• Seattle Children's Hospital (Seattle, WA)
    …Coordination provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the ... clinical setting Required Credentials Current Washington State RN license. National certification in case management must be obtained within three years (3) of… more
    Upward (07/14/25)
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  • HEALTH FIRST CAREERS (Melbourne, FL)
    …Education: BSN or Master's Degree in a healthcare field Certification: Current Case Manager Certification (CCM or ACM) Work Experience: Critical, Intermediate ... Department Nursing Knowledge/Skills/Abilities: Current working knowledge of care transitions, utilization management , case management and managed care… more
    Upward (07/15/25)
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  • University of Southern California (Arcadia, CA)
    …complete and maintain BLS certification. Preferred (Not required)Professional certification as a case manager preferred. Pay Transparency The hourly rate range ... utilization management , care facilitation, and discharge planning functions. The Case Coordinator is accountable for a designated patient caseload and plans… more
    Upward (07/17/25)
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  • Kaiser Permanente (Woodbridge, VA)
    …to decrease inappropriate utilization of medical services. In close collaboration with the nurse case manager and other members of the health care team, develops ... and timely manner. Ensures consistent and reliable documentation of case management activities in compliance with all...License (District of Columbia) within 6 months of hire Case Manager Certificate within 36 months of… more
    Upward (07/16/25)
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  • Select Specialty Hospital - Memphis East (Memphis, TN)
    Overview Critical Illness Recovery Hospital Case Manager $15,000 Sign On Bonus Requires a current licensure in a clinical discipline either as a Nurse ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...the plan of care. Demonstrates compliance with facility-wide Utilization Management policies and procedures. Coordinates UR compliance… more
    Upward (07/21/25)
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  • MetroPlusHealth (New York, NY)
    …with all regulatory agency requirements. Conducts medical record reviews as appropriate to case management functions. Participate in Medical Management grand ... proud of what you do every day. The Care Manager , under the direction of the Vice President of...through outreach to the members. Job Description Performs care management including hospital admission certification, continued stay review, discharge… more
    Upward (07/09/25)
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  • Veracity Solutions (White Plains, NY)
    …years clinical ED, critical care or med/surg experience preferred *Previous case management experience preferred *Knowledge of healthcare financial, regulatory, ... RN Care Manager White Plains, NY Nursing Full Time Department/Location: Care Management Day: M-F 9A-5P with a weekend rotation ( Sat & Sun) Position Summary The… more
    Upward (07/19/25)
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  • Kaiser Permanente (Clackamas, OR)
    …relates to the needs of patient and the next level of care. Certified in Case Management . BSN or bachelors degree and MSN. Notes: Sun-Sat (Variable includes ... accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients… more
    Upward (07/26/25)
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  • Atlantic Health System (Basking Ridge, NJ)
    …as necessary Documents patient education tools used Assumes responsibility for Case Management . Develops/implements/evaluates plan of care based on ... as requested. Accepts other assignments as requested Assumes responsibility for case management . Prioritizes schedule to accommodate patient's needs Documents… more
    Upward (07/17/25)
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  • UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …requirements. + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, ... + 2-4 years of clinical experience in utilization review, case management , or acute care nursing required...and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited … more
    Community Health Systems (07/09/25)
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  • PRN UR Coordinator

    Community Health Systems (Franklin, TN)
    …input from the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, ... the process aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. + Reviews and closes out cases after patient… more
    Community Health Systems (07/02/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Sayre, PA)
    …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient,… more
    Guthrie (07/17/25)
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  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital… more
    Mount Sinai Health System (07/15/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …services within the case managed population. Educates Physicians and staff in Case Management standards and assists them in meeting the regulations and ... of care as necessary. Educates Physicians and staff in Case Management standards and assists them in...hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process,… more
    LifePoint Health (06/09/25)
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  • RN/ Case Manager -Inpatient-Mount…

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager Inpatient Mount Sinai West... (CM) will be responsible for all aspects of case management for an assigned group of ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
    Mount Sinai Health System (07/08/25)
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  • CARE Case Manager , Undergraduate…

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CARE Case Manager provides strengths-based assessment, intervention, and ... to success and to enhance their holistic well-being. The Case Manager exercises independent judgment while coordinating...Occasional evening and weekend hours. **ESSENTIAL FUNCTIONS** CARE Student Case Management + Maintain a caseload of… more
    University of Rochester (07/02/25)
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  • Manager of Case Management

    LifePoint Health (Hickory, NC)
    Job Summary Manager of Case Management in the departments activities and resources to achieve departmental and organizational objectives and will take the ... sending updated information and asking for re-reviews. 13. Assist UR as needed with sending clinicals to insurances to...well in a team environment. **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** * Manager of… more
    LifePoint Health (07/15/25)
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  • Case Manager - Per Diem

    Stony Brook University (Stony Brook, NY)
    …communication skills while adhering to our high standard of excellence. **Duties of a Case Manager in the Care Management Department may include the ... Case Manager - Per Diem **Position...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
    Stony Brook University (07/09/25)
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  • Psychiatric Case Manager

    University of Rochester (Pittsford, NY)
    …and BHP providers with three-week letters etc. + Manage paperwork related to case management **Care Collaboration:** + Help identify resources for current ... Weekly Hours: 40 Department: 910622 Psychiatry EBS Work Shift: UR - Day (United States of America) Range: ...with treatment team providers within and external to URMC. ** Case management :** + Track high risk clients… more
    University of Rochester (05/03/25)
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  • Acute Nurse Case Manager (RN)

    ChenMed (St. Louis, MO)
    …this information to the patient/caregiver, hospital staff. + Identifies patients for Community Case Manager or disease management (DM) programs and ... or community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for … more
    ChenMed (06/23/25)
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