The Utilization Management Manager at Dartmouth Health is responsible for overseeing the utilization review program across multiple hospitals, ensuring regulatory compliance and appropriate financial outcomes. This role involves collaboration with program medical directors, care teams, and health plans, as well as leading departmental performance improvement activities. The position offers the option to be fully remote and requires strong communication and analytical skills.

Utilization Management, Manager. Registered Nurse, RN

Utilization Management Manager, Registered Nurse

This is a full-time, remote position with field travel required in Essex, Passaic, and Union counties of NJ, offering a hybrid work schedule. The role involves developing, implementing, and supporting health service strategies to deliver quality healthcare to members, requiring advanced clinical judgment and critical thinking skills. Responsibilities include care planning, direct provider collaboration, and effective utilization of resources in a cost-effective manner. Strong assessment, writing, and communication skills are essential.

Field Case Manager RN - Union, Essex, Passaic County NJ

Field Case Manager RN

Illumia Health, part of Gentiva, is seeking a Remote Care Manager AIM (Advanced Illness Management) Full Time RN to join their team. This role involves working with patients, their families, PCP, IDT, and other health care professionals to provide and coordinate high-quality end of life care. The position offers a comprehensive benefits package, professional growth opportunities, and the chance to work in a supportive and inclusive environment.

Care Manager AIM RN

The Registered Nurse Care Manager at PruittHealth is a full-time position responsible for completing evaluations, assessments, and treatments in accordance with policy and the individualized care plan, maintaining continuity of patient care in a home setting. This role requires travel throughout the state of North Carolina and offers mileage and expense reimbursement. The position is ideal for a compassionate caregiver committed to serving patients in their homes.

RN Care Manager (Home Health) Internal Traveler FT

Registered Nurse Care Manager

The RN Manager - Clinical Documentation Improvement at SSM Health oversees and manages the daily operations and activities of the regional Clinical Documentation Improvement (CDI) program. This role promotes consistent and standardized operations and documentation across the network, builds and maintains productive inter/intra-departmental and vendor work relationships, and optimizes operations through extensive collaboration with physicians, nursing, coding, quality, and leadership.

RN Manager - Clinical Documentation Improvement

The Clinical Operations Supervisor - RN at Acentra Health is responsible for managing the day-to-day operations of Clinical Operations, Utilization Management, and Clinical Reviewers. This role involves assuring quality customer service and support for clients and staff, developing and enforcing operational policies and procedures, managing staff, and coordinating correspondence between external stakeholders and the company. The position requires a proactive approach to problem-solving, team management, and ensuring operational success through business and financial metrics monitoring.

Clinical Operations Supervisor

Clinical Operations Supervisor - RN

Join Burrell Behavioral Health as a Nurse Care Manager, a role that involves making a meaningful impact on patient health outcomes by providing vital education and support to clients with complex medical conditions. This remote position, based in Joplin, Missouri, offers the opportunity to work with a multidisciplinary team, develop wellness and prevention initiatives, and advance your career in a supportive environment. The role includes developing personalized treatment plans, facilitating health education groups, managing hospital admissions and discharges, and implementing health technology programs.

DD Nurse Care Manager-RN/LPN -Hybrid (Joplin and surrounding areas)

Nurse Care Manager

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. This role supports the Senior Whole Health business, focusing on Managed Long-Term Care (MLTC) and Medicaid Advantage (MAP) plans, and involves comprehensive assessments, case management planning, and interdisciplinary care coordination. The position is remote within the Tri-state area and requires a New York RN licensure and experience with Long-Term Services and Supports (LTSS) is highly preferred.

Registered Nurse Case Manager LTSS Remote in NY NJ or CT

Registered Nurse Case Manager

The RN QA Clinical Manager, Home Health at CenterWell is responsible for coordinating and overseeing all direct care patient services provided by clinical personnel. This role focuses on both home health clinical quality assurance and operations initiatives, including developing and implementing clinical operations, managing caregiver assignments, ensuring compliance with regulatory standards, and overseeing the delivery of care. The position requires on-site work in Raleigh, NC, and offers a $10K sign-on bonus.

RN QA Clinical Manager, Home Health - Raleigh, NC

RN QA Clinical Manager, Home Health

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Unit Manager RN Jobs in Raleigh, NC Hiring Now

Utilization Management, Manager. Registered Nurse, RN

Field Case Manager RN - Union, Essex, Passaic County NJ

Care Manager AIM RN

RN Care Manager (Home Health) Internal Traveler FT

RN Manager - Clinical Documentation Improvement

Clinical Operations Supervisor

DD Nurse Care Manager-RN/LPN -Hybrid (Joplin and surrounding areas)

Registered Nurse Case Manager LTSS Remote in NY NJ or CT

RN QA Clinical Manager, Home Health - Raleigh, NC

RN QA Clinical Manager, Home Health - Raleigh, NC

RN QA Clinical Manager, Home Health - Raleigh, NC

RN QA Clinical Manager, Home Health - Raleigh, NC

RN QA Clinical Manager, Home Health - Raleigh, NC