• Fresenius Medical Care (Mayfield, KY)
    …As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. We believe our employees are our most important asset - we ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
    JobLookup XML (12/25/25)
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  • Fresenius Medical Care (Mayfield, KY)
    …a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
    JobLookup XML (12/25/25)
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  • Director , Utilization

    Alameda Health System (Oakland, CA)
    Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (11/07/25)
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  • Executive System Director

    UNC Health Care (Morrisville, NC)
    …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... operational leader responsible for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a… more
    UNC Health Care (10/29/25)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …regulatory agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital ... staff and function for the system, reporting to the Director of Utilization Management within...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
    Huron Consulting Group (11/27/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered… more
    Prime Healthcare (12/24/25)
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  • Clinical Registered Nurse

    Cognizant (Salem, OR)
    …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
    Cognizant (12/23/25)
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  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Quakertown, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication among ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
    St. Luke's University Health Network (12/18/25)
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  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Bethlehem, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... care. May require occasional coverage of Easton campus should census warrant The Registered Nurse or Social Worker Care Manager is responsible for coordinating… more
    St. Luke's University Health Network (10/15/25)
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  • Associate Director Registered

    Banner Health (Greeley, CO)
    …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... about advancing healthcare and driving excellence. In this role, the Associate Director will provide leadership and oversight for the daily operations of the… more
    Banner Health (12/28/25)
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  • Registered Nurse RN Associate…

    Banner Health (Torrington, WY)
    …of recreational opportunities. Torrington Community Hospital is looking for a full-time RN Associate Director to lead the Emergency department in Torrington, ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
    Banner Health (12/18/25)
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  • Associate Director RN

    Banner Health (Phoenix, AZ)
    …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... **Banner Estrella Medical Center -** **Postpartum** team. The Nursing Associate Director provides leadership and operational oversight for nursing services, ensuring… more
    Banner Health (12/07/25)
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  • Registered Nurse RN Associate…

    Banner Health (Susanville, CA)
    …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Banner Lassen Medical Center is looking for an Associate Director to have direct oversight of the PeriOperative Department...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
    Banner Health (11/09/25)
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  • Utilization Management

    McLaren Health Care (Flint, MI)
    …to help people live healthier and more satisfying lives. We are looking for a Utilization Management RN , to join in leading the organization forward. MHP ... our members. **Position** **Summary:** This position is responsible for utilization management functions. This includes but is...and under and overuse of services. Collaborates with Medical Director and senior management on complex cases… more
    McLaren Health Care (12/18/25)
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  • Inpatient Registered Nurse

    St. Luke's University Health Network (Phillipsburg, NJ)
    management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... a patient's ability to pay for health care. The RN Care Manager coordinates the overall progression of care,...touch as related to telephone and computer keyboard. EDUCATION: Registered Nurse with current license to practice… more
    St. Luke's University Health Network (12/12/25)
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  • Practice Site Manager RN Registered

    Penn State Health (State College, PA)
    …prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Practice Site Manager RN Registered Nurse - Windmere Centre **Location** ... + Five (5) years of related experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN more
    Penn State Health (12/23/25)
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  • Registered Nurse Case Mgr RN

    HCA Healthcare (Aventura, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director more
    HCA Healthcare (11/08/25)
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  • RN Registered Nurse Practice…

    Penn State Health (Lancaster, PA)
    …and executive orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** RN Registered Nurse Practice Site Manager - Lancaster ... required. + Progressive leadership experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN more
    Penn State Health (12/23/25)
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  • Hospice Registered Nurse RN

    Aveanna Healthcare (Pelham, AL)
    Hospice Registered Nurse RN Part Time Weekends ApplyRefer a FriendBack Job Details Requisition #: 208777 Location: Pelham, AL 35124 Category: Nursing Salary: ... breaches. If breach occurs, takes corrective action. Qualifications: + Current license as a Registered Nurse in the State of Alabama + Minimum of one (1)… more
    Aveanna Healthcare (10/29/25)
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  • Registered Nurse RN

    Banner Health (Casper, WY)
    …working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. PREFERRED QUALIFICATIONS Bachelor's degree preferred. ... expressing thankfulness for the care you gave! As a RN Coordinator in the Cardiac Cath Lab, you will...the inventory team, and will also be the charge nurse each day when working in the cardiac cath… more
    Banner Health (11/28/25)
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