• Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas license; relevant certification (CCM, ... ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management. Strong working knowledge of hospital billing, managed… more
    Upward (07/13/25)
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  • Ascension (Baltimore, MD)
    … management rules and regulations. Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of Nursing ... management rules and regulations. Qualifications Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of Nursing… more
    Upward (07/26/25)
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  • NavitsPartners (Boston, MA)
    Job Title: Travel - Registered Nurse (RN) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse (RN) specializing in Case...or financial needs and refer to appropriate resources Perform utilization reviews and respond to third-party payers with timely,… more
    Upward (07/17/25)
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  • MedPro Healthcare Staffing (Downey, CA)
    MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment ... up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate..., Agency Nurse , Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization more
    Upward (07/29/25)
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  • CVS Health (Newark, NJ)
    Case Manager Opportunity At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate ... Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage, and policies.… more
    Upward (07/18/25)
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  • Kaiser Permanente (Panorama City, CA)
    …allows graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working… more
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  • Northwell Health (New York, NY)
    …degree in Nursing, required. Master's Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State. Minimum of five (5) ... the entire continuum of health care delivery. Performs resource management, utilization management, discharge planning, care facilitation, referral to all levels of… more
    Upward (07/27/25)
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  • HCA Healthcare (Arlington, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. Benefits Medical ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: Performs… more
    Upward (07/20/25)
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  • Riverside County, CA (Moreno Valley, CA)
    …Three years of charge nurse or supervisory experience working as a registered nurse in an accredited acute care hospital. Professional experience in ... Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join... nurse or supervisory experience working as a registered nurse in an accredited acute care… more
    Upward (07/04/25)
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  • Enlyte (Schaumburg, IL)
    …Home Care Registered Nurse , Emergency Room Registered Nurse , Clinical Nurse , Nurse Case Manager, Field Case Manager, Medical Nurse ... Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse...Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization more
    Upward (07/23/25)
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  • Aptive (Denver, CO)
    Job Summary Job Title: Registered Nurse (RN) - Community Care & Referral Coordination Location: Office of Community Care (OCC), 4100 E. Mississippi Ave, ... screenings as required by the VA. Preferred Skills: Experience in care coordination, case management, or utilization review. Familiarity with VA systems, EHRs,… more
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  • Advocate Aurora Health (Charlotte, NC)
    …At Home - the Region's Preferred Healthcare is looking for a dedicated and compassionate Registered Nurse to Join our TEAM! This office services our adult and ... in the comfort of his or her own home. Registered Nurse (RN) Benefits: Being part of...utilization of resources that require additional intervention and case conferencing to ensure appropriate care and frequency of… more
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  • Wilmington VA Medical Center (Wilmington, DE)
    Summary The Nurse Specialty Care Outpatient Staff Registered Nurse (RN) is located at the Wilmington VAMC in the Ambulatory Care Service for Cardiology. ... Duties Help The Nurse Specialty Care Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based specialty care to assigned… more
    Upward (07/28/25)
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  • Compunnel (Burbank, CA)
    Primary Focus: To provide patient-centered care through utilization management, case management, and discharge planning for patients in acute care, extended ... care standards and regulatory requirements. Core Competencies: Strong understanding of utilization review processes to optimize care efficiency. Expertise in case more
    Upward (07/14/25)
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  • University of Utah Health (Salt Lake City, UT)
    …for site visits. Licenses Required One of the following Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of ... that are integral to our mission. EO/AA This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes… more
    Upward (07/25/25)
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  • Ann Arbor VA Medical Center (Toledo, OH)
    Summary The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) for the Patient Aligned Care Team (PACT), aligned under Ambulatory care, ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
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  • Sentara Healthcare (Virginia Beach, VA)
    …Keyword Search: JR-81890 Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse , BSN, ADN, Nursing, Hampton, Newport ... (Days) Overview: Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN for Severe Mental Illness,...solving with provider, claims or service issues. Required qualifications: Registered Nurse (RN) License (Compact or Virginia)… more
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  • Assurance Healthcare Staffing (Houston, TX)
    …in lieu of BSN. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Licensed Master Social Worker ... inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is… more
    Upward (07/01/25)
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  • Mayo Clinic (Rochester, MN)
    …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse (RN) Case Manager works within an ... physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date prior to… more
    Upward (07/17/25)
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  • Guidehealth (Dallas, TX)
    …feel comfortable and confident leading a team of certified but unlicensed personnel and Registered Nurse case managers Ability to read, analyze, and ... Based clinical initiatives. This includes but is not limited to case management, transitions of care, care coordination and continuity, provider/staff education… more
    Upward (07/14/25)
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