• 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 **Job Description:** The Inpatient Registered ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
    Beth Israel Lahey Health (05/11/25)
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  • Case Manager and Utilization

    Scottish Rite for Children (Dallas, TX)
    …committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...+ Minimum 2 years of precertification experience + Certified Case Manager , preferred + 3-5 years of… more
    Scottish Rite for Children (05/23/25)
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  • Utilization Review Case

    Dartmouth Health (White River Junction, VT)
    Utilization Review Case Manager – Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for ... one 4-hour flex shift to be discussed with hiring manager . Locations: * Fully remote work in all statesexcept:...that enrich the lives of the people we serve. Utilization Review Case Managersat VNH… more
    Dartmouth Health (06/06/25)
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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 ... two years of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Office/Site Location:BostonRegular,… more
    Children's Hospital Boston (05/24/25)
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  • Case Manager , RN…

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209331/ case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (06/11/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
    Mayo Clinic (06/14/25)
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  • RN Pre Certification Case Manager

    Penn Medicine (Philadelphia, PA)
    …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + ... Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third party payors. We believe that the best… more
    Penn Medicine (06/05/25)
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  • Remote RN Admissions Case Manager

    Ochsner Health (New Orleans, LA)
    …license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional ... in the delivery of patient care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse… more
    Ochsner Health (04/30/25)
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  • RN- Case Manager 8A-4:30P

    Baptist Memorial (Columbus, MS)
    …+ Healthcare/Medical- Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred. Education Minimum Required + Graduate of School ... to complete an initial review . Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed… more
    Baptist Memorial (05/13/25)
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  • RN Supervisor Case Management - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
    Mohawk Valley Health System (06/14/25)
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