• American Traveler (Washington, DC)
    …Traveler is seeking an experienced RN Case Manager with a DC license and case management or utilization management background for a day shift ... consideration, *Minimum 2 years of recent case management experience required (will consider utilization ...case management experience required (will consider utilization management experience), *BLS certification required; CCM… more
    Upward (07/21/25)
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  • Medical Solutions (Omaha, NE)
    …in Santa Ana, CA is seeking its next amazing RN (Registered Nurse) to work in Case Management ( Utilization Review). Read on if this sounds like your perfect ... you where you want to go - personally and professionally. Wherever you may roam, travel healthcare helps you hone your skills and build an amazing resume. When you… more
    Upward (07/21/25)
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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 08:00 to 16:30, five 8-hour shifts weekly, *A 20-week contract is… more
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  • Merck & Co. (North Wales, PA)
    …characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and ... value evidence strategies for in-line and pipeline products. Obtains senior management approval of evidence generation plans. Provides outcomes research leadership… more
    HireLifeScience (07/23/25)
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  • Merck & Co. (Rahway, NJ)
    …characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and ... partners, designs studies, authors study protocols, develops measurement questionnaires, case report forms, data analysis plans, final study reports, scientific… more
    HireLifeScience (07/23/25)
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  • MedPro Healthcare Staffing (Silver Spring, MD)
    …Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management , Utilization Review, Case Manager RN *Weekly payment ... a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel...up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate… more
    Upward (07/18/25)
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  • Merck & Co. (North Wales, PA)
    …characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, clinical ... partners, designs studies; authors study protocols; and develops measurement questionnaires, case report forms, data analysis plans, final study reports, scientific… more
    HireLifeScience (07/19/25)
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  • Kaiser Permanente (Ontario, CA)
    …and specialized principles, practices, techniques and methods of Utilization review/ management , discharge planning or case management . Working knowledge ... liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred. Refers patients...Hospital - Utilization Management - 0801 Pay Range: $60.79 - $74.4 / hour Travel :… more
    Upward (07/14/25)
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  • PAM Health Specialty Hospital of Tulsa (Tulsa, OK)
    Overview Are you an experienced Director of Case Management (RN) seeking a rewarding career that aligns with your lifestyle? Look no further than PAM Health, ... employer match Generous Paid Benefit Time Responsibilities Coordination of the hospital-wide case management program. Oversee review of patient's medical record… more
    Upward (07/05/25)
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  • CVS Health (Elizabeth, NJ)
    …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... the State training modules, and field mentoring component Preferred Qualifications Case management and/or discharge planning experience Managed Care experience… more
    Upward (07/14/25)
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  • Kaiser Permanente (Arlington, VA)
    …effective, efficient, and timely manner. Ensures consistent and reliable documentation of case management activities in compliance with all organization and ... outcomes to identify improvements in program, quality, and cost effectiveness of case management activities. Facilitates application process for accessing local,… more
    Upward (07/16/25)
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  • TriWest Healthcare (Phoenix, AZ)
    …members are encouraged to apply! Job Summary This leader will report to the Manager of Case Management Special Programs under the overall Case Management ... and Autism Care Demonstration (ACD). Supervises daily operations of case management special programs services and staff.... Management , ECHO, Autism Care Demonstration, Referral Management , and Utilization Management principles;… more
    Upward (07/01/25)
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  • UCAN (Chicago, IL)
    …faxing, scanning and direct mail Complete filing for the legal case management team Assist with prepping for LifeSet, Utilization reviews, and COA Keep ... are looking for a passionate and dedicated YV Lifeset Case Specialist to join our team at UCAN. Come...distance if necessary. Work Environment: This position required local travel to provide services to youth at the TLP… more
    Upward (07/11/25)
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  • Kaiser Permanente (Olympia, WA)
    …team members. Preferred Qualifications: Minimum two (2) years of RN experience in utilization review, ambulatory case management , care coordination or ... service and care delivery to patients. Essential Responsibilities: Ensures patients referred to case management meet established case management more
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  • CVS Health (Fairfield, NJ)
    …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... the NJ Choice certification is a contingency of employment. Preferred Qualifications Case management and/or discharge planning experience preferred. Home Care… more
    Upward (07/24/25)
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  • NavitsPartners (Hyannis, MA)
    Job Title: Travel Registered Nurse (RN) - Case Management Location: Hyannis, MA Department: Case Management Shift: 8:00 AM - 4:30 PM | 40 hours/week ... an experienced and detail-oriented Travel RN - Case Manager to support care coordination and utilization...Nursing (BSN) preferred (required for external applicants) Certification in Case Management , CPUM, or a specialty clinical… more
    Upward (07/18/25)
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  • Kaiser Permanente (Decatur, 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
    Upward (07/16/25)
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  • HCA Healthcare (Dallas, TX)
    …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical City ... supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: Performs...Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and… more
    Upward (07/17/25)
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  • MedStar Family Choice (Washington, DC)
    …13 Weeks Shift: Day Hours per Shift: 8 Hours (08:00 - 16:30) Experience: 2 Years in Case Management or Utilization Management License: Must have a DC ... Details Client Name MedStar Family Choice Job Type Travel Offering Nursing Profession RN Specialty Case...must have at least two years of experience in Case Management or Utilization more
    Upward (07/15/25)
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  • Corvel (Folsom, CA)
    …workers within a defined jurisdiction. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic ... our team, and others. This is a heavy local travel role responsible for working with a caseload of...of operation. Certification as a CCM, CIRS, or other Case Management certifications are preferred. A valid… more
    Upward (07/13/25)
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