• Riverside County, CA (Moreno Valley, CA)
    …more 06 How many years of case management experience do you have working as a Registered Nurse in an acute care hospital? None Less than 6 months 6 months or ... Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization... nurse or supervisory experience working as a registered nurse in an accredited acute care… more
    Upward (07/04/25)
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  • Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... Direct management and development of the case management team ( RN and licensed staff). Create...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge… more
    Upward (07/13/25)
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  • Central Health (Austin, TX)
    …the supervision of Director of Utilization or designee - the Utilization Management RN is responsible for assessing the medical appropriateness for ... services and monitoring patient progress for concurrent reviews. The Utilization Management RN will work...or case management - Required Licenses and Certifications: Registered Nurse License in the State of… more
    Upward (07/17/25)
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  • St. Luke's University Health Network (Quakertown, PA)
    …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . Facilitates communication among all ... patient populations across the continuum of care. Also works with the providers, registered nurse care managers, and multi-disciplinary care teams to facilitate… more
    Upward (07/27/25)
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  • BoulderCentre for Orthopedics and Spine (Broomfield, CO)
    …Education/Certification requirements Degree in Nursing: Bachelors Preferred Current Colorado Registered Nurse license BCLS & ACLS certification required. ... Overview: Join our orthopedics practice as an Operating Room RN , where you'll play a vital role in providing...orthopedics to specialized areas like sports medicine and pain management , our services cover a wide range. Department: OR… more
    Upward (07/17/25)
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  • Saint Francis Health System (New Haven, CT)
    …packages Beautiful unit, state of the art medical equipment Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
    Upward (07/18/25)
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  • MedStar Health (Clinton, MD)
    …experience required Leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... Director of Nursing and Patient Care Services, unit-based associates, Medical Director , providers, other nurse leaders, and personnel from other departments… more
    Upward (07/05/25)
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  • Compu-Vision Consulting, Inc. (Lawrenceville, GA)
    …groups, communities, and populations." Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent ... collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a...descriptions for Staff RN I to Staff RN VI therefore imply that a nurse more
    Upward (07/18/25)
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  • Select Specialty Hospital - Hampton Roads (Newport News, VA)
    …Recovery Hospital Director of Case Management Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... doing well by doing what is right. As the Director of Case Management , you will...on resource management . Demonstrating compliance with facility-wide Utilization Management policies and procedures. Coordinating UR… more
    Upward (07/25/25)
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  • Prisma Health (Columbia, SC)
    …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... registered nurse experience, will accept successful completion...nurse . Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State… more
    Upward (07/27/25)
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  • Offshore Staffing, Inc. (Houston, TX)
    …of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning. The Director is responsible for developing systems ... financial and quality data related to utilization management , quality improvement and performance improvement. The Director...Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas… more
    Upward (07/02/25)
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  • Cleveland Clinic Rehabilitation Hospital - Fairhill (Cleveland, OH)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Hospital Name: Cleveland Clinic Rehabilitation Hospital - Fairhill Position: Director of Case Management Location: Cleveland, OH...current licensure in a clinical discipline, either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)… more
    Upward (07/23/25)
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  • Odell Medical Search (Los Angeles, CA)
    …LAX 26m by car and Downtown 40m by car Required qualifications: 1. MUST BE A REGISTERED NURSE 2. Grandfathered prior to April 1, 2015. Minimum 5 years' post ... Role you will play: The Director of Case Management is responsible...and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and… more
    Upward (07/09/25)
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  • Pennsylvania Medicine (Philadelphia, PA)
    …Directives as example. Ensures compliance with all JCAHO regulations. Credentials: BSN (Required) Registered Nurse - PA (Required) 5yrs prior experience as a ... obtain pre-certification and assure reimbursement. Identify potential quality and utilization concerns and refer to the Director ...Nurse Case Manager with knowledge of utilization more
    Upward (07/17/25)
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  • Ann & Robert H. Lurie Children's Hospital of Chicago (Chicago, IL)
    …Min Quals: *Bachelor's degree required. *Master's degree in a related field preferred. * Registered RN licensed in the state of Illinois. *Minimum 2 years ... and works in close collaboration with their respective unit Director . The responsibilities of the CQC RN ...will consider visa sponsorship of qualified candidates for the registered nurse role, subject to all applicable… more
    Upward (07/18/25)
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  • AHMC Healthcare (San Gabriel, CA)
    management experience Excellent written and verbal communication skills. Current CA RN License Current AHA BCLS Certification Case Management Certification ... for the overall administration and direction of the Case Management /Social Services Department, including planning, organizing, controlling, and directing all… more
    Upward (07/15/25)
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  • LHC Group, Inc. (Cincinnati, OH)
    …university program or school of nursing. LA: One year of clinical experience as a registered nurse . KY, NY, OH, TN, WI: : No additional requirements. Education & ... Job Description We are now hiring an RN Supervisor Home Care with home care experience...to correct adverse findings and communicates trending to clinical director . Reviews, evaluates, and supervises service delivery to ensure… more
    Upward (07/29/25)
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  • Singing River Health System (Ocean Springs, MS)
    …of de-escalation training. Experience: 3-5 years' Registered Nurse ( RN ) experience in surgical nursing, Utilization Review, Ambulatory or Acute Care ... Utilization Review Surgery Nurse - RN Ocean Springs Hospital...that has relevance to the practice of Case Management preferred. Reports to: Director - Patient Resource… more
    Upward (07/14/25)
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  • Prisma Health (Sumter, SC)
    …in Nursing preferred. Experience - Two (2) years of experience as a registered nurse . In Lieu Of NA Required Certifications, Registrations, Licenses Licensed ... organizational, departmental and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate...to practice as a Registered Nurse in South Carolina Knowledge, Skills… more
    Upward (07/01/25)
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  • FlexStaff (New Hyde Park, NY)
    …active and unrestricted license and registration in New York State as a Registered Nurse required. *Additional Salary Detail The salary range and/or hourly ... Job Description FlexStaff is seeking a Nursing Supervisor/Care Delivery Manager ( RN ) for our client, a non-profit healthcare organization providing home and… more
    Upward (07/21/25)
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