• UM Case Manager

    Healthfirst (NM)
    case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
    Healthfirst (05/08/25)
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  • UM Care Manager RN - Usfhp

    Pacific Medical Centers (Seattle, WA)
    …Care patient in order to assure cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of ... benefits and more! **Required Qualifications:** + Upon hire: Washington Registered Nurse License. + 5 years Clinical...+ Bachelor's Degree in Nursing. + Upon hire: Certified Case Manager . **Why Join Providence?** Our best-in-class… more
    Pacific Medical Centers (05/22/25)
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  • Registered Nurse Case

    The Arora Group (Bethesda, MD)
    …for each two-week period will be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ): The contracted RN shall provide ... regarding development, implementation, and management of the MTF healthcare UM /RM activities. Utilizes critical thinking skills to support, coordinate,...in Building 19. QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER ( RN more
    The Arora Group (03/27/25)
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  • Registered Nurse - Case

    ERP International (Port Hueneme, CA)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port ... for professional growth and development as related to the case manager position and maintenance of CM...( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
    ERP International (03/04/25)
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  • Registered Nurse - Case

    ERP International (Twentynine Palms, CA)
    …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers**...obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case more
    ERP International (04/23/25)
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  • Registered Nurse - Case

    ERP International (Eglin AFB, FL)
    **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time ** Case Manager ** position in support of the **Eglin Hospital, ... for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with... license from any US State. Clinical Certification:** Desired Case Management certification, ie ACCC, CRC, RN -NMC,… more
    ERP International (04/02/25)
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  • Registered Nurse Case

    Vanderbilt University Medical Center (Nashville, TN)
    …Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for the Case Manager role within our Transition Management Office (TMO). The ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (03/29/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Carson City, NV)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Registered Nurse - Case

    ERP International (Luke AFB, AZ)
    **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for Case more
    ERP International (04/08/25)
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  • UM LVN Delegation Oversight Nurse

    Molina Healthcare (Long Beach, CA)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS,...Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare… more
    Molina Healthcare (05/10/25)
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  • Case Manager RN PRN

    HCA Healthcare (Lake City, FL)
    …at HCA Florida Lake City Hospital have the opportunity to make a real impact. As a(an) Case Manager RN PRN you can be a part of change. **Benefits** HCA ... improve positive outcomes for your patients as a (an) Case Manager RN PRN. We...and weekend/holiday coverage **What qualifications you will need:** + Registered Nurse + Associate Degree + One… more
    HCA Healthcare (03/11/25)
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  • RN Case Manager

    Covenant Health (Nashua, NH)
    …fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care ... Summary RN Case Managers provide a systematic...or new information to the team. Job Requirements + Registered Nurse licensed in New Hampshire required… more
    Covenant Health (03/08/25)
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  • RN Case Manager - Behavioral…

    Omaha Children's Hospital (Omaha, NE)
    …such as Word and eEcel. + Previous EPIC experience preferred. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... for diagnosis, care needs, and discharge plans. + Introduces Nurse Case Management (NCM) role to family....issues, and benefits management. + Understands the NCM and UM Nurse role in revenue cycle management.… more
    Omaha Children's Hospital (05/23/25)
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  • Case Manager , RN or Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Job Description: Summary: Conducts case management program activities in accordance with departmental,...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
    Excellus BlueCross BlueShield (05/24/25)
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  • RN Case Manager : (Care…

    University of Michigan (Ann Arbor, MI)
    RN CASE MANAGER : (Care...competitive salary with excellent benefits! **Hourly range for RSAM Registered Nurses $41.44 - $64.45 / hour** + Evening ... Health Care Pavilion ) Apply Now **Job Summary** The RN Case Manager assesses, develops,...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more
    University of Michigan (05/23/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse ... Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of...their work and follow up with cases. **Preferred:** CM, UM , Quality, Coding, Risk or MCG Certification Working knowledge… more
    Stony Brook University (04/17/25)
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  • Manager - Case Management & Social…

    Houston Methodist (Sugar Land, TX)
    …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure ... At Houston Methodist, the Manager Case Mgmt Social Svcs position...and/or Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (04/24/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the...LA Care's culturally diverse membership. The position supports the UM Manager /Director. This role also assists … more
    LA Care Health Plan (04/11/25)
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  • RN Care Coordinator - Care Coordination

    Virginia Mason Franciscan Health (Seattle, WA)
    …experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferredAble to apply clinical guidelines to ... experience + Current licensure as a Registered Nurse in the state of Washington ( RN -WA)....Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability to work as… more
    Virginia Mason Franciscan Health (04/26/25)
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  • Care Coordinator RN

    Virginia Mason Franciscan Health (Tacoma, WA)
    …Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred **Overview** Virginia Mason Franciscan ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1...Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA).… more
    Virginia Mason Franciscan Health (04/12/25)
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