• Utilization Review Case Mgr…

    UTMB Health (Galveston, TX)
    Utilization Review Case Mgr -...nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full ... and criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and retrospectively… more
    UTMB Health (09/24/25)
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  • Utilization Review Case Mgr…

    UTMB Health (Webster, TX)
    Utilization Review Case Mgr...**_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum ... observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all… more
    UTMB Health (09/14/25)
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  • Sr Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for promoting ... an expert level at all objectives delineated in the Utilization Review Nurse and ...case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/26/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
    BriteLife Recovery (09/02/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....care experience required. Minimum of two (2) years of utilization review / case management experience and… more
    HCA Healthcare (09/20/25)
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  • Registered Nurse Case Manager…

    Henry Ford Health System (Detroit, MI)
    …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (07/10/25)
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  • RN Case Manager

    ChenMed (Hampton, VA)
    …promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The ... English. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: + Licensed professional nurse , RN , LPN, etc. + Minimum of...etc. + Minimum of seven (7) plus years of utilization review / case management. + Minimum… more
    ChenMed (09/23/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
    Ellis Medicine (09/11/25)
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  • Oncology Prior Authorization Case Manager,…

    University of Miami (Miami, FL)
    …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (09/25/25)
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  • RN Case Manager - Hospital

    Marshfield Clinic (Marshfield, WI)
    …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse more
    Marshfield Clinic (08/29/25)
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