• Utilization Management Nurse

    Omaha Children's Hospital (Omaha, NE)
    …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... Days - 20 hours per week At Children's, the region's...settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative,… more
    Omaha Children's Hospital (09/05/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …Work Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999. 20 Responsible for Utilization Management , Quality Screening and Delay ... Management for assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG criteria to monitor… more
    Albany Medical Center (09/12/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II...review or input and presents for second level review ( 20 %) Performs other duties as assigned. (10%) Duties Continued… more
    LA Care Health Plan (09/10/25)
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  • Care Coordinator, Utilization

    Hackensack Meridian Health (Neptune City, NJ)
    …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
    Hackensack Meridian Health (09/04/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
    Prime Healthcare (08/26/25)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (Chino, CA)
    …Us! (https://careers-primehealthcare.icims.com/jobs/219949/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... preferred, and community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (09/12/25)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (San Dimas, CA)
    …Us! (https://careers-primehealthcare.icims.com/jobs/214914/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... preferred, and community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (07/15/25)
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  • Insurance Specialist-Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
    Mount Sinai Health System (07/23/25)
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  • Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …years Post Graduate of an accredited school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/222731/ utilization -review-rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
    Prime Healthcare (09/12/25)
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  • Case Manager - Registered Nurse (RN), Every…

    Dartmouth Health (Lebanon, NH)
    …shifts) onsite in Lebanon Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards ... and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities * Facilitates the development of a plan of… more
    Dartmouth Health (08/15/25)
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