• Physician Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    …Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions ... more
    Hackensack Meridian Health (02/16/25)
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  • Sr Utilization Review Spec FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions ... more
    Hackensack Meridian Health (02/01/25)
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  • Corporate Director of Clinical

    Prime Healthcare (Ontario, CA)
    …or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + An ... more
    Prime Healthcare (03/04/25)
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  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/ clinical /or combination; ... more
    US Tech Solutions (03/19/25)
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  • Utilization Management RN - Usfhp

    Pacific Medical Centers (Renton, WA)
    …Registered Nurse License. + 5 years Clinical experience. + Utilization review / case management. **Preferred Qualifications:** + Bachelor's Degree ... more
    Pacific Medical Centers (01/23/25)
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  • Clinical Case Manager/RN-Virtual

    Alight (NJ)
    …health, worker compensation, disability, health case management, or utilization review . + 2+ years as a Clinical Case Manager. Additionally, ... more
    Alight (03/08/25)
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  • Director, System Clinical Quality…

    UPMC (Pittsburgh, PA)
    …for UPMC. + Partner with department leaders in Revenue Cycle/Coding, Utilization Review / Case Management, and Clinical Analytics to design, develop, and ... more
    UPMC (03/14/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... more
    Beth Israel Lahey Health (02/09/25)
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  • RN- Utilization Review - HS…

    Baptist Memorial (Jackson, MS)
    …+ Employee referral program Job Summary: Position: 19738 - RN- Utilization Review Facility: MBMC - Hospital Department: HS Case Mgmt Administration Corporate ... more
    Baptist Memorial (02/17/25)
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  • Denials Management RN Specialist Remote

    AdventHealth (Altamonte Springs, FL)
    …in any field of study . Experience in denial management, utilization review , case management, clinical documentation improvement, revenue integrity, or ... more
    AdventHealth (01/27/25)
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  • Managed Care Coordinator UM II

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review / case management/ clinical /or combination; ... more
    US Tech Solutions (03/18/25)
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  • Utilization Review Case

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... more
    Dallas Behavioral Healthcare Hospital (03/14/25)
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  • Per Diem RN Case Manager,…

    Children's Hospital Boston (Boston, MA)
    79378BRJob Posting Title:Per Diem RN Case Manager, Utilization Management/ReviewDepartment:Patient Services-Patient Care ... more
    Children's Hospital Boston (03/27/25)
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  • RN Case Manager

    Lompoc Valley Medical Center (Lompoc, CA)
    …preferred. * Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. * Per Diem Positions: ... more
    Lompoc Valley Medical Center (02/03/25)
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  • Case Manager, RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/201000/ case -manager%2c-rn utilization - review ... more
    Prime Healthcare (03/25/25)
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  • Case Manager, RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case -manager%2c-rn utilization - review ... more
    Prime Healthcare (03/15/25)
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  • Clinical Outpatient Utilization

    US Tech Solutions (Canton, MA)
    …of the position to all audiences. **Experience Required:** + Minimum of five years clinical experience in utilization management, case management or quality ... more
    US Tech Solutions (03/26/25)
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  • RN Case Manager - Utilization

    Trinity Health (Silver Spring, MD)
    …team to coordinate care and address clinical documentation needs for accurate case review and status determination. + Oversee the continuity of care by ... more
    Trinity Health (03/13/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient, ... more
    Helio Health Inc. (03/04/25)
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  • Director of Case Management…

    Prime Healthcare (Inglewood, CA)
    …leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... more
    Prime Healthcare (03/15/25)
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