• Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • RN Care Manager - Utilization

    Trinity Health (Wilmington, DE)
    **Employment Type:** Part time **Shift:** **Description:** ** RN Care Manager - Utilization Management** **Location:** Saint Francis Hospital **Department:** ... Coverage | 8hr shift **Position Purpose:** As a Case Manager in Utilization Management, you will be...**Experience:** + Minimum **1 year** of experience as an RN Case Manager in an acute care… more
    Trinity Health (08/08/25)
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  • RN Case Manager - Utilization

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management, you will be...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
    Trinity Health (05/13/25)
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  • Utilization Review Case Manager

    Covenant Health (Nashua, NH)
    …skills are needed + Ability to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required + Minimum of five years ... and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning… more
    Covenant Health (07/30/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care… more
    Children's Hospital Boston (06/16/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
    Catholic Health Services (07/24/25)
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  • Case Manager Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care Transitions coordinates ... to meet the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience preferred. Licensure,… more
    Beth Israel Lahey Health (08/10/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
    Beth Israel Lahey Health (07/29/25)
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  • Care Manager RN - Utilization

    Providence (Napa, CA)
    **Description** Care Manager RN - Utilization Review unit at Providence Queen of the Valley Medical Center in Napa, CA. This position is Full-Time and will ... the continuum of care. The RN Case Manager assists patients in the utilization of...or outpatient case management setting + Upon hire: California Registered Nurse License + 2 years Case… more
    Providence (08/08/25)
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  • Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211752/ utilization -review- rn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (08/08/25)
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