Top 20 Utilization management nurse Jobs in Wyoming

Case Manager - RN/MSW - Wyoming - Relocation$
Concert Consulting —Wyoming
- $75,000 - $100,000 a year
- Full-time
- Master of Social Work
- Nursing
- Vital signs
- Relocation assistance
Quick Apply
7d
Utilization Management Nurse Consultant
CVS Health —Wyoming
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
10h
Utilization Management Registered Nurse
Humana —Wyoming
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Case Manager, Registered Nurse
CVS Health —Wyoming
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Registered Nurse (Care Coordinator)
US Veterans Health Administration —Sheridan, WY
- $77,471 - $146,587 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
8d
Nurse Home Visitor - Family Connects International
Denver Health —Arapahoe, WY
- $75,200 - $116,600 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Paid parental leave
- Paid holidays
Home Health Registered Nurse
Cowboy Cares Home Health —Evanston, WY
- $35 - $40 an hour
- Part-time
- Background check
- Vital signs
- RN License
- Mileage reimbursement
- Relocation assistance
Quick Apply
MDS Coordinator Nurse
Rawlins Rehabilitation and Wellness —Rawlins, WY
- Full-time
- RN License
- Mid-level
- Rehabilitation center
- Health insurance
- Dental insurance
Quick Apply
RN Coordinator Perioperative Services East Campus
Banner Health —Casper, WY
- Full-time
- RN License
- Hospital
- BLS Certification
8d
Nurse Case Manager / Outpatient Coordinator
Crook County Medical Services District —Sundance, WY
- Full-time
- Acute care
- Nursing
- RN License
Quick Apply
Lead Social Worker / Transitional Care Registered Nurse
Ivinson Memorial Hospital —Laramie, WY
- Part-time
- Nursing
- RN License
- 5 years
- 403(b) matching
- Disability insurance
Quick Apply
4d
Registered Nurse Ortho Neuro Coordinator Operating Room
Banner Health —Casper, WY
- Full-time
- Nursing
- Surgery
- RN License
- Health insurance
MDS Coordinator
Laramie Health and Rehabilitation —Laramie, WY
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Specialty Services RN Supervisor
Sheridan Memorial Hospital —Sheridan, WY
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply

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Case Manager - RN/MSW - Wyoming - Relocation$

Concert Consulting
Wyoming

Quick Apply

Job Details

Full-time
$75,000 - $100,000 a year
7 days ago

Benefits

Relocation assistance

Qualifications

BLS Certification
Case management

Full Job Description

Case Manager

Location: Douglas WY, Description

The Case Manager coordinates all authorizations and reauthorizations for patient services, identifies care needs for safe and appropriate discharge planning, ensures compliance with third-party payers, and acts as Utilization Review liaison with Health Information Management (HIM).

Requirements

Registered Nurse or a Social Worker

Master of Social Work or current WY RN license or a Masters in social work

Two to three years' experience in hospital setting preferred

Experience with hospital, SNF, and health plan-based case management systems preferred

BLS required

Job Summary

We are seeking a dedicated and experienced Case Manager with Registered Nurse (RN) or Master of Social Work (MSW) credentials to join our dynamic healthcare team in Wyoming. This role is pivotal in coordinating comprehensive patient care, facilitating seamless transitions across various care settings, and ensuring optimal health outcomes. The ideal candidate will possess a strong background in acute and post-acute care, with expertise in managing complex cases within diverse medical environments. Relocation assistance is available to support qualified applicants in joining our organization and making a meaningful impact on patient lives. Key Responsibilities:

Conduct thorough patient assessments, including vital signs and physiological evaluations, to develop individualized care plans.
Coordinate discharge planning, ensuring timely and appropriate transfer of patients to post-acute or outpatient settings.
Manage utilization review and case management processes to optimize resource use and maintain compliance with healthcare policies.
Collaborate with multidisciplinary teams—including physicians, nurses, social workers, and specialists—to facilitate comprehensive patient care.
Maintain accurate medical records, documentation, and medical terminology entries in compliance with HIPAA regulations.
Oversee diagnostic evaluations, medical records review, and patient service coordination to support effective treatment plans.
Engage in intake procedures for new patients, assessing needs and establishing appropriate care pathways.
Support hospital experience initiatives by providing case management for inpatient and outpatient populations across various specialties such as ICU, PICU, Geriatrics, Behavioral health, Emergency medicine, and Infectious disease care.
Participate in quality improvement activities related to hospital medicine, trauma centers (Level I & II), and other specialized units.
Assist with outpatient clinic operations by managing patient assessments and facilitating continuity of care. Skills:
Proven experience in critical care environments such as ICU, PICU, or emergency room settings.
Familiarity with Level I Trauma Centers and Level II Trauma Center protocols.
Strong knowledge of hospital medicine practices, including acute care procedures and inpatient management.
Experience with managed care processes, utilization management, and discharge planning.
Excellent patient assessment skills combined with a solid understanding of physiology and medical terminology.
Ability to navigate electronic medical records efficiently while maintaining HIPAA compliance.
Competence in diagnostic evaluation techniques and post-acute care coordination.
Effective communication skills tailored for diverse patient populations across inpatient and outpatient settings.
Knowledge of behavioral health considerations within hospital or clinic environments.
Ability to work collaboratively within multidisciplinary teams to deliver high-quality patient service. Join our team as a Case Manager – RN/MSW in Casper or Douglas, WY where your expertise will directly influence patient outcomes through compassionate care coordination. We value professionalism, dedication, and the drive to improve healthcare delivery across all levels of service.

Pay: $75,000.00 - $100,000.00 per year

Benefits:

Relocation assistance

Work Location: On the road

Quick Apply

Refine Your Search

utilization management nurse jobs in wyoming

Case Manager - RN/MSW - Wyoming - Relocation$

Utilization Management Nurse Consultant

Utilization Management Registered Nurse

Case Manager, Registered Nurse

Registered Nurse (Care Coordinator)

Nurse Home Visitor - Family Connects International

Home Health Registered Nurse

MDS Coordinator Nurse

RN Coordinator Perioperative Services East Campus

Nurse Case Manager / Outpatient Coordinator

Lead Social Worker / Transitional Care Registered Nurse

Registered Nurse Ortho Neuro Coordinator Operating Room

MDS Coordinator

Specialty Services RN Supervisor

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