• Telephonic Nurse Case Manager

    Humana (Salt Lake City, UT)
    **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... clinical outcomes and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect and document data to facilitate measurement… more
    Humana (11/06/25)
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  • Registered Nurse Case Manager

    Intermountain Health (South Jordan, UT)
    **Job Description:** The RN Home Services Case Manager utilizes clinical expertise and critical thinking skills to direct resource utilization to develop and ... to functional independence and improve quality of life. The RN Home Services Case Manager is the primary caregiver upon admission, recertification, and discharge… more
    Intermountain Health (11/14/25)
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  • Nurse Case Manager

    Intermountain Health (Sandy, UT)
    **Job Description:** The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for ... plans with shared goals and tailored interventions. The Care Manager collaborates seamlessly with patients, families/caregivers, healthcare providers, payers,… more
    Intermountain Health (10/31/25)
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  • Case Management Assistant

    University of Utah Health (Salt Lake City, UT)
    …companies, transportation agencies and others as indicated. + Collaborates with social worker/ nurse case manager and others to confirm authorization ... patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities,… more
    University of Utah Health (11/17/25)
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  • RN Case Manager

    HCA Healthcare (Salt Lake City, UT)
    …purpose and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with St. Mark's Hospital. **Benefits** St. Mark's Hospital ... by location._** Come join our team as a(an) RN Case Manager . We care for our community!...patient service. **What qualifications you will need:** + Registered Nurse + Associate degree in nursing. BSN preferred. +… more
    HCA Healthcare (10/13/25)
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  • RN Case Manager PRN

    HCA Healthcare (Bountiful, UT)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion for...Nurse + BSN preferred + 2+ years hospital case management or 3+ years of clinical nursing experience… more
    HCA Healthcare (11/11/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Salt Lake City, UT)
    …(CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager , clinical documentation ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
    Deloitte (11/08/25)
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  • RN Case Manager

    University of Utah Health (Salt Lake City, UT)
    …and families. + Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients ... to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and...following** + **Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
    University of Utah Health (09/26/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Salt Lake City, UT)
    …part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation ... rendered is complete, compliant and accurate to support optimal reimbursement. The Manager , Nurse Audit/Review works within specific guidelines and procedures;… more
    Humana (11/04/25)
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  • Care Manager , Registered Nurse

    Sharecare (Salt Lake City, UT)
    …and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in ... an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members,… more
    Sharecare (10/08/25)
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  • Disease Management Nurse - Remote

    Sharecare (Salt Lake City, UT)
    …according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare ... more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and...during the training period will be evaluated on a case by case basis and must be… more
    Sharecare (10/22/25)
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  • Registered Nurse - RN - Dialysis

    Fresenius Medical Center (West Jordan, UT)
    …with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND ... SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry...the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection and analysis of… more
    Fresenius Medical Center (09/26/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
    University of Utah Health (10/02/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Layton, UT)
    …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
    Molina Healthcare (11/13/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Layton, UT)
    …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
    Molina Healthcare (11/14/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Salt Lake City, UT)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (11/06/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Layton, UT)
    …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... experience, or equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
    Molina Healthcare (09/06/25)
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  • Registered Nurse Organ Transplant…

    Intermountain Health (Murray, UT)
    …placement in collaboration with transplant physicians. + Facilitates patient care as case manager for transplant patients and living donors pre-operatively, ... Transplant Coordinators (CCTC). + Three years acute care or charge nurse experience. + Two years organ transplant coordination experience. **Physical Requirements:**… more
    Intermountain Health (11/15/25)
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  • Account Manager - TEPEZZA - Salt Lake City,…

    Amgen (Salt Lake City, UT)
    …ability to travel (drive and/or fly) frequently within territory is required. **Account Manager ** **Live** **What you will do** Let's do this. Let's change the ... and product information to support optimal patient care. As an Account Manager , you will drive product utilization while identifying and addressing the unique… more
    Amgen (11/08/25)
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  • Care Manager , LTSS

    Molina Healthcare (Layton, UT)
    …may be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or ... setting, or equivalent combination of relevant education and experience. *Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure… more
    Molina Healthcare (11/15/25)
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