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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
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 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
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
Medical Review Nurse
Christian Care MinistryOrlandoThe range for this role is $ $42.79/hour Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants must be
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 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 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
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
UM Nurse Reviewer, RN
Universal Healthcare MSOBakersfield:Location: Bakersfield, CA Onsite) Classification: Full-Time This position is non-exempt and will be paid on an hourly basis. Schedule: Monday-Friday 8am-5pm Benefits: Medical Dental Vision Simple IR