- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Center - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case ... End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration:… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key... **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** +… 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 ... Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description About the Position Specialty: RN Case Manager Experience: 1+ year of recent case … 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 ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary**...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... At Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Somatus (Utica, NY)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN +...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. ... 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
- 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
- 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...potential lifestyle changes. + Create a space where a case manager and member can collaborate, along… 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 ... to meet their complex needs\. As a Care Transition Case Manager , you will play a vital...have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases… 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 ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- ERP International (Luke AFB, AZ)
- …work and social work CM services. - Provide patient referrals. - Interface with the MTF RN Case Manager (s) in the development and implementation of the ... **Overview** ERP International is seeking a **Licensed Clinical Social Worker/ Case Manager ** for a Full-Time position in...a one hour lunch **Core Duties:** - Participate in Utilization Management/ Case Management meetings to review and… 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
- Luke Staffing (Agana Heights, GU)
- …social work and social work CM services. . Provide patient referrals. Interface with the MTF RN Case Manager (s) in the development and implementation of the ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** ....professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… 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
- Alameda Health System (San Leandro, CA)
- …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Nurse , Care Management + San Leandro, CA +...clinical background. Within the last 3 years, experience in Case Management in an acute setting or utilization… more
- Luke Staffing (Yigo, GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** +...active duty, reserve/guard admissions to civilian hospitals and notifies case manager and Patient Administration Element daily.… more
- Commonwealth Care Alliance (Springfield, MA)
- …to influence the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in care through connecting patients ... will play an integral role supporting patients with frequent utilization of Emergency Departments and acute admissions with the...needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality ... across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports.… more
