- CoreCivic (Brentwood, TN)
- …position will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management /Case Management provides Utilization ... standards, and government laws and regulations. + Manages a team of utilization management nurses.Provides direction and supports staff in the development… more
- Children's Hospital Boston (Boston, MA)
- 79378BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem… more
- Humana (Frankfort, KY)
- …experience working in Utilization Management processing clinical authorizations + Licensed Registered Nurse ( RN ) in the state of Kentucky (or compact ... our caring community and help us put health first** The Manager , Behavioral Health Utilization Management uses clinical knowledge, communication skills, and… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- 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
- Catholic Health Initiatives (Houston, TX)
- **Responsibilities** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective ... medical necessity determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management , performing essential duties… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As ... 28, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine...evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical, operational,… more
- Trinity Health (Chelsea, MI)
- …**Shift:** Day Shift **Description:** ** Registered Nurse Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI **Position ... Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Catholic Health (Buffalo, NY)
- …Weekend and Holiday Rotation Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse ( RN ) Care Manager - Utilization Review, as an active member of ... foundational nursing clinical skills and discharge planning principles, the RN Care Manager , Utilization Review...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
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