• RN Case Manager - Utilization

    Trinity Health (Silver Spring, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management ,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
    Trinity Health (05/13/25)
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  • Per Diem RN Case Manager,…

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager, Utilization Management /ReviewDepartment:Patient Services-Patient Care ... a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current...license as a Registered Nurse ( RN ) + A certification as a Certified Case more
    Children's Hospital Boston (06/16/25)
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  • Case Manager Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management ...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
    Beth Israel Lahey Health (05/11/25)
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  • Care Manager RN - PAMC Case

    Providence (Anchorage, AK)
    **Description** The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation… more
    Providence (08/01/25)
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  • Utilization Review Case Manager

    Covenant Health (Nashua, NH)
    …of the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR ... to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required...Minimum of five years broad clinical experience preferred + Case management and/or Utilization more
    Covenant Health (07/30/25)
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  • Utilization Review Case Manager

    Holzer Health System (Gallipolis, OH)
    …organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management . Partners with Social Workers ... . A minimum of three years experience as a registered nurse in acute care for adult...will be taken into consideration. . Professional experience with case management , utilization review, or… more
    Holzer Health System (07/24/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …nursing care experience, including experience in a leadership role. Two years of case management or utilization management experience desirable. ... taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for… more
    Beth Israel Lahey Health (06/06/25)
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  • Utilization Management Coordinator

    Actalent (Santa Barbara, CA)
    … and health services team members in the implementation and management of Utilization Management , Case Management , Disease Management , Population ... Data entry, Concurrent review, Prior authorization, Health care, Medicare, Managed care, Medical management , Case management , Utilization management ,… more
    Actalent (08/01/25)
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  • RN - Utilization Review Weekender…

    Baptist Memorial (Meridian, MS)
    …Required: RN with 3 years of clinical experience Preferred/Desired: RN with Case Management or Utilization Review experience in a hospital or payer ... Overview RN Utilization Review Weekender Job Code:... Utilization Review Weekender Job Summary The Utilization Review Nurse is responsible for evaluating… more
    Baptist Memorial (07/21/25)
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  • RN - Utilization Review

    Baptist Memorial (Memphis, TN)
    …Required Preferred/Desired RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a hospital or payer ... of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating...3 years of clinical experience RN with Case Management or Utilization Review… more
    Baptist Memorial (06/14/25)
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