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RN Case Management/Utilization Review
Physician Care Coordination Consultants (PC3)Louisville*Please note: We are hiring for four (4) roles: Three (3) full‑time hybrid positions One (1) hybrid role with weekend‑only hours Our Mission: Our mission is to drive financial wellness in healthcare
RN Utilization Management remote
Trinity HealthColumbusEmployment Type: Full timeShift: Description: Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United State
Utilization Management Denial Coordinator LVN
Texas Children's HospitalBellaireWe are searching for a UM Denial Coordinator Licensed Vocational Nurse - someone who works well in a fast-paced setting. In this position, using a collaborative approach, the licensed vocational nurse
Lead Utilization Management Coordinator
Greater Oregon Behavioral HealthPortland:The Lead UM Coordinator is a senior-level role responsible for providing advanced coordination, leadership, and expertise within GOBHI's Behavioral Health Utilization Management (UM) program supporti
Utilization Review RN
Baylor Scott & White HealthDallasJOB SUMMARY The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient servi
Utilization Management and Clinical Documentation Improvement Director
Northeast Georgia Health SystemGainesvilleJob Category:Executive Leadership Work Shift/Schedule:8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.About the Role:Job S
Utilization Management Representative
Advocate Health CareOak BrookMajor ResponsibilitiesManage incoming fax, phone, and portal communications or any other requests from internal and external customers pertaining to clinical requests, approvals, authorizations, and d
Utilization Management Clinical Consultant
Signify HealthThe Home PlaceAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading hea
Utilization Management Nurse Consultant – Work at Home
CVS HealthAlbanyAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading hea
utilization review nurse
MOUNTAIN VIEW HOSPITAL LLCIdaho FallsJob Details Job Location: Admin 3 - Idaho Falls, ID 83404 Position Type: Full Time Education Level: Accredited Nursing Program Job Category: Health CareMountain View Hospital is looking for a Utiliza
Utilization Reviewer
Healthcare Support StaffingTampaCompany Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare pro
Utilization Review Specialist
Clean and Clear Advantage, LLCParkersburgNow offering company-paid dental, vision, and life insurance We are actively seeking a detail-oriented and compassionate professional to work as a Utilization Review (UR) Specialist in our residential
Utilization Review Specialist
Copper SpringsGilbertCopper Springs East Job Title: Utilization Review Specialist Job Type: Full-time Your experience matters At Copper Springs East, we are committed to empowering and supporting a diverse and determined
Director of Utilization
Tufts Medicine BehavioralMaldenAcadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250 plus behavioral healthcare facilities with approximately 11
Utilization Review Clinician - ABA
Arizona Complete HealthDragoonYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri
Utilization Review Clinician - ABA
Arizona Complete HealthWillcoxYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri
Utilization Review Clinician - ABA
Arizona Complete HealthAsh ForkYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri
Utilization Management Rep I
Elevance HealthTorontoAnticipated End Date: Position Title: Utilization Management Rep I (US)Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-ti
Manager of Care Management / RN Care Manager
Providence Health and ServicesWasillaThe Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities incl
Capacity Management RN
Hackensack Meridian HealthHackensackOverview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture r
RN - Nurse Auditor - HCC Program Management
Presbyterian Healthcare ServicesAlbuquerqueLocation Address: 9521 San Mateo NE , Albuquerque, New Mexico , United States of America Compensation Pay Range: Minimum Offer $: 67100.8 Maximum Offer for this position is up to $: Summary: Performs
Health Information Management Specialist
TrueCareVistaTrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare acce
Supervisor RN, Care Management
SCANLong BeachFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of commun
Care Management Assistant
Summa HealthOhioCare Management Assistant8:00am-4:30pm/Monday-Friday/Every 7th Weekend ShiftAkron Campus Acute Case ManagementSumma Health System is recognized as one of the region's top employers by a number of thir
Analyst, Case Management- Field
CVS HealthCrestwoodAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading hea