• QA Utilization Review

    WellLife Network (Lake Success, NY)
    QA Utilization Review Specialist - QAS043 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Remote Type Hybrid ... more
    WellLife Network (02/14/25)
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  • Physician Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... more
    Hackensack Meridian Health (02/16/25)
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  • Utilization Review Specialist

    Munson Healthcare (Traverse City, MI)
    …families, interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic ... more
    Munson Healthcare (02/07/25)
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  • Utilization Review Specialist

    BayCare Health System (St. Petersburg, FL)
    …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + ... more
    BayCare Health System (03/12/25)
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  • Utilization Review Specialist

    Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
    …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... more
    Bakersfield Behavioral Healthcare Hospital (02/19/25)
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  • Utilization Review Specialist

    Amity Foundation (Tucson, AZ)
    …community building. Remembrance, Resolution, Reconciliation, Restoration, Renewal Job Summary: As the Utilization Review Specialist , you will contribute to ... more
    Amity Foundation (03/08/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... more
    Medical Center Hospital (12/21/24)
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  • RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... more
    HonorHealth (03/12/25)
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  • Utilization Review Admission…

    Mount Sinai Health System (New York, NY)
    …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... more
    Mount Sinai Health System (03/05/25)
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  • Utilization Review (UR)…

    Spectrum Billing Solutions (Skokie, IL)
    …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... more
    Spectrum Billing Solutions (02/05/25)
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  • Utilization Review Specialist

    Sutter Health (Berkeley, CA)
    …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... more
    Sutter Health (01/22/25)
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  • Utilization Management Specialist

    CareFirst (Baltimore, MD)
    …Qualifications** **PURPOSE:** Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent ... more
    CareFirst (02/21/25)
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  • Experienced Utilization Review RN…

    Amergis (Middletown, CT)
    The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that ... more
    Amergis (03/06/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + ... more
    BayCare Health System (12/31/24)
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  • Clinical Documentation and Denial…

    CaroMont Health (Gastonia, NC)
    …factual arguments to recoup revenue. This position also facilitates collaboration between the Utilization Review Specialist 's, Coding staff, HIM staff, CDI ... more
    CaroMont Health (02/21/25)
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  • OP Clinical Documentation Improvement (CDI)…

    Saint Francis Health System (Tulsa, OK)
    …HYBRID position after 90 days! Job Summary: The Clinical Documentation and Utilization Review Specialist (RN) facilitates accurate documentation and ... more
    Saint Francis Health System (03/06/25)
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  • Support Specialist - Utilization

    Henry Ford Health System (Troy, MI)
    The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. ... more
    Henry Ford Health System (03/14/25)
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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 Type: ... more
    LA Care Health Plan (02/24/25)
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  • Utilization Management Specialist

    Vanderbilt University Medical Center (Nashville, TN)
    …that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary ... more
    Vanderbilt University Medical Center (02/20/25)
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  • Utilization Management Specialist

    Sanford Health (Sioux Falls, SD)
    …level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure ... more
    Sanford Health (03/13/25)
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