• Novo Nordisk Inc. (Plainsboro, NJ)
    …their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable ... in business-relevant field preferred Previous experience as a people manager preferred At least 7 years pharmaceutical/biotech/healthcare industry experience… more
    HireLifeScience (06/14/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (05/30/25)
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  • Utilization Review Case

    Dartmouth Health (White River Junction, VT)
    Utilization Review Case Manager – Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont ... 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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  • Utilization Mgmt Case Manager

    LifePoint Health (Gallatin, TN)
    …management or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** ... Monitors adherence to the hospital's utilization review plan to ensure appropriate use of...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree or RN… more
    LifePoint Health (04/28/25)
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  • RN Case Manager - Utilization

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Shift:** Day **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management, you will be the key to ensuring patients… more
    Trinity Health (05/13/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... two years of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Office/Site Location:BostonRegular,… more
    Children's Hospital Boston (05/24/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review...Case Manager experience as well as Utilization Review experience (review medical necessity and discharge planning)… more
    Beth Israel Lahey Health (05/11/25)
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  • Case Manager Behavioral…

    HCA Healthcare (Richmond, VA)
    …Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, you come ... you have the opportunity to make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management like you to be a part of our… more
    HCA Healthcare (05/20/25)
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  • Case Manager and Utilization

    Scottish Rite for Children (Dallas, TX)
    …one priority! We're committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - ... effective communication with patient care team members related to utilization management + Verify medical necessity of all Inpatients...+ Minimum 2 years of precertification experience + Certified Case Manager , preferred + 3-5 years of… more
    Scottish Rite for Children (05/23/25)
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  • Per Diem Case Manager Registered…

    RWJBarnabas Health (Rahway, NJ)
    …the length of stay and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work with Medical/Surgical ... Per Diem Case Manager Registered Nurse (RN), ...Per Diem Case Manager Registered Nurse (RN), Case ManagementReq...hospital setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care +… more
    RWJBarnabas Health (03/21/25)
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  • Case Manager RN

    Prime Healthcare (Blue Springs, MO)
    Case Manager strives to improve patient outcomes while optimizing resource utilization . The Case Manager will conduct comprehensive assessments of ... + Develop individualized care plans addressing health goals, resource utilization , and patient safety. + Schedule and coordinate medical...team for quality improvement. As you might expect, Nurse Case Manager plays a pivotal role in… more
    Prime Healthcare (06/03/25)
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  • Registered Nurse Case Manager

    Prime Healthcare (Weslaco, TX)
    …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/registered-nurse- case - manager utilization ... Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management;2. CCM or obtained within 6 months… more
    Prime Healthcare (06/06/25)
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  • RN Case Manager PRN

    HCA Healthcare (Fort Walton Beach, FL)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers ... worth of each individual is recognized. Submit your application for our Case Manager RN PRN opening with HCA Florida Fort Walton-Destin Hospital today and… more
    HCA Healthcare (05/21/25)
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  • RN - Case Manager

    LifePoint Health (Danville, VA)
    …patient ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social ... *Registered Nurse, RN - Case Manager * Job Type: Full Time...American Heart Association Basic Life Support . Experience in Utilization Review preferred . Requires flexibility in scheduling and… more
    LifePoint Health (06/13/25)
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  • Case Coordinator - Hamilton area -…

    Sevita (Hamilton Township, NJ)
    …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... services for infants, children, adolescents, Military Service Members and Veterans. ** Case Coordinator - Hamilton/Lawrenceville area** **This is not a work from… more
    Sevita (05/21/25)
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  • Case Manager , RN…

    Prime Healthcare (Lynwood, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209331/ case - manager %2c-rn utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (06/11/25)
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  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/ case - manager -%28rn%29 utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (05/28/25)
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  • Case Manager - Registered Nurse

    CVS Health (Atlanta, GA)
    …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position...2+ years' experience in critical care + 6+ months case management or utilization management experience +… more
    CVS Health (05/31/25)
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  • Mandarin Speaking Case Coordinator

    Sevita (Marlborough, MA)
    …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... trained to provide individual assistance to each person we serve. **Bilingual (Mandarin) Case Coordinator** **- Adult Day Health** Location: Aging Well Adult Day Care… more
    Sevita (04/26/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission ... resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo... Manager provides leadership through education on case management/ utilization management concepts, committee work, research,… more
    Mayo Clinic (06/14/25)
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