• Greenspring Village by Erickson Senior Living (Springfield, VA)
    …MDS processes, including but not limited to MDS, RAPs, Care Planning, and Utilization Review . Experience documenting in an Electronic Medical Record (EMR) ... Erickson Senior Living Join our team as the MDS Coordinator is responsible for the coordination of the entire...58-acre continuing care retirement community in Springfield, Virginia. We're part of a growing national network of communities managed… more
    Appcast IO CPA (12/06/25)
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  • Greenspring Village by Erickson Senior Living (Springfield, VA)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... utilization , ADL splits/documentation, etc. Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed… more
    Appcast IO CPA (12/07/25)
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  • Utilization Review

    Community Health Systems (Franklin, TN)
    **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and...physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the… more
    Community Health Systems (12/10/25)
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  • Utilization Review

    Devereux Advanced Behavioral Health (Viera, FL)
    …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is ... environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux...member of our team, you will be a significant part of our commitment to providing a welcoming and… more
    Devereux Advanced Behavioral Health (12/06/25)
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  • Utilization Review

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234286/ utilization - review - coordinator ... offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference....both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able… more
    Prime Healthcare (12/04/25)
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  • Staff Utilization Coordinator

    University of Utah Health (Salt Lake City, UT)
    …and trust that are integral to our mission. EO/AA_ + The Staff Utilization Coordinator is responsible for providing healthcare operational support services, ... Timekeeping team. + Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based on agreed-upon… more
    University of Utah Health (12/02/25)
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  • Behavioral Health Care Coordinator - ABA,…

    Health Care Service Corporation (Albuquerque, NM)
    …decision making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** ** Utilization review experience.** **3 years clinical experience in ... that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.… more
    Health Care Service Corporation (12/03/25)
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  • Utilization Management Coordinator

    South Middlesex Opportunity Council (Framingham, MA)
    …Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with clients ... and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential...match starting on day one for all full-time and part -time employees. + Additional voluntary benefits including; Term and… more
    South Middlesex Opportunity Council (12/10/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...4 years of related experience in behavioral health care, part of which may be experience in Behavioral health… more
    Saint Francis Health System (11/14/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
    The County of Los Angeles (10/06/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of...Statement** _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who… more
    University of Utah Health (10/02/25)
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  • RN Utilization Review - Case…

    Tenet Healthcare (Detroit, MI)
    …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management -...RN Utilization Review - Case Management - 2506004107 Description :...growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your… more
    Tenet Healthcare (12/03/25)
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  • Medicaid Utilization Analyst 12 - HSA…

    State of Michigan (Lansing, MI)
    …program. To identify psychotropic medication regimens that require additional physician review according to policy, the Utilization Reviewer actively monitors ... Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight...individuals with psychotropic medication regimens that require additional physician review , preparing the physician review materials, and… more
    State of Michigan (12/10/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Prescott, AZ)
    …more information, refer to Required Documents below. Caregiver Support Program Coordinator for the Program of Comprehensive Assistance to Family Caregivers (PCAFC) ... is a Program Coordinator whose primary responsibilities are to provide clinical evidence-based services and interventions, program development, caregiver, Veteran,… more
    Veterans Affairs, Veterans Health Administration (12/06/25)
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  • Social Worker (Program Coordinator )…

    Veterans Affairs, Veterans Health Administration (Fargo, ND)
    …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). This position is eligible for… more
    Veterans Affairs, Veterans Health Administration (11/19/25)
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  • Behavioral Health Referral Coordinator

    UNC Health Care (Hendersonville, NC)
    …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the Intake ... **Description** Become part of an inclusive organization with over 40,000...appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or… more
    UNC Health Care (12/10/25)
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  • RN Patient Flow Coordinator

    HCA Healthcare (Gainesville, FL)
    …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
    HCA Healthcare (11/26/25)
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  • Oasis Workflow Coordinator (RN, PT, OT,…

    Hartford HealthCare (Mansfield Center, CT)
    …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network years an Oasis Workflow Coordinator more
    Hartford HealthCare (11/20/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Lincoln, NE)
    **Become a part of our caring community and help us...in an acute care setting + Previous experience in utilization management/ utilization review for a ... put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
    Humana (09/12/25)
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  • Equipment Inventory Coordinator

    HCA Healthcare (Houston, TX)
    …and personal growth, we encourage you to apply for our Equipment Inventory Coordinator opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as an Equipment Inventory Coordinator you want with your current employer? We have...to join HCA Houston Healthcare Medical Center which is part of the nation's leading provider of healthcare services,… more
    HCA Healthcare (11/19/25)
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