25)
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