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Keywords: Utilization Review Coordinator (RN), Location: USA

Page: 2

Utilization Management Coordinator - Full-Time/AM Shift (RN)

problems. The Utilization Management Coordinator (RN) is responsible for the managing, reviewing, and monitoring the...Job Description: Responsibilities Sierra Vista Hospital is seeking a Full-time Utilization Management Coordinator...

Posted Date: 27 Sep 2025

Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) - Remote in VA and NC

Sentara Health Plans is hiring a Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) remotely.... Job Description Summary: Behavioral Health Utilization Management clinician is responsible for review of clinical information received...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 12 Sep 2025
Salary: $58572.8 - 97635.2 per year

RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote (Must be a Colorado Resident)

We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote... Resident Job Summary Under general supervision the RN, Utilization Coordinator performs initial inpatient or outpatient...

Company: Denver Health
Location: Colorado
Posted Date: 08 Aug 2025
Salary: $69900 - 108300 per year

RN, Utilization Management Coordinator

The Utilization Management Coordinator Nurse performs duties consistent with the mission, vision and values of Goshen... Health. Responsible for performing utilization review (UR) on all patients, ensuring that severity of illness and intensity...

Company: Goshen Health
Location: Goshen, IN
Posted Date: 08 Oct 2025

Utilization Service Coordinator - Pro-Re-Nada (after hours)

) Utilization Service Coordinator like you who can help shape our vision and support our mission in after hours support. Pro Re..., etc.) regarding authorizations, utilization management and coordination of inpatient acute care, sub-acute, outpatient care...

Company: Colorado Access
Location: Aurora, CO
Posted Date: 12 Sep 2025

UTILIZATION MANAGEMENT COORDINATOR

is seeking a dedicated and detail-oriented Utilization Management Coordinator to join our dynamic UM team. In this role..., you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs...

Posted Date: 22 Aug 2025

UTILIZATION MANAGEMENT COORDINATOR

is seeking a dedicated and detail-oriented Utilization Management Coordinator to join our dynamic UM team. In this role..., you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs...

Location: Franklin, TN
Posted Date: 22 Aug 2025

RN or LPN - Utilization Manager

years of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred...Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care...

Location: Anniston, AL
Posted Date: 26 Sep 2025

LOS Clinical Review Coordinator - TN and MO

Coordinator is responsible for concurrent review for post-acute levels of care. Review clinical documents and complete reviews... from providers Perform utilization review of inpatient cases using Interqual Criteria and updating authorizations on a timely basis...

Company: CPS Solutions
Location: Saint Louis, MO
Posted Date: 10 Oct 2025
Salary: $34.23 - 61.15 per hour

LOS Clinical Review Coordinator - TN and MO

Coordinator is responsible for concurrent review for post-acute levels of care. Review clinical documents and complete reviews... from providers Perform utilization review of inpatient cases using Interqual Criteria and updating authorizations on a timely basis...

Company: CPS Solutions
Location: Saint Louis, MO
Posted Date: 10 Oct 2025
Salary: $34.23 - 61.15 per hour

LOS Clinical Review Coordinator - Remote

Coordinator is responsible for concurrent review for post-acute levels of care. Review clinical documents and complete reviews... utilization review of inpatient cases using Interqual Criteria and updating authorizations on a timely basis Completes...

Company: CPS Solutions
Location: Minneapolis, MN
Posted Date: 12 Sep 2025
Salary: $34.23 - 61.15 per hour

LOS Clinical Review Coordinator - Remote

Coordinator is responsible for concurrent review for post-acute levels of care. Review clinical documents and complete reviews... utilization review of inpatient cases using Interqual Criteria and updating authorizations on a timely basis Completes...

Company: CPS Solutions
Location: Minneapolis, MN
Posted Date: 11 Sep 2025
Salary: $34.23 - 61.15 per hour

Preservice Review Nurse RN- Remote Florida

further clinical or non-clinical research) Review care coordinator assessments and clinical notes, as appropriate CPS..., and Internet) Preferred Qualifications: 3+ years of experience as an RN in utilization management Reside in FL...

Company: CPS Solutions
Location: Tampa, FL
Posted Date: 09 Oct 2025
Salary: $28.27 - 50.48 per hour

Inpatient Review Nurse (Must have California LVN / RN License)

, teach and collaborate with others. Excellent critical thinking skills related to nursing utilization review Knowledge... but saving them. Together. The Inpatient Review Nurse assists patients through the continuum of care in collaboration with the...

Location: California
Posted Date: 24 Sep 2025
Salary: $77905 - 116858 per year

Utilization Management Consultant

Weekly Hours: 40 Department: Utilization Management Overview of Position: Acts as part of a multidisciplinary team...’s progress across the continuum is efficient, with quality patient care, while promoting cost effective resource utilization. The...

Location: Ohio
Posted Date: 27 Sep 2025

Behavioral Health Utilization Management Clinician - Tues to Sat Shift- Remote VA and NC

- 9:00AM Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information...Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 18 Sep 2025
Salary: $58572.8 - 97635.2 per year

Behavioral Health Utilization Management Clinician - Remote VA and NC

Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers...Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 18 Sep 2025
Salary: $58572.8 - 97635.2 per year

Utilization Management Manager

: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care... members achieve positive health outcomes through access to high quality care and services. You serve as the utilization...

Company: State of Indiana
Location: Indianapolis, IN
Posted Date: 22 Aug 2025
Salary: $75010 per year

Nurse Clinician - Utilization Management - 60% - Downtown Campus

’s Utilization Review Plan and review of medical records to ensure criteria for admission and continued stay are met and documented... compliance portion of the level of care. Review data specific to utilization management functions and reports as requested...

Location: Iowa City, IA
Posted Date: 08 Aug 2025

Preservice Review Nurse - Remote

, and Internet) Saturday availability Preferred Qualifications: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...

Company: CPS Solutions
Location: Phoenix, AZ
Posted Date: 28 Sep 2025
Salary: $28.27 - 50.48 per hour