• Elliot Health System (Londonderry, NH)
    Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes ... pride in serving their community, patients, and families. Our Nurse Case Managers observe best practices and...the requirements below! Apply today! About the Job: The Case Manager RN will collaborate… more
    JobGet (03/08/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    … and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care Transitions ... the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (02/09/25)
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  • RN Case Manager

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** As a Case Manager in Utilization Management, you will be the key ... care plans to align with clinical and regulatory standards. By optimizing resource utilization and maintaining the highest standards of care, you will contribute to… more
    Trinity Health (03/13/25)
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  • Case Manager ( RN

    Children's Hospital Boston (Boston, MA)
    78753BRJob Posting Title: Case Manager ( RN ), Utilization ManagementDepartment:Patient Services-Patient Care ... OperationsAutoReqId:78753BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:NursingJob Posting Description:The Utilization Review Nurse will be responsible for:… more
    Children's Hospital Boston (03/05/25)
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  • RN Case Manager

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (01/31/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (St. Louis, MO)
    Summary The Registered Nurse - Utilization Case Manager position in Technology, Innovation & Development is located at John Cochran Medical Center at ... VA Saint Louis Health Care System. The RN is responsible for providing competent, evidence-based care to...Responsibilities The Registered Nurse - Utilization Case Manager position in… more
    Veterans Affairs, Veterans Health Administration (03/12/25)
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  • Utilization Case Manager (Non…

    University of Miami (North Miami, FL)
    …University of Miami UHealth - CTU at SoLe Mia has an exciting opportunity for a Utilization Case Manager . CORE JOB FUNCTIONS + Adhere and perform timely ... reviews for services requiring an authorization for continuation of care + Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and limitations to determine… more
    University of Miami (02/22/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c- rn utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (03/15/25)
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  • Utilization Review Case

    Covenant Health (Bangor, ME)
    Case Manager will work collaboratively with other members of the healthcare team. The nurse case manager also acts as an advocate for the patient and ... in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
    Covenant Health (03/04/25)
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  • Supervisor, Centralized Utilization

    Sharp HealthCare (San Diego, CA)
    Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** ... in a hospital and/or Managed Care setting. + California Registered Nurse ( RN ) - CA...+ Collaboration and teamwork Provides consultation and direction for Case Manager Utilization Management, and… more
    Sharp HealthCare (03/04/25)
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