• Geisinger (Lewistown, PA)
    Job Title: RN - Registered Nurse Hospital Case ManagerLocation: Lewistown, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing ... quality and efficiency results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to the patient or… more
    Talent (09/20/25)
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  • Geisinger (Wilkes-Barre, PA)
    …Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of ... the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new… more
    Talent (09/13/25)
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  • Geisinger (Scranton, PA)
    …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • Geisinger (Scranton, PA)
    …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • Geisinger (Wilkes-Barre, PA)
    …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • RN , Manager , Utilization

    Humana (Washington, DC)
    **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (09/28/25)
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  • Utilization Management

    State of Indiana (Indianapolis, IN)
    Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… more
    State of Indiana (09/26/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
    Beth Israel Lahey Health (07/29/25)
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  • Case Manager ( RN )…

    Prime Healthcare (Chino, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226811/case- manager -%28rn%29 utilization - ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
    Prime Healthcare (09/30/25)
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  • Senior Manager , Behavioral Health…

    Centene Corporation (Phoenix, AZ)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... care to members. Oversees and works with senior leadership on utilization management issues related to member care, provider interactions, and facilitates… more
    Centene Corporation (09/14/25)
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