• Amberwell Health (Atchison, KS)
    …Locations Job Shift Day Job Category Nursing - Hospital Description The Utilization Review/ Case Manager will assure maximum coverage by third party payers for ... of a state accredited school of nursing as an RN /LPN, or RHIT or equivalent position. Experience: Experience applying...scanner, photocopier, Microsoft Office applications and email. If a nurse holds this position, it may be necessary to… more
    Upward (07/18/25)
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  • UR Medicine Home Care Inc. (Webster, NY)
    …Caseload assignment geography will vary based on patient coverage needs. The registered nurse makes the initial evaluation visit, regularly reevaluates the ... Full-Time/Part-Time Full-Time Location UR Medicine Home Care Certified Services Salary $45.00...RN . One year of experience as a clinical nurse in a hospital and one year of experience… more
    Upward (07/26/25)
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  • Tenet Health (Sunnyvale, TX)
    …an Authorization Coordinator that collaborates with Insurance verification, insurance CM, Hospital Case Manager UR /transition Planner and physicians to ... needed by payors and updates are provided by alerting Case Manager assigned to case ...failure points in revenue cycle Prepare denial information for UR Committee, Denial and Revenue Cycle Meetings Collaborate with… more
    Upward (07/20/25)
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  • Henry Ford Health System (Detroit, MI)
    …*The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
    Upward (07/21/25)
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  • FROEDTERT HEALTH (Milwaukee, WI)
    …with hospital coding is preferred. LICENSURE DESCRIPTION: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a ... participating state in the NLC ( Nurse Licensure Compact). MCG certification is required within 18...certification is required within 18 months of hire. Accredited Case Manager (ACM) or Certified Case more
    Upward (07/26/25)
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  • Select Specialty Hospital - Mckeesport (Mckeesport, PA)
    Overview Critical Illness Recovery Hospital Case Manager (PRN) Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
    Upward (07/23/25)
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  • Rush Specialty Hospital (Chicago, IL)
    Overview Rush Specialty Hospital Case Manager Hours/Shift: Per Diem (PRN) *Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
    Upward (07/20/25)
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  • Kaiser Permanente (Clackamas, OR)
    …at hire. Additional Credentials from the secondary work state(s) are required post hire. Registered Nurse License (Washington) within 6 months of hire OR Compact ... of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians...License: Registered Nurse more
    Upward (07/26/25)
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  • DHR Health (Edinburg, TX)
    …POSITION SUMMARY: Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a patient advocate to hospital clients. ... achievement of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities...school for nursing required. A valid license as a Registered Nurse with the State of Texas… more
    Upward (07/07/25)
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  • Select Specialty Hospital - Memphis East (Memphis, TN)
    Overview Critical Illness Recovery Hospital Case Manager $15,000 Sign On Bonus Requires a current licensure in a clinical discipline either as a Nurse ( RN ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist ( RN preferred)… more
    Upward (07/21/25)
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  • Stony Brook Medicine (Stony Brook, NY)
    Position Summary At Stony Brook Medicine, a Care Manager is a valuable member of our team, who provides clinical services to our patient population. Qualified ... our high standard of excellence. Duties of a Care Manager in the Care Management Department may include the...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
    Upward (07/26/25)
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  • Registered Nurse ( RN

    LifePoint Health (Hickory, NC)
    * Registered Nurse ( RN ), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound ... CMS, HCFA, AHCA). * Mentors staff on Utilization Review ( UR ) standards and Length of Stay (LOS) topics. *4....**Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager PRN*… more
    LifePoint Health (07/16/25)
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  • Registered Nurse Case

    Beth Israel Lahey Health (Exeter, NH)
    Registered Nurse Case Manager + Full...as a liaison among the patient, family members, physicians, nurse , social worker, UR nurse , insurance ... weekend per month (may change), alternating holiday rotation The Nurse Case Manager /Discharge Planner collaborates,...needs following the current phase of illness. **Requirements** + Registered Nurse - NH State or Compact… more
    Beth Israel Lahey Health (06/28/25)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    …group of employees in a clinical setting **Required Credentials** Current Washington State RN license. National certification in case management must be obtained ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director… more
    Seattle Children's (06/17/25)
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  • Workers Compensation Support Registered

    AdventHealth (Altamonte Springs, FL)
    …upon hire + Certified Case Manager (CCM) or Certified Rehabilitation Registered Nurse (CRRN) preferred. If does not possess, willing to obtain CCM within ... youll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case...is essential **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Active Registered Nurse ( RN ) license in… more
    AdventHealth (07/22/25)
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  • UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) preferred Equal Employment Opportunity This… more
    Community Health Systems (07/09/25)
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  • Hospice Registered Nurse - Full…

    Atlantic Health System (Basking Ridge, NJ)
    Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work Monday - Friday from 8 AM to 4 PM in the ... Mileage reimbursement ($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Job Qualifications/Experience: + Current NJ RN License + NJ… more
    Atlantic Health System (05/28/25)
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  • MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
    Henry Ford Health System (05/16/25)
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  • RN Acute Case Manager

    Guthrie (Sayre, PA)
    …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
    Guthrie (07/17/25)
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  • San Leandro Hospital Case Manager

    Alameda Health System (San Leandro, CA)
    San Leandro Hospital Case Manager RN , Per Diem, Days, 8hoursFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Services As Needed ... + Posted:July 22, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (05/22/25)
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