• Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition… more
    Minnesota Visiting Nurse Agency (08/08/25)
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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 ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
    Beth Israel Lahey Health (07/29/25)
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  • Utilization Review RN Case…

    Penn Medicine (Philadelphia, PA)
    …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... Equivalent Experience: + Bachelor of Arts or Science (Required) + Utilization Review experience (Required) + Bachelor's Degree in Nursing required.2+ years… more
    Penn Medicine (08/19/25)
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  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
    Children's Mercy Kansas City (06/17/25)
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  • Outcomes Manager , Utilization…

    Virtua Health (Pennsauken, NJ)
    …Nursing.Training/Certifications/Licensure:Licensure from the State of New Jersey as a Registered Nurse .Case Management Certification (requirement within one year ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
    Virtua Health (08/26/25)
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  • Oncology Prior Authorization Case Manager…

    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 ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (08/21/25)
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  • Registered Nurse - Case…

    Mayo Clinic (Rochester, MN)
    …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
    Mayo Clinic (06/14/25)
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  • Registered Nurse ( RN )…

    Monroe County, NY (Rochester, NY)
    Full Jobs List Full Exams List Registered Nurse ( RN ) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse ( ... Duties This position is in the Utilization Review Unit and functions as an assessment nurse...to, and works under the general supervision of a Nurse Manager , or other higher-level staff member.… more
    Monroe County, NY (08/02/25)
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  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full ... University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more
    University of Miami (08/23/25)
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  • Case Manager Registered Nurse…

    CVS Health (Charleston, WV)
    …Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Certified Case Manager (CCM) certification * Case ... Summers, Monroe, Greenbrier, Pocahontas, Kanawha, and Fayette.** The Case Manager RN (CM RN ) is...adapt to a fast-paced changing environment. **Required Qualifications** * Registered Nurse with current unrestricted West Virginia… more
    CVS Health (08/01/25)
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