• LVN Utilization Review - SRS…

    Sharp HealthCare (San Diego, CA)
    … Management experience, preferably in a Managed Care setting. + Experience as a case manager or discharge planner interacting with managed care payers. **Other ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:**… more
    Sharp HealthCare (10/12/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (West Valley City, UT)
    …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and… more
    Molina Healthcare (10/23/25)
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  • Discharge Planner II ( LVN )

    Prime Healthcare (La Palma, CA)
    …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in… more
    Prime Healthcare (10/23/25)
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  • Medical Claim Review LVN /LPN (CA…

    Molina Healthcare (San Diego, CA)
    …Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review. **Required License, Certification, Association**… more
    Molina Healthcare (10/18/25)
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  • Manager , Healthcare Services;…

    Molina Healthcare (GA)
    …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
    Molina Healthcare (09/19/25)
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  • Registered Nurse (RN) - Case Manager

    Tenet Healthcare (Detroit, MI)
    Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... vary by location and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along a continuum through… more
    Tenet Healthcare (10/23/25)
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  • RN Case Manager CRM Full Time Days

    Tenet Healthcare (Detroit, MI)
    RN Case Manager CRM Full Time Days - 2506002554 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart center, cancer ... cardiac care for hospitals and physicians throughout the nation. Job Summary The RN Case Manager is responsible to facilitate care along a continuum through… more
    Tenet Healthcare (10/02/25)
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  • Discharge Planner - Utilization Management

    Prime Healthcare (National City, CA)
    …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions,… more
    Prime Healthcare (09/10/25)
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  • Director, Healthcare Services; Utilization

    Molina Healthcare (GA)
    …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team… more
    Molina Healthcare (09/19/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Miami, FL)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
    Select Medical (10/23/25)
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