• Geisinger (Wilkes-Barre, PA)
    …regarding the utilization of evidence based practice. Provides input to the manager for performance appraisals of care delivery team members. Precepts and ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - Licensed more
    Talent (11/16/25)
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  • Geisinger (Wilkes-Barre, PA)
    …regarding the utilization of evidence based practice. Provides input to the manager for performance appraisals of care delivery team members. Precepts and ... Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes...needs of patient and family throughout the continuum of care . Reinforces patient and family education, family needs and… more
    Talent (11/16/25)
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  • Geisinger (Scranton, PA)
    …regarding the utilization of evidence based practice. Provides input to the manager for performance appraisals of care delivery team members. Precepts and ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)...to the assessment, planning, implementation, and evaluation of patient care . Promotes adaptive responses of patient/family to achieve the… more
    Talent (11/16/25)
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  • RN Utilization Manager - Care

    UNC Health Care (Smithfield, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
    UNC Health Care (11/15/25)
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  • RN Utilization Manager - UNC Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
    UNC Health Care (11/08/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely response to… more
    Beth Israel Lahey Health (10/30/25)
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  • Manager Utilization Management

    Intermountain Health (Las Vegas, NV)
    …of staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery. The Manager Care Management I reports to the ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Care Management I leads and collaborates with care management operations across utilization review, acute… more
    Intermountain Health (11/08/25)
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  • Utilization Case Manager - Inpatient…

    Helio Health Inc. (Syracuse, NY)
    …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for...also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case/ Care more
    Helio Health Inc. (10/30/25)
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  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …nursing + required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing… more
    Children's Mercy Kansas City (09/16/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case- manager utilization more
    Prime Healthcare (10/16/25)
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  • RN or LPN - Utilization Manager

    Northeast Alabama Regional Medical Center (Anniston, AL)
    …of the Case Management Coordinator, coordinates, negotiates, procures and manages the care of patients to facilitate achievement of positive clinical and financial ... providers internal and external to the organization to coordinate continuing care as appropriate. Participates in performance improvement initiatives related to the… more
    Northeast Alabama Regional Medical Center (11/15/25)
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  • Utilization Review Specialist Nurse (RN)…

    Houston Methodist (Houston, TX)
    …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as...hospital. Provides education to physicians, nurses, and other health care providers on utilization management topics. +… more
    Houston Methodist (11/02/25)
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  • Licensed Social Worker- Care

    Community Health Systems (Longview, TX)
    …Assistance_ + _Competitive salary and comprehensive benefits package._ **Job Summary** The Care Manager - LSW is responsible for coordinating and overseeing ... _Licensed Social Worker- Care Manager_ _Position Type: Full Time Days_ _Benefits:_...assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams… more
    Community Health Systems (11/05/25)
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  • Healthcare Utilization Analyst…

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: Under the direction of the Utilization team manager to provide administrative, operational, and organizational support for the Utilization ... + Authorizations or interactions are completed and documented in the HAP care management software per regulatory guidelines. + Provides administrative support to… more
    Henry Ford Health System (11/06/25)
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  • Licensed Professional Mental Health…

    Veterans Affairs, Veterans Health Administration (Dayton, OH)
    …credentials as a condition of employment in the occupation. Grade Determinations: Licensed Professional Mental Health Counselor - Program Manager , GS-13 ... Former EDRP participants ineligible to apply. Responsibilities The Associate Program Manager of the Mental Health Clinic coordinates and manages the administrative… more
    Veterans Affairs, Veterans Health Administration (11/16/25)
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  • Licensed Social Worker Case Manager

    Select Medical (San Diego, CA)
    **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** **Case Manager (PRN)** Licensed Social Workers Only **Pay: $52/hr** ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and...via focus on resource management within the plan of care . + Demonstrates compliance with facility-wide Utilization more
    Select Medical (10/21/25)
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  • Licensed Professional Mental Health…

    Veterans Affairs, Veterans Health Administration (Dayton, OH)
    …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Licensed Professional Mental Health Counselor (LPMHC) Program Manager is ... credentials as a condition of employment in the occupation. Grade Determinations: Licensed Professional Mental Health Counselor - Program Manager , GS-13… more
    Veterans Affairs, Veterans Health Administration (11/15/25)
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  • Licensed Store General Manager

    Pearle Vision (Columbus, OH)
    GENERAL FUNCTION: The major responsibility of the Store Manager is to drive profitable sales growth through the delivery of outstanding patient experience. Lead team ... in a positive and productive environment, modeling exemplary patient care . Develop and maintain outstanding associate and doctor satisfaction and retention. MAJOR… more
    Pearle Vision (08/29/25)
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  • Case Manager - Transitional Care

    Stanford Health Care (Palo Alto, CA)
    …Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care and ... Manager differs from other roles in professional nursing/health care practice in that it is not intended to...collaboration with other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review --… more
    Stanford Health Care (10/25/25)
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  • Licensed Practical Nurse, Outpatient…

    WellSpan Health (Chambersburg, PA)
    …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
    WellSpan Health (10/15/25)
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