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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

*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

Copper 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

Job 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

Company 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

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

Major ResponsibilitiesManage incoming fax, phone, and portal communications or any other requests from internal and external customers pertaining to clinical requests, approvals, authorizations, and d

: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

Job 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

At 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

Anticipated 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