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Utilization Review Nurse
Mountain View HospitalIdaho FallsDescriptionMountain View Hospital is looking for a Utilization Review Nurse to join our team JOB SUMMARY: Under the general direction of the UR Supervisor/ Manager, Director of Nursing and the UR Medi
utilization review case manager
MOUNTAIN VIEW HOSPITAL LLCIdaho FallsJob Details Job Location: Hospital Main Campus - Idaho Falls, ID 83404 Position Type: Full Time Education Level: Registered Nurse Job Category: Health CareMountain View Hospital is looking for a Util
Utilization Review Nurse
Mass General BrighamSomervilleSite: Mass General Brigham Health Plan Holding Company, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and sys
Pool Utilization Review Registered Nurse, Case Management
Baptist Health South FloridaBoca RatonBaptist 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
Utilization Review Coordinator
Intensive Specialty HospitalShreveportJob Summary: Intensive Specialty hospital is seeking a detail-oriented and motivated Utilization Management Review Coordinator to support the authorization process for continued patient care. This pos
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
SPH Careers 2023HelenaThe Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR team members in providing all identified utilization review f
Utilization Review Coordinator
Neuropsychiatric HospitalsGreenwoodAbout Us Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use a
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
Licensed Utilization Review I
Elevance HealthRemoteJob ID: JP Anticipated Start Date: 01/19/2026 Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date. Elevance Health is a he
Remote Utilization Management Nurse
Dragonfly GlobalUnited StatesJob Type: Full-timeSchedule: Tuesday - Saturday OR Sunday - Thursday 8:00 AM – 5:00 PM (PST)Location: Anywhere in the US, Remote (California RN or LVN license required) Job SummaryMUST HAVE CALIFORNIA
Utilization Review Specialist (48581)
WestcareHendersonDescriptionPosition Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order to advocate for the highest level of car
Outcomes Manager/Utilization Review, RN, Full Time
Virtua HealthMarltonRemote work position available after in-office training SummaryResponsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient
Utilization Review Specialist (48581)
WESTCARE INCHendersonJob Details Job Location: Henderson Whitney Mesa - Henderson, NV 89014 Position Type: Full Time Education Level: 2 Year Degree Salary Range: $ $24.75 Hourly Job Shift: AnyPosition Summary: Person in
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 Nurse
Katmai Government ServicesFort CarsonJob Description: SUMMARY Responsible for assuring the receipt of high quality, cost efficient medical outcomes for those enrollees identified as having the need for inpatient/outpatient precertificati
Utilization Management Nurse Consultant
CVS HealthTallahasseeAt 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 rn
Liberty Health and RehabWilmingtonUTILIZATION MANAGEMENT RN There's no place like Liberty Health Come explore career opportunities withLiberty Health, a dynamic leader in the healthcare industry. Join us We are currently seeking an ex
Utilization Management Specialist I
Sun Behavioral Health GroupHoustonDescriptionCome join SUN Behavioral Houston, where our mission is to partner with communities to solve the unmet needs of those who suffer from mental illness and substance use disorders. We are a fre
Utilization Management
Sanford HealthRapid CityCareers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to
Utilization Management Specialist
CareFirst BlueCross BlueShieldBaltimoreResp & QualificationsPURPOSE:Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, app
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