• Aveanna Healthcare (Birmingham, AL)
    $7500 Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice ... and Reimbursement PTO, Sick Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama Minimum of one (1) year… more
    Upward (08/12/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    … - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) GENERAL SUMMARY The Utilization Review/Case Management Nurse is directly responsible for review of ... arrangements and fiscal accountability as it relates to appropriate application of Utilization Management program. 7. Provides concurrent reviews of all… more
    Upward (07/31/25)
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  • Sprenger Wellspring Silver Maple (Lorain, OH)
    Nurse REPORTS TO : Nursing Supervisor BASIC PURPOSE The Home Health Registered Nurse ( RN ) is responsible for planning, coordinating and documenting ... of discharge. Utilizing physician's orders and professional skills, the RN functions as a case manager and develops and...aides and LPNs on-site per Wellspring Home Health policies. Management The Registered Nurse oversees… more
    Upward (07/31/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    …Previous surgical circulator experience preferred, but not required. 2. Current Illinois registered nurse licensure 3. BLS/CPR, PALS and ACLS certification ... Full Time Salary Range $25.00 - $45.00 Hourly Description JOB TITLE: INTRAOPERATIVE RN DEPARTMENT: SURGERY GENERAL SUMMARY The Operating Room Circulator RN is… more
    Upward (07/31/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    …Type Full Time Salary Range $28.00 - $45.00 Hourly Description GENERAL SUMMARY The RN is a professional practitioner who functions as both a caregiver and care ... manager. In the caregiver role, the RN assumes responsibility for a group of patients for...patients in all aspects of medication self-administration and all management of medication and other patient care supplies. The… more
    Upward (07/31/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    …Full Time Salary Range $30.00 - $48.00 Hourly Description GENERAL SUMMARY The staff RN is a professional practitioner who functions as both a caregiver and care ... manager. In the caregiver role, the RN assumes responsibility for a group of patients for...individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define… more
    Upward (07/31/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    …Full Time Salary Range $25.00 - $35.00 Hourly Description GENERAL SUMMARY The staff RN /LPN is a professional practitioner who functions as both a caregiver and care ... manager. In the caregiver role, the RN /LPN assumes responsibility for a group of patients for...individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define… more
    Upward (07/31/25)
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  • GIBSON AREA HOSPITAL (Gibson City, IL)
    …Position Type Full Time Salary Range $25.00 - $50.00 Hourly Description JOB TITLE: RN DEPARTMENT: OBSERVATION UNIT GENERAL SUMMARY The staff RN is a professional ... functions as both a caregiver and care manager. In the caregiver role, the RN assumes responsibility for a group of patients for a designated time frame implementing… more
    Upward (07/31/25)
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  • WORKCARE INC (Boise, ID)
    …practice, following treatment care guidelines set forth by the occupational health director . Evaluation, treatment, and case management of occupational illnesses ... We are looking for a per diem Occupational Health Nurse to support medical and safety efforts at our... is responsible for providing injury and illness case management and assisting with other occupational and environmental health… more
    Upward (07/31/25)
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  • Director , Utilization

    Alameda Health System (Oakland, CA)
    Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (08/08/25)
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  • Director Utilization

    Texas Health Resources (Arlington, TX)
    Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes...3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current… more
    Texas Health Resources (09/25/25)
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  • RN System Director

    Tufts Medicine (Burlington, MA)
    …in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case ... review and management . The position develops and leads the Utilization Management operations, strategy and implementation of the Utilization more
    Tufts Medicine (10/01/25)
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  • Director , Utilization

    Commonwealth Care Alliance (Boston, MA)
    … Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. * Ensures that utilization management processes are integrated with care management more
    Commonwealth Care Alliance (10/02/25)
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  • Director , Healthcare Services;…

    Molina Healthcare (GA)
    …and experience. * At least 3 years health care management /leadership required. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/19/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
    Commonwealth Care Alliance (10/02/25)
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  • Utilization Review Case Mgr - Galv. Campus…

    UTMB Health (Galveston, TX)
    …and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system ... school of professional nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage earning… more
    UTMB Health (09/24/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered… more
    Prime Healthcare (08/26/25)
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  • Registered Nurse

    ERP International (Barksdale AFB, LA)
    **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical ... and other health team members. Submits all concerns through Utilization Management Director ; be able...Management is required. Full time employment as a registered nurse within the last 36 months… more
    ERP International (09/17/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (10/03/25)
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  • Director of Case Management

    Select Medical (Los Angeles, CA)
    …Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/340435/ director -of-case- management -%28registered- nurse %2c- rn ... hospitalization for their recovery. We are currently seeking a ** Director of Case Management - RN...to build consensus among multiple disciplines. **Qualifications** **Qualifications** + Registered Nurse ( RN ) or Licensed… more
    Select Medical (10/08/25)
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