• Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199249/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… more
    Prime Healthcare (03/08/25)
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  • Manager , Utilization

    CoreCivic (Brentwood, TN)
    …_This position will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management / Case Management provides ... better the public good. CoreCivic is currently seeking a ** Manager , Health Services Audits** located at our corporate office...Utilization Review and Case Management functions for the organization under the direction of… more
    CoreCivic (04/29/25)
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  • Case Manager - PVH…

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/ case - manager pvh- 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 (04/25/25)
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  • RN Registered Nurse Case Manager

    Trinity Health (Chelsea, MI)
    …Part time **Shift:** Day Shift **Description:** **Registered Nurse Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
    Trinity Health (03/27/25)
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  • PRN Clin Resource Coordinator WEEKDAYS

    Penn Medicine (Philadelphia, PA)
    …thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, ... you will miss patient contact? If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. + Responsibilities: Utilization management more
    Penn Medicine (04/26/25)
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  • RN Behavioral Health Case Manager

    HCA Healthcare (Salem, VA)
    …command. . In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers . You will act ... make a real impact. As a(an) RN Behavioral Health Case Manager you can be a part...a member of this team, you will develop a case management plan of care for new… more
    HCA Healthcare (04/20/25)
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  • RN Case Manager

    HCA Healthcare (Salem, VA)
    …command. . In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers . You will act ... about delivering patient-centered care?** Submit your application for RN Case Manager position and spend more time...deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your… more
    HCA Healthcare (04/25/25)
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  • Case Manager - RN ED

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** * Case Manager - RN ED* **Location:** *NC-Wilson* **Requisition ID:** *7462-9340* more
    LifePoint Health (04/25/25)
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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 (02/06/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Pontiac, MI)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (04/29/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Morgantown, WV)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (04/29/25)
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  • Director - Care Coordination

    Dartmouth Health (Lebanon, NH)
    …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... to seven years of leadership experience in care coordination, case management , or utilization review,...Manager (CCM) OR Certified Accredited Case Manager (ACM) OR Case Management more
    Dartmouth Health (03/19/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …not just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and ... 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 (04/16/25)
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  • RN Case Manager

    Trinity Health (Hartford, CT)
    …Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager ; Registered Nurse; RN; BSN; Connecticut; utilization management ** **Our ... Shift **Description:** **Position Purpose** At **Saint Francis Hospital** our **RN Case Manager ** are responsible for coordinating patient care, assessing… more
    Trinity Health (04/24/25)
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  • Case Manager (RN) - PRN…

    Houston Methodist (The Woodlands, TX)
    …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... At Houston Methodist, the Case Manager PRN (CM) position is...a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population… more
    Houston Methodist (02/08/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-5031 more
    Helio Health Inc. (04/02/25)
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  • Utilization Review Case

    Trinity Health (Mason City, IA)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case ... directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to inform… more
    Trinity Health (04/19/25)
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  • Utilization Mgmt Case Manager

    LifePoint Health (Gallatin, TN)
    … or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** *Tennessee-Gallatin* ... Monitors adherence to the hospital's utilization review plan to ensure appropriate use of...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree… more
    LifePoint Health (04/28/25)
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  • Utilization Review Case

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
    Dallas Behavioral Healthcare Hospital (03/14/25)
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  • Utilization Review Case

    Trinity Health (Lavonia, GA)
    **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity… more
    Trinity Health (03/08/25)
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