- Southern New Hampshire Health (Nashua, NH)
- …is equal, and our patient's dignity is maintained above all else. About the Job: The RN Acute Care Case Manager evaluates the patient's health status and the ... other's care capabilities to facilitate the discharge planning process. The case manager develops a multidisciplinary, culturally appropriate, age-specific… more
- 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
- University Health (San Antonio, TX)
- POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of ... nurse II or above). Work experience in case management, utilization review or hospital quality...quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board… more
- University Health (San Antonio, TX)
- POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of ... to five years nursing experience required. Work experience in case management, utilization review or hospital quality...quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board… 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
- 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 ... (PHS Indian Hospital) Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job... Manager Registered Nurse ( RN ) coordinates and manages the care of patients, ensuring… more
- University Health (San Antonio, TX)
- …of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. ... complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing, RN or LVN is required. A minimum three years...EPIC EMR desirable. LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required.… 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. ... per hour + Req #:42605-31625 + FTE:0.7 + Posted:Today **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case … 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
- 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
- University Health (San Antonio, TX)
- …Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality… 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
- MVP Health Care (Schenectady, NY)
- …in New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 ... continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program...Your key responsibilities: Utilize the essentials of an integrated utilization management and case management model that… 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
