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JOB 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

You 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

You 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

You 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

OverviewUnder the general supervision of the Regional Director of Utilization Review the Regional Utilization Review Coordinator is responsible for overseeing and coordinating the utilization review p

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physici

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtur

Anticipated End Date: Position Title: Utilization Management Representative IIJob Description: Utilization Management Representative II Virtual: This role enables associates to work virtually f

Anticipated End Date: Position Title: Utilization Management Representative II Job Description: Utilization Management Representative II Virtual: This role enables associates to work virtually

Anticipated End Date: Position Title: Utilization Management Representative II Job Description: Utilization Management Representative II Virtual: This role enables associates to work virtually

Utilization Management Representative III Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility a

We 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

Anticipated End Date: Position Title: Utilization Management Representative IIIJob Description: Utilization Management Representative III Virtual: This role enables associates to work virtually

You 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

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while functioning as both a care provider and c

OverviewUnder direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development, im

Overview$10.000 sign on bonus and $2.500 relocation (greater than 50 miles). - External Applicants Only.Under the general supervision of the Manager, Outpatient Community Services will serve as the Li

Overview $10.000 sign on bonus and $2.500 relocation (greater than 50 miles). - External Applicants Only. Under the general supervision of the Manager, Outpatient Community Services will serve as the