• Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (09/30/25)
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  • Oncology Prior Authorization Case

    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 ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
    University of Miami (09/25/25)
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  • Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... qualifications: 1. Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least one-year experience in… more
    Prime Healthcare (08/08/25)
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  • Case Manager - Utilization

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6… more
    Prime Healthcare (09/30/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN ... Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart reviews for medical… more
    University of Miami (08/23/25)
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  • Case Manager (RN)…

    Prime Healthcare (Chino, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226811/ case - manager -%28rn%29 ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (09/30/25)
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  • Case Management Associate

    Ellis Medicine (Schenectady, NY)
    …to Medicare beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with ... Activities; Contacts referral agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers.… more
    Ellis Medicine (09/11/25)
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  • Nurse Care Manager - Primary Care

    University Medicine (Providence, RI)
    …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... Manager of Case Management, the nurse case manager is responsible for providing comprehensive...to identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED utilization more
    University Medicine (09/17/25)
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  • Utilization Management Rn

    Actalent (Santa Barbara, CA)
    …an operational unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management, Clinical Reviews ... Remote Utilization Management RN Leading healthcare facility that aims...Description: + REMOTE + RN with experience in providing Case Management services to the Pediatric population. + Includes,… more
    Actalent (10/01/25)
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  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (09/23/25)
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