• University Health (Pleasanton, TX)
    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care ... (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current… more
    Joboru (12/08/25)
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  • University Health (Hondo, TX)
    …of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. ... Experience in a similar setting and working with OB patients preferred. Experience working with EPIC EMR desirable. LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required. more
    Joboru (12/08/25)
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  • University Health (Pleasanton, TX)
    …of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. ... Experience in a similar setting and working with OB patients preferred. Experience working with EPIC EMR desirable. xrbllit LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required. more
    JobLookup XML (12/07/25)
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  • University Health (Pleasanton, TX)
    …the details pertaining to this job in the description below. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, ... (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current… more
    JobLookup XML (11/17/25)
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  • Stanford Health Care (Palo Alto, CA)
    …work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
    DirectEmployers Association (12/02/25)
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  • Kaiser Permanente (Salem, OR)
    …to navigate conflict in high pressure situations. Preferred Qualifications: Certified in Case Management. Knowledge of appropriate utilization of acute hospital ... of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for...improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of… more
    job goal (12/10/25)
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  • Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer ... Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years … more
    DirectEmployers Association (10/02/25)
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  • Interim HealthCare (Greenwood, IN)
    …you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and ... continuity of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will...Nurse (RN) in home health or similar setting; previous case management/ utilization review experience preferred. OASIS experience… more
    job goal (12/09/25)
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  • Katmai (Usaf Academy, CO)
    **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more
    DirectEmployers Association (12/07/25)
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  • BlueCross BlueShield of Tennessee (Memphis, TN)
    …intellectually and developmentally disabled\. In this role, the SelectCommunity Nurse Case Manager \(NCM\) assesses members' current status, facilitates ... Case Management certification within 2 years of being hired as a Case Manager \. SelectCommunity NCM is required to obtain certification in Developmental… more
    DirectEmployers Association (12/02/25)
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  • Saint Agnes Medical Center (Fresno, CA)
    …the acute care continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization . ... an interdisciplinary team to improve patient care through the effective utilization of the facility's resources. The incumbent makes significant contributions toward… more
    job goal (12/10/25)
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  • Stanford Health Care (Palo Alto, CA)
    …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical… more
    DirectEmployers Association (11/11/25)
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  • Christus Health (San Antonio, TX)
    …resource management for patient care delivery (Conditions of Participation COP 482.30). Case Managers enhance the continuity of care and cost effectiveness by ... integrating the functions of case management, resource management, clinical documentation management, and discharge planning (Conditions of Participation COP… more
    JobLookup XML (12/09/25)
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  • ERP International (Hurlburt Field, FL)
    **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager ** in support of the 1st Special Operations Medical Group at Hurlburt ... Education (CCNE). Certification(s):** Possess one of the following certifications: Commission for Case Manager Certification Certified Case Manager more
    DirectEmployers Association (11/19/25)
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  • Somatus (Tucson, AZ)
    …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care...or Critical Care experience - Telephonic case management experience - Experience with discharge planning -… more
    DirectEmployers Association (12/05/25)
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  • ERP International (Twentynine Palms, CA)
    …of the following certifications: (Must obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o ... and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case ...Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of… more
    DirectEmployers Association (11/19/25)
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  • Battelle Memorial Institute (Colorado Springs, CO)
    …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
    DirectEmployers Association (11/05/25)
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  • Luke Staffing (Agana Heights, GU)
    **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** . US Naval Hospital, Guam . Full Time **POSITION QUALIFICATION/REQUIREMENTS:** . ... the last (3) three years as a Social Work Case Manager working in an out/inpatient setting....professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and… more
    DirectEmployers Association (11/13/25)
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  • University Health (Boerne, TX)
    …a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse ... Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is… more
    Joboru (12/08/25)
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  • 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...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
    DirectEmployers Association (10/23/25)
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