• Director , Utilization Management

    Alameda Health System (Oakland, CA)
    …off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational ... Director , Utilization Management + Oakland, CA...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (08/08/25)
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  • Director Utilization

    Texas Health Resources (Arlington, TX)
    … Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management-Clinical Review _Are you...and required meetings onsite throughout the year. Summary The Director will be the department leader for system more
    Texas Health Resources (10/16/25)
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  • RN System Director

    Tufts Medicine (Burlington, MA)
    …Description** **Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2. RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
    Tufts Medicine (10/26/25)
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  • Director , Healthcare Services;…

    Molina Healthcare (GA)
    …education and experience. * At least 3 years health care management/leadership required. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/19/25)
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  • Utilization Review Clinician (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of ... the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay,...substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE:… more
    Sacramento Behavioral Healthcare Hospital (10/24/25)
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  • Director of Case Management…

    Prime Healthcare (Inglewood, CA)
    …outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered ... As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center...part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case… more
    Prime Healthcare (10/18/25)
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  • Director of Case Management and Logistics

    Bassett Healthcare (Cooperstown, NY)
    …At least 5 years of experience in Case Management, discharge planning, and/or Utilization Management Licensure/Certifications: + Registered Nurse or LMSW or ... resources for the department. Oversees and works with the Director of Utilization Management to support and...issues to SVP, Chief Nursing Executive.* Development of Bassett Network/ System Thinking - A leader who thinks globally and… more
    Bassett Healthcare (10/09/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... for all hospital-based Case Management Directors and the Central Utilization Review Director across the system...approach in the optimization of safe outcomes and information systems by monitoring and improving the system -wide… more
    Houston Methodist (10/16/25)
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  • Director Of Nursing / DON / 10k Sign On

    BrightSpring Health Services (Sacramento, CA)
    …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at… more
    BrightSpring Health Services (08/16/25)
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  • Registered Nurse RN Associate…

    Banner Health (Fallon, NV)
    …dinner, and entertainment. Banner Churchill Community Hospital is looking for a full-time Registered Nurse Associate Director to oversee the MedSurg, ICU ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
    Banner Health (10/22/25)
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