• Complex Case Manager

    Highmark Health (Salt Lake City, UT)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (07/15/25)
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  • Manager , Utilization Management

    Healthfirst (UT)
    …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... additional information required for appropriate utilization management and to solve complex clinical problems + Allocate, monitor, and control resources while… more
    Healthfirst (07/02/25)
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  • Care Manager , Registered

    Sharecare (Salt Lake City, UT)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (07/08/25)
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  • Hospital Level Care at Home Tele Registered

    Intermountain Health (Murray, UT)
    **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides ... identify and resolve delays and issues. Minimum Qualifications Current RN license for state in which the nurse...accredited institution. Degree will be verified. - and - Case management Certification. - and - Experience in … more
    Intermountain Health (07/13/25)
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  • Case Manager RN

    CVS Health (Salt Lake City, UT)
    …high-risk maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face ... a high-risk maternity case management program. The Case Manager RN is empowered...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (07/16/25)
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  • Telephonic RN Care Manager

    Molina Healthcare (Taylorsville, UT)
    **JOB DESCRIPTION** We are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT This ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (07/03/25)
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  • RN Care Manager

    Intermountain Health (Spanish Fork, UT)
    **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides ... and resolve delays and issues. **Minimum Qualifications** + Current RN license for state in which the nurse...from an accredited institution. Degree will be verified. + Case management Certification. + Experience in Case more
    Intermountain Health (07/01/25)
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  • RN Care Manager PRN

    Intermountain Health (Logan, UT)
    **Job Description:** The nurse care manager works collaboratively with physicians and other members of the health care team to improve the health of patients ... with chronic conditions or complex needs. The position educates patients and caregivers to...and resolve delays and issues. **Minimum Qualifications** + Current RN license for state in which the nurse more
    Intermountain Health (06/17/25)
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  • Field Case Manager -Sign On Bonus…

    Sedgwick (Salt Lake City, UT)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Orem, UT)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (07/12/25)
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  • Hospital Level Care at Home Intake Nurse

    Intermountain Health (Salt Lake City, UT)
    **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides ... is located at Utah Valley Hospital Minimum Qualifications Current RN license for state in which the nurse...accredited institution. Degree will be verified. - and - Case management Certification. - and - Experience in … more
    Intermountain Health (07/16/25)
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