• 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 ... Responsibilities Direct management and development of the case management team ( RN and...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong… more
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  • Riverside County, CA (Moreno Valley, CA)
    …of Riverside - Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR ... in an accredited acute care hospital. Professional experience in case management and utilization review...management experience do you have working as a Registered Nurse in an acute care hospital?… more
    Upward (07/04/25)
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  • American Traveler (Boston, MA)
    American Traveler is seeking an experienced RN Case Manager with acute case management experience and an active MA RN license. Job Details *Position ... is based in a hospital setting within the case management department, *Day shift schedule from...candidates, *Uses Epic charting for documentation, Job Requirements *Active RN license in Massachusetts required at time of consideration… more
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  • Assurance Healthcare Staffing (Houston, TX)
    case management program consist of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning. The ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...Experience/ Knowledge/ Skills: Minimum five (5) years experience in utilization management , case management more
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  • Offshore Staffing, Inc. (Houston, TX)
    case management program consist of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning. The ... Job Description The Director of Case Management is responsible and accountable...Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas… more
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  • University of Utah Health (Salt Lake City, UT)
    …Responsibilities Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent...a related field. One year of experience in a utilization review or case management more
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  • Loma Linda University Health (Murrieta, CA)
    case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies ... care experience required. Minimum of two years of Hospital Case Management or Utilization ...documents necessary to position. Licensures and Certifications: Active California Registered Nurse ( RN ) license required.… more
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  • Tenet Healthcare Corporation (Detroit, MI)
    …in an acute care setting. 5. License to practice as a Registered Nurse in the State of Michigan. 6. Case Management certification strongly preferred. ... 2.Three to five years clinical nursing experience. 3.Two years experience in utilization management , case management or discharge planning in an… more
    Upward (06/29/25)
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  • Compunnel (Burbank, CA)
    Primary Focus: To provide patient-centered care through utilization management , case management , and discharge planning for patients in acute care, ... utilization review processes to optimize care efficiency. Expertise in case management strategies, including resource allocation and patient advocacy.… more
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  • Kaiser Permanente (Panorama City, CA)
    …Two (2) years combined RN experience in an acute care setting or case management required. Education Completion of an accredited RN training program ... graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements:… more
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  • MedPro Healthcare Staffing (Downey, CA)
    …401(k) matching Unlimited Referral Bonuses up to $1,000 Duties Responsibilities The role of the case management nurse ( RN ) is to coordinate continuity of ... agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a...Case Manager, Case Management , Utilization Review, Case Manager RN more
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  • Aptive (Denver, CO)
    Job Summary Job Title: Registered Nurse ( RN ) - Community Care & Referral Coordination Location: Office of Community Care (OCC), 4100 E. Mississippi Ave, ... leave. Position Overview: We are seeking dedicated and experienced Registered Nurses (RNs) to provide professional nursing services to...by the VA. Preferred Skills: Experience in care coordination, case management , or utilization review.… more
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  • UnitedHealth Group (Eden Prairie, MN)
    …healthcare delivery and/or operations 1+ years of experience with AI-enabled product development Case Management or Utilization Management experience on ... on a global scale. Join us to start Caring. Connecting. Growing together. Utilization Management plays a critical role in driving value and appropriate… more
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  • Kaiser Permanente (Atlanta, GA)
    …experience in an acute care setting. Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred. Bachelors ... patient and families to develop discharge planning, identification of patients for ambulatory case management , communication with case managers, home care… more
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  • Valley Health System (Paramus, NJ)
    …and utilization of resources. EDUCATION: Bachelor's degree required. ANCC case management certification preferred. EXPERIENCE: Minimum five years experience ... in utilization review management and/or case management preferred....management preferred. Minimum 5 years experience as a registered nurse required. SPECIAL SKILLS: Registered more
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  • Universal Healthcare Resources (Los Angeles, CA)
    …in an acute care setting. Job Details: Job Title Registered Nurse ( RN ) - Care Coordinator ( Case Management ) Location: Los Angeles, CA Unit Type: ... Job Overview: Seeking an experienced Registered Nurse ( RN ) Care...Care Coordinator/ for a 13-week contract assignment in the Case Management / Utilization Review department. This… more
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  • University of Southern California (Los Angeles, CA)
    …of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management ... multi-task. Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review...within the last three years preferred. Required Licenses/Certifications: Req Registered Nurse - RN (CA… more
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  • Valley Health (Winchester, VA)
    …facilitating interdisciplinary care across the continuum for the ED. The RN Case Manager responsible for the management of admission flow efficiency through ... experience in an acute care setting is preferred Prior Case Management or Utilization ...strongly is preferred Certification & Licensure Licensed as a Registered Nurse in the State of Virginia… more
    Upward (07/19/25)
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  • Mayo Clinic (Rochester, MN)
    …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within ... workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization ...experience at Mayo Clinic is required. One year of RN Case Management experience or… more
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  • NavitsPartners (Boston, MA)
    Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday ... seeking an experienced Registered Nurse ( RN ) specializing in Case Management ...management role Demonstrated experience in discharge planning and utilization review within the past 4 years Working knowledge… more
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