• UT Health Tyler (Tyler, TX)
    …a sign on bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People ... plan of care using a concurrent integrated review, standard operating procedures, case management tools, and collaborative efforts with all members of… more
    JobGet (06/19/24)
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  • Utilization Management Case

    Universal Health Services (Dearborn, MI)
    Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
    Universal Health Services (05/22/24)
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  • Utilization Manager UM II - Transfer…

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (03/30/24)
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  • Utilization Manager II - UM System…

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Manager Certification; Accredited Case Manager (ACM) - American Case Management...Do** As a member of the System Integrated Care Management (ICM) team the Utilization Manager more
    Sharp HealthCare (05/16/24)
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  • Case Manager RN

    CVS Health (Austin, TX)
    …is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... care more personal, convenient and affordable. Position Summary: This Case Manager RN position is with Aetna's...clinical practice experience as an RN - 6+ months Case Management or Utilization more
    CVS Health (06/05/24)
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  • Case Manager RN (Remote)

    CVS Health (Phoenix, AZ)
    …is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... to change based on business needs. Position Summary This Case Manager RN position is with Aetna's...clinical practice experience as an RN + 6+ months Case Management or Utilization more
    CVS Health (06/18/24)
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  • Case Manager - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165000/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (06/21/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (05/10/24)
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  • Case Manager - Case

    Arnot Health (Elmira, NY)
    …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
    Arnot Health (06/06/24)
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  • Social Worker, Pool, Nazareth Hospital

    Trinity Health (Philadelphia, PA)
    …Comments: 4 "Interviews patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or ... patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or other referral to… more
    Trinity Health (06/01/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (04/19/24)
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  • System Manager - Utilization Review…

    Baptist Memorial (Memphis, TN)
    …Experience: Minimum-RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred-RN with 7 years of ... clinical experience with Utilization Review or Case Management ...Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department:… more
    Baptist Memorial (05/18/24)
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  • Case Manager Generalist

    Covenant Health (Lewiston, ME)
    …+ Minimum of five years of broad clinical experience preferred. + Case Management and/or Utilization Manager experience preferred. + Certification as CCM ... Health Inc Position Description Job Title: Case Manager - Generalist Departments: Care Management Reports...Case Manager - Generalist Departments: Care Management Reports To: Director, Care Coordination FLSA Status: Exempt… more
    Covenant Health (05/10/24)
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  • Case Manager RN - PVH…

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165006/ case - manager -rn pvh- utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (06/21/24)
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  • Utilization Review Nurse - Case

    Health First (Melbourne, FL)
    …or Emergency Department Nursing *Knowledge/Skills/Abilities:*Current working knowledge of care transitions, utilization management , case management and ... may require use of personal vehicle. **Job:** ** Case Management * **Organization:** **Holmes Regional Medical Center* **Title:** * Utilization Review… more
    Health First (06/20/24)
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  • Case Manager - Utilization

    Trinity Health (Mason City, IA)
    …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized...insurance coverage for acute care and skilled care + Case management experience preferred Special Skills and… more
    Trinity Health (05/30/24)
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  • Utilization / Case Manager RN

    Mountains Community Hospital (Lake Arrowhead, CA)
    Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case more
    Mountains Community Hospital (03/27/24)
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  • Market Director of Case Management

    Ascension Health (Baltimore, MD)
    **Details** + **Department:** Case Management & Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint ... Agnes is seeking a dynamic and experienced Director of Case Management & Utilization ...Case Manager credentialed from the American Case Management Association (ACMA) preferred. + … more
    Ascension Health (05/24/24)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/rn- case - manager utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (06/04/24)
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  • Utilization / Case Manager

    Geisinger (Danville, PA)
    …(status) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements. Job Duties ... vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and… more
    Geisinger (05/18/24)
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