Case Manager EX - Utilization Management

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Case Manager EX - Utilization Management based in United States. This role offers the opportunity to support high-quality patient care by ensuring effective utilization of healthcare resources across a leading academic health system. The Case Manager will evaluate clinical services, coordinate care processes, and help improve outcomes through data-driven utilization management practices. You will collaborate closely with physicians, clinical teams, and operational stakeholders to promote appropriate care delivery. The position plays a key role in identifying utilization trends, supporting documentation quality, and reducing barriers within the patient care journey. This opportunity is ideal for a nursing professional who combines clinical expertise with strong analytical and communication skills. You will contribute to a mission-driven environment focused on innovation, research, education, and exceptional patient care.