• Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas ... review, and transitions to prevent readmissions. Liaise with medical staff, utilization review, social services, payors, and community providers. Track and report… more
    Upward (07/13/25)
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  • Geisinger (Wilkes Barre, PA)
    Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
    Upward (07/24/25)
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  • Geisinger (Wilkes Barre, PA)
    Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
    Upward (07/24/25)
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  • Geisinger (Scranton, PA)
    Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
    Upward (07/24/25)
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  • Turn Key Health (Tulsa, OK)
    …experience and location Bi-weekly direct deposit Employee Referral Program Job Title: Registered Nurse (RN) - Utilization Manager Job Type: Full-Time ... skilled Registered Nurse (RN) to join our team as a Utilization Manager . In this role, you will provide high-quality, patient-centered care by utilizing… more
    Upward (07/07/25)
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  • Kaiser Permanente (Panorama City, CA)
    …the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all ... outside services for patients/families. Conducts daily clinical reviews for utilization /quality management activities based on guidelines/standards for patients in a… more
    Upward (07/29/25)
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  • Geisinger (Danville, PA)
    Job Title: LPN - Licensed Practical Nurse Surgical Technologist - Level 1 Trauma Operating Room Location: Danville, Pennsylvania Job Category: LPN - Licensed ... Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
    Upward (07/10/25)
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  • Reef Systems (Charleston, SC)
    …and Professional Staff (ProStaff) meetings. *Identify and notify the Government MTF case manager , Utilization Management (UM) nurse or Primary Care ... Licensed Practical Nurse (LPN) - JB Charleston, SC Reef Systems...Systems has an immediate need for a Licensed Practical Nurse (LPN) to support the Air Force medical Service… more
    Upward (07/26/25)
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  • Kaiser Permanente (Aurora, CO)
    Nurse License (Colorado) Additional Requirements: Thorough knowledge of utilization management and clinical practice. Familiarity with Medicare and Medicaid ... - $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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  • Riverside County, CA (Moreno Valley, CA)
    …Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in Moreno ... The department is looking for only option 1 (Case Manager ) experience at this time. OPTION I Education: Graduation...in nursing is preferred. Experience: Three years of charge nurse or supervisory experience working as a registered … more
    Upward (07/04/25)
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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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  • Singing River Health System (Ocean Springs, MS)
    Utilization Review Surgery Nurse - RN Ocean Springs Hospital | Full-Time | Monday-Friday rotating weekends/Holidays | 3109 Bienville Blvd Ocean Springs, ... certification upon hire and/or transfer. Prefer ACM or CCM (Certified Case Manager ), Certification in Utilization Review, Certified Professional in Healthcare… more
    Upward (07/14/25)
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  • Ascension (Baltimore, MD)
    …date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Education: ... date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Education:… more
    Upward (07/18/25)
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  • Kaiser Permanente (Halethorpe, MD)
    …needs in assigned clinical areas to ensure appropriate assignment and utilization ; monitoring the use and maintenance of equipment, supplies and medications; ... resources in clinical areas to ensure appropriate assignment and utilization ; managing multidisciplinary ambulatory team(s); implementing emergency preparedness programs… more
    Upward (07/27/25)
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  • HCA Healthcare (Sanford, FL)
    Introduction Are you ready to manage in a new era as a Nurse Manager FSED Mt Dora where building a healthier tomorrow is more than a job? Our HCA Florida Lake ... all US hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Nurse Manager FSED Mt Dora where your passion for leading and creativity are… more
    Upward (07/26/25)
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  • St. Luke's University Health Network (Quakertown, PA)
    …of a patient's ability to pay for health care. The Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... across the continuum of care. Also works with the providers, registered nurse care managers, and multi-disciplinary care teams to facilitate the achievement of… more
    Upward (07/27/25)
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  • Northwell Health (New York, NY)
    …the entire continuum of health care delivery. Performs resource management, utilization management, discharge planning, care facilitation, referral to all levels of ... * Participates in data collection and analysis by completing case manager 's worksheet and inputting variances into a Microsoft Access Database.Completes variance… more
    Upward (07/27/25)
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  • Fitchburg Healthcare (Fitchburg, MA)
    …Summary: Under the direction and supervision of the RN Nursing supervisor, Unit manager , DON and/or ADON the registered nurse delivers efficient and effective ... satisfaction. The RN operates within the scope of practice defined by the state nurse practice act. Delegates aspects of patient care to LPN's and CNA's consistent… more
    Upward (07/28/25)
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  • University of Southern California (Los Angeles, CA)
    The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. ... experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe patient… more
    Upward (07/25/25)
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  • University of Southern California (Pasadena, CA)
    The Assistant Nurse Manager , in collaboration with and under the direction of the Department Nurse Manager , is accountable for ongoing leadership and ... of the assigned area(s) and for nursing care safety and quality. The Assistant Nurse Manager uses sound human resource and budget principles to guide the… more
    Upward (07/15/25)
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