• Care Manager , Registered Nurse

    Sutter Health (Roseville, CA)
    …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (08/15/25)
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  • Case Manager II, Registered Nurse

    Sutter Health (Burlingame, CA)
    …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (08/10/25)
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  • Care Manager II, Acute (RN)

    Sutter Health (Modesto, CA)
    …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (06/28/25)
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  • Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:**… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …Management & review, HIM, Coding & Billing. Close collaboration with the Physician Advisors, Collaborates and helps facilitate the Utilization Review Committee. ... /Managed Care, Physician Advisors Works collaboratively managing the process of Utilization Review throughout the system **As a health care organization, we have… more
    Beth Israel Lahey Health (06/06/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... queries from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record,… more
    Catholic Health Services (07/24/25)
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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 We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee… more
    Beth Israel Lahey Health (07/29/25)
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  • Utilization Review Case Manager

    Covenant Health (Nashua, NH)
    …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning ... Summary Conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed on a nursing unit, to include… more
    Covenant Health (07/30/25)
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  • Care Manager RN - Utilization Review…

    Providence (Napa, CA)
    **Description** Care Manager RN - Utilization Review unit at Providence Queen of the Valley Medical Center in Napa, CA. This position is Full-Time and will work ... patients and their families throughout the continuum of care. The RN Case Manager assists patients in the utilization of appropriate health care services.… more
    Providence (08/08/25)
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  • RN Case Manager Utilization Review,…

    Trinity Health (Athens, GA)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** : The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary team ... intensity of service for patients to ensure appropriate and timely utilization of hospital services. **Essential Functions and Responsibilities** Uses approved… more
    Trinity Health (08/16/25)
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