• 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 IND123A Job LocationsUS-NY-Syracuse Category Case /Care Management… more
    Helio Health Inc. (01/06/26)
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  • Registered Nurse - Utilization Review…

    Cedars-Sinai (Los Angeles, CA)
    …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the ... criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department** :… more
    Cedars-Sinai (01/02/26)
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  • Registered Nurse - Utilization Review…

    Cedars-Sinai (Los Angeles, CA)
    …Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** ... us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials… more
    Cedars-Sinai (01/02/26)
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  • RN, Hospital Case Manager

    Baystate Health (Springfield, MA)
    …employees. Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management** The **RN Hospital Case ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
    Baystate Health (12/19/25)
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  • RN - Case Manager - BSN -…

    John Muir Health (Walnut Creek, CA)
    …patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, ... the community and does this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function within the full scope of the… more
    John Muir Health (12/27/25)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (12/24/25)
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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 (12/20/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... 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 (12/19/25)
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  • Clinical Resource Management Nurse (RN)…

    Hartford HealthCare (Manchester, CT)
    …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical… more
    Hartford HealthCare (12/23/25)
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  • Case Manager - Utilization

    Prime Healthcare (Sherman Oaks, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/ case - manager - utilization ... 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 (12/30/25)
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