- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… 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 ... daily operation of the Utilization Management Review Nurse and Specialist staff...decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical ... 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration:… 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 ... Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend a 1 (one)...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote ... Houston TX . Daily Responsibilities for Utilization Review RN : WIll need to use...Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the… more
- StaffDNA / Santa Fe Service Unit (PHS Indian Hospital) (Santa Fe, NM)
- …Start Date 08/25/2025 End Date 03/31/2026 Duration 32 Week(s) Job Description Job Title : Case Manager Registered Nurse ( RN ) Job Summary : A Case ... Manager Registered Nurse ( RN ) coordinates and...across multiple healthcare settings, ensuring continuity of care, appropriate utilization of resources, and adherence to treatment plans. Collaborate… more
- Boost Home Health (Southfield, MI)
- …the healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse ( RN ) who has graduated from an accredited school of ... of professional nursing who is currently licensed as a registered nurse in the state of Michigan....nurse in the state of Michigan. Current unrestricted RN license in the state of Michigan Two (2)… 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 ... + FTE:0.7 + Posted:October 28, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the ... of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN -… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of our team, who...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Somatus (Utica, NY)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... + Adheres to departmental policies and procedures. Qualifications Required Qualifications: - Active RN license in NY with the ability to qualify for additional state… more
- Rady Children's Hospital San Diego (San Diego, CA)
- **Please note this is not a remote position. JOB SUMMARY: The Triage Resource RN functions at the Standard Level of nursing practice and is responsible for the ... phone triage, education and advice to patients and families, and the utilization of standing orders for prescription refills. Participates in Quality Improvement… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
- Commonwealth Care Alliance (Springfield, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - ... by providing best-in-class disability competent primary care. Within Care Delivery, the Manager , Clinical Nursing is responsible for the oversight of clinical care… more
- Daiichi Sankyo, Inc. (Chesapeake, VA)
- …driver's license with a driving record that meets company requirements Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... customer needs.Monitor, collect, and communicate to the Director, Clinical Nurse Manager on customer insights regarding their...State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... meet their complex needs\. As a Care Transition Case Manager , you will play a vital role in ensuring...have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …contractual, and legal requirements. **What you will bring** **:** **Required:** **?** + Registered Nurse - RN current state licensethat allows the ... (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support...lifestyle changes. + Create a space where a case manager and member can collaborate, along with relevant caregivers… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible...role. Supervision Exercised: - Assumes responsibility for all nursing ( RN , LPN) and MA roles in the practice. 10… more
- University Health (San Antonio, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care… more
- University Health (San Antonio, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care… more
Related Job Searches:
Care Manager RN Utilization,
Manager,
RN,
RN Manager,
RN Manager Utilization Management,
RN Manager Utilization Review,
RN Utilization,
RN Utilization Manager Rex,
Utilization,
Utilization Manager