• Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
    Beth Israel Lahey Health (05/11/25)
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  • Case Manager and Utilization

    Scottish Rite for Children (Dallas, TX)
    …We're committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...accredited school of professional nursing + Hold current Texas RN license or is eligible for reciprocity and holds… more
    Scottish Rite for Children (05/23/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
    Beth Israel Lahey Health (04/29/25)
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  • RN Manager - Utilization

    Ascension Health (Pensacola, FL)
    **Details** + **Department: Utilization Review ** + **Schedule: Full time days** + **Hospital: Ascension Sacred Heart Pensacola** + **Location: Pensacola, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
    Ascension Health (06/04/25)
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  • Manager - Utilization Review

    Ochsner Health (Lafayette, LA)
    …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… more
    Ochsner Health (05/31/25)
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  • Utilization Review Case…

    Dartmouth Health (White River Junction, VT)
    … Case Manager – Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? * ... one 4-hour flex shift to be discussed with hiring manager . Locations: * Fully remote work in all statesexcept:...that enrich the lives of the people we serve. Utilization Review Case Managersat VNH focus on… more
    Dartmouth Health (06/06/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209331/case- manager %2c- rn utilization - review ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
    Prime Healthcare (06/11/25)
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  • Registered Nurse - Case…

    Mayo Clinic (Rochester, MN)
    …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
    Mayo Clinic (06/14/25)
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  • Interim RN Utilization Review

    Ascension Health (Baltimore, MD)
    …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... required. Education: + Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of… more
    Ascension Health (04/24/25)
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  • RN Case Manager Registered

    HCA Healthcare (Derry, NH)
    …growth, we encourage you to apply for our RN Case Manager Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you...Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
    HCA Healthcare (04/10/25)
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  • Case Manager Registered Nurse

    RWJBarnabas Health (Livingston, NJ)
    Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... Short Hills Road, Livingston, NJ 07039 Job Title: Case Manager Registered Nurse ( RN...on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care,… more
    RWJBarnabas Health (03/29/25)
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  • Registered Nurse RN Care…

    AdventHealth (La Grange, IL)
    …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
    AdventHealth (05/31/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Webster, TX)
    …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (06/12/25)
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  • Utilization Review

    Community Health Systems (Naples, FL)
    …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
    Community Health Systems (04/25/25)
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  • Registered Nurse ( RN ) Case…

    Community Health Network (Indianapolis, IN)
    Registered Nurse ( RN ) Case Manager - North Job Ref 2501284 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem ... Community North has a PRN RN Case Manager opportunity available. The Registered Nurse...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… more
    Community Health Network (04/11/25)
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  • Registered Nurse RN Care…

    AdventHealth (Altamonte Springs, FL)
    …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... Altamonte Springs, FL 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (06/11/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Port St. Lucie, FL)
    …you to apply for our Registered Nurse RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will be contacted ... have the career opportunities as a(an) Registered Nurse RN Case Manager PRN...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/03/25)
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  • Registered Nurse ( RN ) Case…

    Ochsner Health (New Orleans, LA)
    …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from… more
    Ochsner Health (04/30/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Tamarac, FL)
    …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Manager with HCA Florida Woodmont Hospital you ... We are looking for an enthusiastic Registered Nurse RN Case Manager to...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/12/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Fort Pierce, FL)
    …Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Manager PRN? At HCA Florida Lawnwood Hospital, you come first. ... We are looking for a dedicated Registered Nurse RN Case Manager PRN...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (06/09/25)
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