• Northwell Health (New York, NY)
    …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
    Upward (07/27/25)
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  • University of Maryland Medical System (Baltimore, MD)
    …Under general supervision, serves as an advanced practitioner, educator, consultant , collaborator, and change agent in the assessment, development, implementation, ... a selected population of patients. Facilitates the development, implementation, and ongoing management of a model for professional practice that fosters the delivery… more
    Upward (07/25/25)
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  • LCMC Health (New Orleans, LA)
    …amend and change responsibilities to meet organizational needs as necessary. GENERAL DUTIES Utilization of the Nursing Process as it relates to Lactation: - Performs ... lactating and breastfeeding patients. - Plans, organizes and delivers lactation management services to all breastfeeding mothers. - Communicates with the physicians… more
    Upward (07/01/25)
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  • Duke University (Durham, NC)
    …Duke University Hospital Job Summary The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with stomas, draining wounds, or ... incontinence, throughout the organization. This includes utilization of clinical expertise to provide preoperative and postoperative...in need of wound, ostomy, and / or continence management . The WOC CSN's primary responsibility is to educate… more
    Upward (07/20/25)
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  • Hendricks Regional Health (Danville, IN)
    …The APRN works closely with sponsoring Physicians, Medical Staff, Management Council, Department Heads, Clinic Manager, Hospital Associates, defined customers, ... to, meaningful use and billing. Demonstrates effective time and supply management , supports leadership in implementation of scheduling, and participates in supply… more
    Upward (06/30/25)
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  • Advocate Aurora Health (Oak Lawn, IL)
    … Operations, site leadership and other key stakeholders. Serves as an internal consultant on Care Management opportunities. Acts as an expert resource for ... Department: 11224 Advocate Aurora Health Corporate - IL Inpatient Care Management Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule… more
    Upward (07/01/25)
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  • University of Southern California (Los Angeles, CA)
    …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in...Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review experience within the… more
    Upward (07/23/25)
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  • OhioHealth (Mansfield, OH)
    …and performs comprehensive patient care review, which includes the integration of Utilization Review, Quality Assurance, Risk Management , Infections Control and ... our communities. Job Description Summary: Responsible for the individualized management of hospital and health care services necessary and...Discharge Planning functions. As an advanced nurse clinician, the case manager combines the role of… more
    Upward (07/18/25)
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  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …Schedule is Monday-Friday, 8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
    CVS Health (07/29/25)
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  • Utilization Management Registered…

    CVS Health (Richmond, VA)
    …it all with heart, each and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote, full-time role responsible for ... external stakeholders. The position also involves coaching healthcare staff on utilization management principles and contributing to policy development.… more
    CVS Health (07/29/25)
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