• Baton Rouge General (Baton Rouge, LA)
    …in the state. Check out our employee perks here! What You Will Do: As Manager of Utilization Review, you'll be responsible for overseeing the daily operations of ... that shapes the future of patient care through resourceful and compassionate utilization review? What We're Looking For: Strong leadership and advocacy abilities… more
    Upward (07/10/25)
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  • Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review, case management. Strong working knowledge of hospital billing, managed… more
    Upward (07/13/25)
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  • Kaiser Permanente (Panorama City, CA)
    …graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all… more
    Upward (07/29/25)
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  • Ascension (Baltimore, MD)
    …or job transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date ... transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required.… more
    Upward (07/18/25)
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  • Kaiser Permanente (Aurora, CO)
    …required. License, Certification, Registration Licensed Social Worker (Colorado) OR Registered Nurse License (Colorado) Additional Requirements: Thorough ... - $73.93/hour Job Summary: Manages the day to day utilization management function of a team or teams of...procedures for adherence to governmental and accredited agency standards. Manager provides assistance and feedback to UR staff on… more
    Upward (07/13/25)
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  • MedPro Healthcare Staffing (Downey, CA)
    …Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment ... Nurse , Agency Nurse , Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review, Case Manager RN *Weekly payment estimates… more
    Upward (07/29/25)
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  • Fitchburg Healthcare (Fitchburg, MA)
    RN Nursing supervisor, Unit manager , DON and/or ADON the registered nurse delivers efficient and effective nursing care while achieving positive clinical ... outcomes and patient family satisfaction. The RN operates within the scope of practice defined by...within the scope of practice defined by the state nurse practice act. Delegates aspects of patient care to… more
    Upward (07/28/25)
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  • Northwell Health (New York, NY)
    …degree in Nursing, required. Master's Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State. Minimum of five (5) ... the entire continuum of health care delivery. Performs resource management, utilization management, discharge planning, care facilitation, referral to all levels of… more
    Upward (07/27/25)
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  • NeuroCare Home Health (Grand Rapids, MI)
    REGISTERED NURSE ( RN ) Conducts/delegates the assessment and reassessment of patient, including updating of care plan and interpreting patient needs, while ... Experience/Skills: Graduate of an accredited School of Nursing Current state license as a Registered Nurse Proof of current CPR Valid driver's license Job Type:… more
    Upward (07/21/25)
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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 to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in...a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the… more
    Upward (07/17/25)
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  • Mayo Clinic (Rochester, MN)
    …rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization ...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
    Upward (07/17/25)
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  • BRISTOL HOSPITAL GROUP (Bristol, CT)
    …Licensure or Certification Requirements: Current State of Connecticut licensure as a Registered Nurse . Certification from a professional nursing body preferred. ... delegation, accountability, ownership, etc.) and STEP behaviors as charge RN or through another outlet as agreed upon with... or through another outlet as agreed upon with manager . Analyzes the work to be done and plans… more
    Upward (07/27/25)
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  • CVS Health (Newark, NJ)
    Case Manager Opportunity At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate ... Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage, and policies.… more
    Upward (07/18/25)
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  • St. Luke's University Health Network (Quakertown, PA)
    …patient populations across the continuum of care. Also works with the providers, registered nurse care managers, and multi-disciplinary care teams to facilitate ... team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director.… more
    Upward (07/27/25)
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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...hire and/or transfer. Prefer ACM or CCM (Certified Case Manager ), Certification in Utilization Review, Certified Professional… more
    Upward (07/14/25)
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  • HCA Healthcare (Arlington, TX)
    …our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. Benefits Medical ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting… more
    Upward (07/20/25)
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  • Sentara Healthcare (Virginia Beach, VA)
    …Search: JR-81890 Talroo - Nursing Care Coordination, Case Management, RN , Case Manager , Registered Nurse , BSN, ADN, Nursing, Hampton, Newport News, ... (Days) Overview: Sentara Health Plans is hiring an Integrated Nurse Case Manager / RN for Severe...solving with provider, claims or service issues. Required qualifications: Registered Nurse ( RN ) License (Compact… more
    Upward (07/27/25)
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  • Geisinger Health (Danville, PA)
    …and License(s): Basic Life Support Certification - Default Issuing Body, Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Skills: OUR PURPOSE ... Status: No Job Summary: Geisinger is proud to offer a full time Inpatient RN up to $24,000 hiring incentive for eligible candidates! $40.00 minimum hiring rate with… more
    Upward (07/29/25)
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  • Rock County, WI (Janesville, WI)
    …shift differential New Hire Bonus of $2,000 distributed over the course of 1st year. A registered nurse ( RN ) is a professional nurse who is responsible ... of care. Reports significant resident health concerns to the nurse manager and the physician. Assures continuity...work as assigned. Job Requirements, Education, Training & Experience Registered Nurse with current Wisconsin Licensure in… more
    Upward (07/21/25)
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  • South Shore Health (Weymouth, MA)
    …desirable Required Licenses / Registrations RN - Registered Nurse Required Certifications ACM-Accredited Case Manager or CCM-Certified Case Manager ... Acts as a clinical resource to support the Case Manager Specialist in resource utilization and discharge...American Heart Association (AHA) (Including courses offered through SSH), RN - Registered Nurse - Board of… more
    Upward (07/25/25)
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