• Elliot Health System (Hooksett, NH)
    Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes ... pride in serving their community, patients, and families. Our Nurse Case Managers observe best practices and...the requirements below! Apply today! About the Job: The Case Manager RN will collaborate… more
    JobGet (03/22/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    … and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care Transitions ... the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (02/09/25)
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  • RN Case Manager

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** As a Case Manager in Utilization Management, you will be the key ... care plans to align with clinical and regulatory standards. By optimizing resource utilization and maintaining the highest standards of care, you will contribute to… more
    Trinity Health (03/13/25)
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  • Utilization Case Manager (Non…

    University of Miami (North Miami, FL)
    …University of Miami UHealth - CTU at SoLe Mia has an exciting opportunity for a Utilization Case Manager . CORE JOB FUNCTIONS + Adhere and perform timely ... reviews for services requiring an authorization for continuation of care + Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and limitations to determine… more
    University of Miami (02/22/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c- rn utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (03/15/25)
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  • Supervisor, Centralized Utilization

    Sharp HealthCare (San Diego, CA)
    Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** ... in a hospital and/or Managed Care setting. + California Registered Nurse ( RN ) - CA...+ Collaboration and teamwork Provides consultation and direction for Case Manager Utilization Management, and… more
    Sharp HealthCare (03/04/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Columbus, OH)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... ) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Case Manager / PRN ( RN / RT…

    Select Medical (Columbus, OH)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/321179/ case - manager prn %28- rn rt sw… more
    Select Medical (03/06/25)
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  • Case Manager ( RN / RT / SW…

    Select Medical (Cleveland, OH)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/323024/ case - manager -%28- rn rt sw lpn-%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
    Select Medical (03/21/25)
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  • Registered Nurse Case

    Children's Hospital Boston (Boston, MA)
    74825BRJob Posting Title: Registered Nurse Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
    Children's Hospital Boston (01/15/25)
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  • Utilization Review Case

    Trinity Health (Lavonia, GA)
    **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager ( RN CM), works in collaboration with a multidisciplinary team by ... care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is met by… more
    Trinity Health (03/08/25)
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  • Registered Nurse Case

    HCA Healthcare (Derry, NH)
    …nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager RN to join our healthcare family. **Benefits** ... patient care. Apply today for our Registered Nurse Case Manager RN...opportunity. **Job Summary and Qualifications** The Case Manager 's primary duties are to provide Utilization more
    HCA Healthcare (02/22/25)
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  • Per Diem Case Manager

    RWJBarnabas Health (Rahway, NJ)
    Per Diem Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway ... all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of...improves efficiency, quality, and resource utilization . The Case Manager RN will work… more
    RWJBarnabas Health (03/21/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    utilization and identifying the need for continued authorization. The Utilization Case Manager coordinates with the Nurse Case Manager ... of Miami Health System has an exciting opportunity for a per diem Utilization Case Manager to work at Sylvester Support Services Building. The incumbent… more
    University of Miami (03/11/25)
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  • Remote RN Admissions Case

    Ochsner Health (New Orleans, LA)
    case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for ... to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree...Case Manager (CCM), Certified Professional … more
    Ochsner Health (01/29/25)
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  • Utilization Management RN - Usfhp

    Pacific Medical Centers (Renton, WA)
    …assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the entire ... Nurse License. + 5 years Clinical experience. + Utilization review/ case management. **Preferred Qualifications:** + Bachelor's Degree in Nursing… more
    Pacific Medical Centers (01/23/25)
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  • Registered Nurse RN

    HCA Healthcare (Webster, TX)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current ... you want to work as a(an) Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (03/16/25)
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  • Registered Nurse RN

    HCA Healthcare (Texas City, TX)
    …HCA Houston Healthcare Mainland have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager PRN you can be a part of ... for your patients as a (an) Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (03/06/25)
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  • Case Manager Registered

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you want in your current role? We ... Utilization Management Plan + As a member of Case Management team you will apply the rules of...encourage you to apply for our Case Manager Registered Nurse RN more
    HCA Healthcare (03/04/25)
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  • Registered Nurse RN

    HCA Healthcare (Manchester, NH)
    …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** ... patient care. Apply today for our Registered Nurse RN Case Manager...BSN preferred. + Minimum two years of experience in Case Management and/or Utilization Management Review, or… more
    HCA Healthcare (03/15/25)
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