• RN Case Manager

    Trinity Health (Chelsea, MI)
    …Part time **Shift:** Rotating Shift **Description:** **Registered Nurse ** ** Case Manager ** **Department:** Utilization Management **Location:** Chelsea, ... Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
    Trinity Health (06/04/25)
    - Related Jobs
  • RN Pre Certification Case Manager

    Penn Medicine (Philadelphia, PA)
    …Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Equivalent Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe… more
    Penn Medicine (06/05/25)
    - Related Jobs
  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Nurse (RN) Case Manager for Hospital at Home Care...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (05/11/25)
    - Related Jobs
  • RN Case Manager

    Trinity Health (Hartford, CT)
    …**Keywords: Case Management; Case Manager ; Registered Nurse ; RN; BSN; Connecticut; utilization management** **Our Commitment to Diversity and ... well-being. **What you will do:** + As a **Registered Nurse RN Case Manager Department,**...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
    Trinity Health (04/24/25)
    - Related Jobs
  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    **Description** **RN Utilization Manager needed to provide per diem coverage on weekends at UNC Rex and UNC Rex Holly Springs.** Become part of an inclusive ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (06/17/25)
    - Related Jobs
  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management)...Nurse (RN) + A certification as a Certified Case Manager (or other pediatric specialty certification… more
    Children's Hospital Boston (06/16/25)
    - Related Jobs
  • Utilization Review Specialist Nurse

    Houston Methodist (The Woodlands, TX)
    …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position... Case Management **OR** + ACM - Accredited Case Manager (NBCM) **KNOWLEDGE, SKILLS, AND ABILITIES**… more
    Houston Methodist (06/21/25)
    - Related Jobs
  • Utilization Review Nurse - Emergency…

    Houston Methodist (The Woodlands, TX)
    …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... At Houston Methodist, the Utilization Review Nurse (URN) position is...Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions… more
    Houston Methodist (06/06/25)
    - Related Jobs
  • Case Manager , RN…

    Prime Healthcare (Lynwood, CA)
    …Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ case - manager %2c-rn utilization ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (06/24/25)
    - Related Jobs
  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/ case - manager -%28rn%29 utilization ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (05/28/25)
    - Related Jobs