• Registered Nurse Care Manager

    Catholic Health (Buffalo, NY)
    …Holiday Rotation Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse ( RN ) Care Manager - Utilization Review , as an active member of the Care ... and discharge planning principles, the RN Care Manager , Utilization Review collaborates with...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
    Catholic Health (05/01/25)
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  • 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 Onsite at Lahey Hospital and Medical Center in ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
    Beth Israel Lahey Health (04/16/25)
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  • Professional Care Manager

    UPMC (Hanover, PA)
    **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for...of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act… more
    UPMC (04/17/25)
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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 (04/29/25)
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  • Manager - Utilization Review

    Ochsner Health (Lafayette, LA)
    …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… more
    Ochsner Health (04/04/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204105/case- manager %2c- rn utilization - review ... 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 (04/17/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    79378BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or ambulatory) will...two years of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
    Children's Hospital Boston (05/01/25)
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  • Utilization Review Case…

    Trinity Health (Mason City, IA)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case ... with documentation standards, policies, procedures and/or guidelines **Minimum Qualifications:** + Licensed registered nurse in the state of Iowa. + Bachelor's… more
    Trinity Health (04/19/25)
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  • Case Manager ( RN ) - PRN…

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (02/08/25)
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  • Utilization Review Nurse

    Adecco US, Inc. (Houston, TX)
    …. Preferred certifications include Certified Case Manager (CCM) or Certified Utilization Review Nurse (CURN). **Pay Details:** $85,000.00 to $110,000.00 ... & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston,...* Bachelors' degree in nursing preferred * Current, unrestricted RN License in Texas . 2 to 3 years… more
    Adecco US, Inc. (05/01/25)
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