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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 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
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
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 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 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 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
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 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
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 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
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
Director of Quality Management
Aiken Regional Medical CentersAikenResponsibilities Director of Quality Management Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the 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
Director of Quality Management
Aiken Regional Medical CentersAikenResponsibilities Director of Quality ManagementAiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the resi
Nurse Practitioner or Physician Assistant-Pain Management, Full-time, Days
Northwestern Memorial HealthcareMokenaCompany Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the he
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
Manager Facility Management
CommonSpirit HealthDodge CityJob Summary And ResponsibilitiesAs our Facilities Services Manager, you will be a strategic leader, ensuring optimal functionality and safety across all hospital facilities, paramount in protecting ag
Transitions Health Management Coordinator, QP
Partners Health ManagementElkinCompetitive Compensation & Benefits Package Position eligible for – Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sic
Case Management Specialist
Refuge House Inc.San AntonioCASE MANAGEMENT SPECIALIST JOB DESCRIPTIONRefuge House, Inc. Position OverviewThe Case Management Specialist serves as the primary coordinator of services for children placed in foster care, ensuring
Learning & Development Lead, Care Management
Mental Health CooperativeNashvilleRanked one of Tennessee's top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Hea