- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …the globe. **Exciting Opportunity at MSK:** Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management ... for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro,...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents ... + FTE:0.7 + Posted:October 28, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... the right time, and in the right setting". The UR CM is responsible for preoperative, concurrent, and retrospective...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… more
- Trinity Health (Fresno, CA)
- …from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training ... must be obtained within six (6) months of hire into position. 6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required. 7. Excellent communication skills, critical thinking, creative problem-solving skills,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission, Observation, or… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Guthrie (Troy, PA)
- Acute Case Manager Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational ... outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the… more
- 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 management ... term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
- HCA Healthcare (Kansas City, MO)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your ... certifications and job skills. Apply today for our RN Case Manager Lead opening and continue to...using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Somerville Campus ... Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the… more
- HCA Healthcare (Panama City, FL)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida Gulf Coast ... passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications**...Identifies and transmits system issues impacting patient care to Case Management Director/CFO/ UR committee, as appropriate +… more
- Select Medical (Davenport, IA)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- HCA Healthcare (Plano, TX)
- …individual is recognized. Submit your application for the opportunity below:Registered Nurse Case Manager IP RehabMedical City Plano **Benefits** Medical City ... vary by location._** We are seeking a(an) Registered Nurse Case Manager IP Rehab for our team...years acute care hospital nursing experience and 2 years case management or UR experience preferred. Knowledge… more
- Select Medical (Pensacola, FL)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Chicago, IL)
- **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)** *Availability to work a minimum of 2 shifts per month on an "as needed" ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Oxford, FL)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Alexandria, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- LifePoint Health (Hickory, NC)
- …**Job:** **Please select a valid job field* **Organization:** ** **Title:** *Clinical Case Manager * **Location:** *NC-Hickory* **Requisition ID:** *7469-10889* ... through discharge. * Coordinates care and services within the case managed population. * Educates Physicians and staff in...regulatory agencies. * Educates and mentors all staff in UR standards and LOS topics. * Coordinates care and… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Developmental Services Case Manager (40 Hour) Hybrid Recruitment # 251030-5660FP-001 Location Hartford, CT Date Opened 10/30/2025 4:10:00 PM Salary $82,249* - ... (DSS (https://portal.ct.gov/dss/) ) is recruiting two (2) Developmental Services Case Managers (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5660FP&R1=&R3=) in the Division of Health Services,… more
