• Registered Nurse - Utilization…

    Ascension Health (Baltimore, MD)
    …care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and service requests within ... more
    Ascension Health (04/11/25)
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  • Supervising Public Health Nurse

    Sacramento County (Sacramento, CA)
    …Employment Qualifications Minimum Qualifications Either: One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two ... more
    Sacramento County (04/22/25)
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  • RN - Registered Nurse Clinical Access…

    Geisinger (Danville, PA)
    …with impact. Job Duties The RN Clinical Access Specialist performs initial, concurrent and retrospective medical record review to determine medical necessity ... more
    Geisinger (04/26/25)
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  • Registered Nurse RN Trauma Coordinator

    HCA Healthcare (Kansas City, MO)
    …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... more
    HCA Healthcare (04/09/25)
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  • RN - Registered Nurse Case Manager - Trauma

    Geisinger (Wilkes-Barre, PA)
    …Some of those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction ... more
    Geisinger (04/24/25)
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  • Registered Nurse Trauma PI Coordinator

    HCA Healthcare (Kingwood, TX)
    …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... more
    HCA Healthcare (04/19/25)
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  • Case Manager Nurse (Fulltime/Days)

    Prime Healthcare (Riverdale, GA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... more
    Prime Healthcare (04/10/25)
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  • RN - Registered Nurse - Clinical…

    Geisinger (Danville, PA)
    …provided. The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded ... more
    Geisinger (02/21/25)
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  • RN - Care Manager Registered Nurse - Care…

    Geisinger (Scranton, PA)
    …reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters data as ... more
    Geisinger (04/16/25)
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  • Infection Control Specialist Registered…

    Geisinger (Scranton, PA)
    …National Healthcare Safety Network (NHSN) reporting criteria and requirements. + Performs concurrent and retrospective medical record review including review ... more
    Geisinger (03/05/25)
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  • Senior Mental Health Worker-Licensed

    Sacramento County (Sacramento, CA)
    Senior Mental Health Worker-Licensed Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1036656) Apply  Senior Mental Health Worker-Licensed ... more
    Sacramento County (04/22/25)
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  • Senior Clinical Doc Specialist

    Kaleida Health (Buffalo, NY)
    …team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data. ... more
    Kaleida Health (03/19/25)
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  • Senior Engineer - Electrical Power System…

    GE Vernova (Wilmington, NC)
    …oversight of suppliers thru procurement and construction to develop, perform, and review unit, module, system, and integration test plans, procedures, and reports ... more
    GE Vernova (04/17/25)
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  • Manager, Utilization Management

    Centene Corporation (Olympia, WA)
    …to reside in MST or PST time zones.** **Position Purpose:** Manages Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... more
    Centene Corporation (04/24/25)
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  • Director Utilization Management (Healthy…

    Intermountain Health (Murray, UT)
    review programs to include prior authorization, acute and post acute concurrent review for various service lines of business(s). The position requires ... more
    Intermountain Health (04/04/25)
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  • Treatment Center Program Coordinator

    Sacramento County (Sacramento, CA)
    …clinic. OR: Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , ... more
    Sacramento County (04/22/25)
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  • Clinical Nursing Director (Canton Michigan…

    University of Michigan (Ann Arbor, MI)
    …information regarding budget variances to Associate Chief Nursing Officer or MDS Senior Nurse Director. + Collaborate and coordinate with other disciplines ... more
    University of Michigan (04/10/25)
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  • RN Uniform System Assessor field travel in…

    Molina Healthcare (Bronx, NY)
    …community and accessing and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or risk management a plus. * ... more
    Molina Healthcare (04/24/25)
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  • Quality Patient Safety Program Manager - Clinical…

    Catholic Health Initiatives (Houston, TX)
    …role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and ... more
    Catholic Health Initiatives (04/20/25)
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  • Quality Patient Safety Program Mgr - Clinical Lic

    Catholic Health Initiatives (Bryan, TX)
    …role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and ... more
    Catholic Health Initiatives (04/18/25)
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