• 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

    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 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

    Amergis (Middletown, CT)
    The Utilization Review Specialist is...+ Current license for the state in which the nurse practices if nursing licensure is required by contract ... 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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  • OP Clinical Documentation Improvement (CDI)…

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

    Banner Health (Mesa, AZ)
    …your future. If you're looking to leverage your abilities - apply today. **As a Registered Nurse Support Operations Specialist , you will provide support for ... more
    Banner Health (03/08/25)
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  • RN Registered Nurse Care…

    AdventHealth (La Grange, IL)
    …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... more
    AdventHealth (02/11/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Johnstown, PA)
    * Registered Nurse ( RN ), Case Manager*...team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that ... more
    LifePoint Health (03/06/25)
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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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  • Senior Registered Nurse Supv

    MyFlorida (Port Saint Lucie, FL)
    …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... more
    MyFlorida (03/06/25)
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  • PRN PACU Registered Nurse - US Air…

    Katmai (Usaf Academy, CO)
    …from the Commission on Collegiate Nursing Education accredited college or university. + Registered Nurse shall possess a current, active, full and unrestricted ... more
    Katmai (01/02/25)
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  • Lead Certified Registered Nurse

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... more
    Stanford Health Care (03/13/25)
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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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  • Clinical Quality Review Specialist

    Trinity Health (Livonia, MI)
    …Type:** Full time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D ... more
    Trinity Health (03/11/25)
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  • Utilization Management Specialist

    Sanford Health (Sioux Falls, SD)
    …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... more
    Sanford Health (03/13/25)
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  • Denials Management RN Specialist

    AdventHealth (Altamonte Springs, FL)
    …2 years utilizing InterQual and/or MCG . Minimum of three (3) years' experience as Registered Nurse ( RN ) in an acute clinical setting . Clinical experience ... more
    AdventHealth (01/27/25)
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