• Utilization Management Denial…

    UCLA Health (Los Angeles, CA)
    …leader with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, ... more
    UCLA Health (12/23/24)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …**Required Qualifications:** -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management ... more
    CVS Health (03/15/25)
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  • Clinical Review Nurse

    Actalent (Dallas, TX)
    Management NurseJob Description We are seeking a dedicated Utilization Management Nurse to review handwritten and computer-generated documents, ... more
    Actalent (02/21/25)
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  • Utilization Management Case…

    CoreCivic (Brentwood, TN)
    …Brentwood, TN office location._ The Utilization Management /Case Management Nurse provides Utilization Review and Case Management functions ... more
    CoreCivic (03/07/25)
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  • Insurance Specialist - Samaritan Hospital - PD…

    Trinity Health (Troy, NY)
    …requirements for Utilization Management and works collaboratively with Utilization Management /Concurrent Review Nurse , physicians, staff and ... more
    Trinity Health (03/15/25)
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  • Clinical Review Nurse

    Actalent (Houston, TX)
    … NurseJob Description We are seeking a dedicated and detail-oriented Utilization Management Nurse to oversee and review both handwritten and ... more
    Actalent (02/21/25)
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  • Utilization Review Nurse (RN)

    Matrix Providers (Aurora, CO)
    Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... more
    Matrix Providers (01/29/25)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... more
    Beth Israel Lahey Health (02/14/25)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …Rotation **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... more
    Beth Israel Lahey Health (02/14/25)
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  • Utilization Review Nurse

    University of Utah Health (South Salt Lake, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... more
    University of Utah Health (02/08/25)
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  • Utilization Review Nurse

    Independent Health (Buffalo, NY)
    …perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review ... more
    Independent Health (03/14/25)
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  • Utilization Review Nurse

    CDPHP (Albany, NY)
    …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... more
    CDPHP (03/12/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF ... more
    US Tech Solutions (01/17/25)
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  • Registered Nurse - Utilization

    Ascension Health (Baltimore, MD)
    …the offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review . ... more
    Ascension Health (03/14/25)
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  • Utilization Review Nurse

    Lawrence General Hospital (Lawrence, MA)
    The Utilization Review Nurse is...acute care setting with discharge planning, continuing care, care management , and utilization review ; five ... more
    Lawrence General Hospital (03/09/25)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF ... more
    US Tech Solutions (01/17/25)
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  • Utilization Management - Registered…

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... more
    Crouse Hospital (02/07/25)
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  • Utilization Management Nurse

    CVS Health (Lansing, MI)
    …include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... more
    CVS Health (03/12/25)
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  • Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... more
    LA Care Health Plan (02/24/25)
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  • Utilization Management Nurse

    Fallon Health (Worcester, MA)
    …a Registered Nurse in a clinical setting required. + 2 years' experience as a Utilization Management nurse in a managed care payer preferred. + One year ... more
    Fallon Health (02/25/25)
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