• UnitedHealthcare (Wahiawa, HI)
    …experience * Experience with or exposure to discharge planning * Experience with utilization review , concurrent review and/or risk management * Experience ... for our patients. In this Health and Social Services Coordinator role, will be an essential element of an...* Background in managing populations with complex medical or behavioral needs * Background in mental health or experience… more
    JobLookup XML (12/15/25)
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  • UnitedHealthcare (Kaunakakai, HI)
    …experience * Experience with or exposure to discharge planning * Experience with utilization review , concurrent review and/or risk management * Experience ... our patients. In this Health and Social Services Care Coordinator role, will be an essential element of an...* Background in managing populations with complex medical or behavioral needs * Background in mental health or experience… more
    JobLookup XML (12/15/25)
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  • Battelle Memorial Institute (Fort Benning, GA)
    …SOF personnel to develop and apply advanced cognitive, mental, and behavioral skills for optimal performance in training and operational environments, utilizing ... personnel in individual and group settings on cognitive, mental, behavioral , psychosocial, perceptual learning, adaptive thinking, human engagements, and emotional… more
    DirectEmployers Association (11/05/25)
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  • Utilization Review Nurse…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... to learn more about joining our team as a Utilization Review Nurse Coordinator ! The...General Experience must have been working with persons with behavioral health disabilities or an intellectual disability. DEPARTMENT OF… more
    State of Connecticut, Department of Administrative Services (12/17/25)
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  • Utilization Review Nurse…

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
    State of Connecticut, Department of Administrative Services (12/12/25)
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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 ... a nonprofit behavioral health organization that provides a wide range of...environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux… more
    Devereux Advanced Behavioral Health (12/17/25)
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  • RN Admissions Coordinator

    PeaceHealth (Eugene, OR)
    **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... collective bargaining agreement, seniority, etc. Responsible for identifying potential behavioral health inpatient unit candidates, pre-screening referrals, and preparing… more
    PeaceHealth (12/05/25)
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  • Behavioral Health Referral…

    UNC Health Care (Hendersonville, NC)
    …placement and/or consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and ... to ensure appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or legal department as… more
    UNC Health Care (12/10/25)
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  • Utilization Management Coordinator

    South Middlesex Opportunity Council (Framingham, MA)
    …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... Summary: SMOC Behavioral Healthcare is a division of SMOC that...As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… more
    South Middlesex Opportunity Council (12/10/25)
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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 :...preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year… more
    Tenet Healthcare (12/03/25)
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  • Manager, Organ Utilization

    LifeCenter Northwest (Bellevue, WA)
    … (OUM) provides strategic leadership and operational oversight for the Organ Utilization Coordinator Team (OUCT), directing key aspects of abdominal organ ... JOB FUNCTIONS General Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations, developing and… more
    LifeCenter Northwest (12/10/25)
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  • Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    …The role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose ... Utilization Management Manager Date Posted: Nov 30, 2025...and consultants on program requirements and usage. + Develop, coordinator , and deliver communication plans and communications. + Preside… more
    State of Indiana (11/20/25)
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  • Care Coordinator I or II

    Sea Mar Community Health Centers (Olympia, WA)
    …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional,...is a mandatory COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #27392 Hourly Rate:… more
    Sea Mar Community Health Centers (12/05/25)
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  • Medical Operations Coordinator (Nurse V)…

    State of Colorado (Golden, CO)
    …diagnostic equipment, medication formulary, quality assurance program, and hospitalization utilization review . This position works collaboratively with Agency ... programs, which include staffing patterns and assignments, training and quality assurance review in collaboration with the DYS Quality Coordinator for medical… more
    State of Colorado (12/13/25)
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  • Intake Coordinator -RN Lhtc/ Evenings

    Villa of Hope (Rochester, NY)
    …, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed assists ... Intake Coordinator -RN (LHTC) Full Time Rochester, NY, US Requisition...needs to the treatment team. + Assists in the behavioral management of patients which include verbal redirection and… more
    Villa of Hope (11/22/25)
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  • Care Coordinator II

    Spectrum Health and Human Services (Warsaw, NY)
    …partners with adults, children, and families as they recover from behavioral , emotional, mental health and/or substance related disorders by offering individualized ... West Buffalo Street, Warsaw, NY SUMMARY OF POSITION FUNCTION: The Care Coordinator will apply the essential activities of case management which include assessment,… more
    Spectrum Health and Human Services (12/04/25)
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  • Care Coordinator I

    Sea Mar Community Health Centers (Everson, WA)
    …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional,...is a mandatory COVID-19 and flu vaccine organization Care Coordinator I - Posting #25571 Hourly Rate: $21.88 Position… more
    Sea Mar Community Health Centers (11/10/25)
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  • Care Coordinator II

    Sea Mar Community Health Centers (Lynnwood, WA)
    …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional,...is a mandatory COVID-19 and flu vaccine organization Care Coordinator II - Posting #26043 Hourly Rate: $22.63 Position… more
    Sea Mar Community Health Centers (11/12/25)
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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 of...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (11/26/25)
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  • Health Support Coordinator

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: Health Support Coordinator Location: Remote Career Area: Customer Service/Operations About Blue Cross and ... us. The Impact You Will Have The Health Support Coordinator (HSC) is a member of the Blue Cross...moderate to advanced support to CM clinicians with their utilization management, case management, and disease management activities, with… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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