- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the ... Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN - Case Manager… more
- LE Cox Medical Centers (Lake Spring, MO)
- Description :The nurse case manager assess, plans, implements, coordinates, monitors and evaluates options to facilitate the continuum of care through discharge ... planning. The nurse case manager collaborates with the patient or...the physicians and provides education and information on resource utilization , national and local coverage determinations, and use of… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of … more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer ... Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years … more
- Stanford Health Care (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …of Mary Medical Center - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case ... Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …influences that may impact potential lifestyle changes. + Create a space where a case manager and member can collaborate, along with relevant caregivers and ... (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support...**Preferred:** **?** + 1+ years prior experience as a Case Manager + Certified Case … more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a **Licensed Clinical Social Worker/ Case Manager ** for a Full-Time position in support of the **56th Medical Group, ... a one hour lunch **Core Duties:** - Participate in Utilization Management/ Case Management meetings to review and...Provide patient referrals. - Interface with the MTF RN Case Manager (s) in the development and implementation… more
- Centers for Independence (Milwaukee, WI)
- ** Case Manager III - ACT** **Job Details** **Description** Job Purpose: To facilitate the improved wellbeing of individuals with severe mental illness and/or ... substance use disorders. The Case Manager will work collaboratively with an...assures consistency in carrying out treatment objectives. + Coordinates utilization of various community resources, day programs, and outside… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of **Tinker ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case … more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req ... #:42605-31625 + FTE:0.7 + Posted:October 28, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case … more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …and access the resources they need to meet their complex needs\. As a Care Transition Case Manager , you will play a vital role in ensuring safe and effective ... IDD for Select Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …from home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management** Team is a Supervisor for Case Managers. ... functions, which may include preauthorization, outpatient and inpatient management, case management, retrospective claim review, and delegated management oversight.… more
- Somatus (Utica, NY)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care...or Critical Care experience - Telephonic case management experience - Experience with discharge planning -… more
- Insmed Incorporated (NJ)
- …for the future of science, we're in. Are you?About the Role:The Manager , Finance Applications, is responsible for end-to-end solution design, implementation and ... Cloud Finance applications.Challenges existing methods, processes and tools to optimize utilization and efficiency of the Oracle Fusion ERP Cloud Finance… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… more
- Riverside Community Care (Lynnfield, MA)
- …for clinical and administrative oversight for assigned clinicians, including case consultation/review, ongoing clinical supervision, utilization review/clinical ... Riverside Community Care Love what you do! Clinical Team Manager - Lynnfield Outpatient Riverside seeks a Clinical Team Manager for the Lynnfield Outpatient… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients of different ages ... illnesses. Focuses on patients with complexities related to finance and/or resource utilization . Acts as advocate for the patient/family by collaborating with the… more
- Wheeler Machinery (Salt Lake City, UT)
- GTM Marketing Manager - Energy and Transportation Salt Lake City, UT Job Type Full-time Description The GTM Marketing Manager - Energy and Transportation is ... data-driven, industry-specific, and growth-oriented, driving awareness, demand generation, fleet utilization , and aftermarket revenue. **Go-to-Market Strategy & Campaigns:** +… more
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