• Houston Methodist Clear Lake Hospital (Nassau Bay, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management , ... management experience preferred LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse -...local and federal programs Progressive knowledge of discharge planning, utilization management , case management more
    Appcast IO CPA (09/22/25)
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  • ERP International (Luke AFB, AZ)
    …7:00am and 5:00pm, including a one hour lunch **Core Duties:** - Participate in Utilization Management / Case Management meetings to review and identify ... - Provide patient referrals. - Interface with the MTF RN Case Manager(s) in the development and... Manager(s) in the development and implementation of the Case Management Program (CMP). - Develop local… more
    DirectEmployers Association (10/24/25)
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  • MVP Health Care (Tarrytown, NY)
    …Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months ... every interaction Your key responsibilities: Utilize the essentials of an integrated utilization management and case management model that includes… more
    Appcast IO CPA (10/15/25)
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  • ERP International (Tinker AFB, OK)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of ... community resources. - Integrate CM and utilization management (UM) and integrating nursing case ...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
    DirectEmployers Association (09/30/25)
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  • CHRISTUS Health (Lindale, TX)
    …or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These ... Description Summary: The Registered Nurse Patient Navigator Lead is...management of an integrated medical benefit program including case management and health/disease management .… more
    Talent (09/15/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in… more
    DirectEmployers Association (10/02/25)
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  • Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
    Utilization Review Registered Nurse - FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES: Immediately respond to all Bluestone Intak email, ... RN ) role as needed or when assigned by management . OTHER DUTIES: Attend scheduled staff meetings, supervision, and...Account for Health and Dependent Care JOB SUMMARY: The Utilization Review (UR) Registered Nurse more
    Appcast IO CPA (11/01/25)
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  • Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
    …13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day 5x8-Hour ... Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered...Experience: Minimum of 2 years in Case Management License: Registered Nurse License… more
    Upward (08/12/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
    DirectEmployers Association (10/02/25)
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  • Tidelands Health (Georgetown, SC)
    …and help people live better lives through better health!** **Position Summary:** The Registered Nurse Apprentice (RNA) provides age specific direct patient care ... the Nursing Process and under the supervision of the Registered Nurse . The RNA demonstrates skill in...with patients, families and co-workers. The RNA utilizes the case management process to best utilize clinical… more
    DirectEmployers Association (10/02/25)
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  • Houston Methodist Hospital (Houston, TX)
    At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... as a voice for the department. Sets direction for Case Management /Social Services which supports strategic and...that demonstrates leadership responsibility LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse -… more
    Appcast IO CPA (08/19/25)
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  • Alameda Health System (San Leandro, CA)
    …SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... Experience: Varied clinical experience or experience in case management /community health preferred. Preferred Licenses/Certification: Public Health Nurse , … more
    DirectEmployers Association (08/07/25)
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  • Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
    …Client Name Providence Little Company of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case ... Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred...planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans… more
    Upward (08/12/25)
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  • Stony Brook University (Stony Brook, NY)
    …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are ... RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN more
    DirectEmployers Association (10/23/25)
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  • 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 ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
    DirectEmployers Association (10/02/25)
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  • Somatus (Utica, NY)
    …Diabetic educator experience - ICU, Cardiology or Critical Care experience - Telephonic case management experience - Experience with discharge planning - Solid ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management more
    DirectEmployers Association (10/16/25)
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  • Stanford Health Care (Palo Alto, CA)
    …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most… more
    DirectEmployers Association (08/21/25)
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  • Stanford Health Care (Palo Alto, CA)
    …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... clinical research, research, ICU, other intensive care setting, pediatrics, case management or nurse navigation...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
    DirectEmployers Association (10/24/25)
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  • Premera Blue Cross (Mountlake Terrace, WA)
    …contractual, and legal requirements. **What you will bring** **:** **Required:** **?** + Registered Nurse - RN current state licensethat allows the ... a nationally recognized leader in the practice of integrated case management , is looking to expand our...(those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support… more
    DirectEmployers Association (10/23/25)
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  • Premera Blue Cross (Mountlake Terrace, WA)
    …Clinical Program opportunities and refers members to the appropriate healthcare program (eg case management , engagement team, and disease management ) + ... regulatory requirements, and ensures these requirements are accurately followed and Utilization Management (UM) decision determinations and timeliness standards… more
    DirectEmployers Association (10/28/25)
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