• SSM Health (St. Charles, MO)
    …process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home ... Shift: Day Shift (United States of America) Job Type: Employee Department: System Case Mgmt -STL Scheduled Weekly Hours: 0 Benefits: SSM Health values our… more
    JobLookup XML (01/02/26)
    - Save Job - Related Jobs - Block Source
  • AlliedTravelCareers (Greenbrae, CA)
    …Group, Inc. to find a qualified MRI Tech in Greenbrae, California, 94904! RN Case Manager with experience as follows: Must have strong Utilization ... - 0730 to 1600 Specialty Type: Nursing Sub Specialties: Care Manager , MRI Technologist General Certifications: General Certifications(BLS/BCLS) Please CLICK HERE to… more
    job goal (01/01/26)
    - Save Job - Related Jobs - Block Source
  • Peoples Home Health, LLC (Pensacola, FL)
    …insurance carriers and verifies benefits and eligibility. Collaborates with CTM/ Case Manager on authorized visit to assure accurate utilization for patient ... needs. Follow up with AE/Liaisons via text or email to assure notification of referrals received and documentation needed. Answer text or calls on weekends and after hours for insurance questions of new referrals. Acts as backup to clinical staff and assist as… more
    job goal (01/01/26)
    - Save Job - Related Jobs - Block Source
  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (12/02/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - Utilization Review…

    Cedars-Sinai (Los Angeles, CA)
    …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the ... criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department** :… more
    Cedars-Sinai (01/02/26)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - Utilization Review…

    Cedars-Sinai (Los Angeles, CA)
    …Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** ... us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials… more
    Cedars-Sinai (01/02/26)
    - Save Job - Related Jobs - Block Source
  • Utilization Review Case

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
    Dallas Behavioral Healthcare Hospital (10/30/25)
    - Save Job - Related Jobs - Block Source
  • RN, Hospital Case Manager

    Baystate Health (Springfield, MA)
    …employees. Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management** The **RN Hospital Case ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
    Baystate Health (12/19/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager (RN)…

    Hartford HealthCare (Willimantic, CT)
    …is*your moment.* **Job:** **Nursing* **Organization:** **Windham Hospital* **Title:** *Registered Nurse Case Manager (RN) - Utilization Management* ... of hospital resources. Works under the direction of the Manager of Continuing Care and Utilization Management...years clinical nursing required. * Two years experience with case management, discharge planning, utilization review and/or… more
    Hartford HealthCare (12/24/25)
    - Save Job - Related Jobs - Block Source
  • RN - Case Manager - BSN -…

    John Muir Health (Walnut Creek, CA)
    …patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, ... the community and does this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function within the full scope of the… more
    John Muir Health (12/27/25)
    - Save Job - Related Jobs - Block Source
  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (12/24/25)
    - Save Job - Related Jobs - Block Source
  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
    University of Miami (12/20/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (12/19/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager - Utilization

    Prime Healthcare (Sherman Oaks, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/ case - manager - utilization ... other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6… more
    Prime Healthcare (12/30/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Resource Management Nurse (RN)…

    Hartford HealthCare (Manchester, CT)
    …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical… more
    Hartford HealthCare (12/23/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager Lead

    HCA Healthcare (Derry, NH)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager Team Lead will identify ... in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to...+ Two or more years of clinical experience. + Case Management, Utilization & Managed Care experience… more
    HCA Healthcare (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management - Nurse…

    Sanford Health (Rapid City, SD)
    …Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a ... value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we...clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/management… more
    Sanford Health (12/17/25)
    - Save Job - Related Jobs - Block Source
  • Case Coordinator

    Sevita (Augusta, GA)
    …receipt from accounting staff. Identifies any discrepancies to accounting staff. + Coordinates utilization with the Case Manager relative to program ... and foremost in accordance with the Company's mission. **SUMMARY** **The Case Coordinator is responsible for providing organizational assistance and programmatic… more
    Sevita (12/18/25)
    - Save Job - Related Jobs - Block Source
  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (12/23/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager PRN

    Access Dubuque (Dubuque, IA)
    …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... RN Case Manager PRN Dubuque **MercyOne** 1...RN Case Manager PRN Dubuque **MercyOne** 1 Positions ID: TRHEUS00632013MERCYO...MercyOne Family! We are looking to hire a Nurse Case Manager . The Case more
    Access Dubuque (11/27/25)
    - Save Job - Related Jobs - Block Source