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Keywords: Utilization Review Nurse, Location: USA

Page: 15

Lead ED Quality Utilization Specialist, Full-time, Days ($4,000 sign-on bonus)

Utilization Specialist has achieved a mastery of utilization review principles and facilitates improvement in the overall... Specialist applies clinical and utilization review expertise, knowledge of the national quality agenda, professional nursing...

Location: Chicago, IL
Posted Date: 13 Sep 2025

Lead Utilization Management Coordinator

Management Lead supports the daily operations of utilization review activities, ensuring timely and accurate documentation... through AZ BHLRP More information is available on our Benefits Guest Website: benefits.uhsguest.com The Utilization...

Location: Scottsdale, AZ
Posted Date: 12 Sep 2025

Lead Utilization Management Coordinator

Management Lead supports the daily operations of utilization review activities, ensuring timely and accurate documentation... through AZ BHLRP More information is available on our Benefits Guest Website: benefits.uhsguest.com The Utilization...

Posted Date: 12 Sep 2025

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

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

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

Clinical Evaluation Manager, Transition of Care (Utilization Management)

, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do: Conducts comprehensive review of all components...

Location: New York City, NY
Posted Date: 12 Sep 2025
Salary: $85000 per year

Executive RN Director of Utilization Management and CDI

with and educate physicians and other key stake holders regarding Utilization Review policies, practices, and procedures to ensure safe..., managed care, and patient financial services to streamline utilization review and enhance hospital financial performance...

Posted Date: 08 Sep 2025

Senior Director of Utilization Management

Overview: has an excellent opportunity for a Senior Director of Utilization Management to join our team... of 7,000 + employees! The Senior Director of Utilization Management (Sr. UM) will provide leadership and oversight of utilization...

Company: NaphCare
Location: Birmingham, AL
Posted Date: 07 Sep 2025

Care Coordinator, Utilization Management

for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 05 Sep 2025
Salary: $90750.4 per year

Care Coordinator, Utilization Management

for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 04 Sep 2025
Salary: $90750.4 per year

Care Coordinator, Utilization Management

for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 30 Aug 2025
Salary: $90750.4 per year

Director of Case Management - Utilization Management

, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization... all facets of utilization management, discharge planning, and care coordination to ensure patiens receive timely, appropriate...

Posted Date: 28 Aug 2025
Salary: $108160 - 163800 per year

Director of Case Management - Utilization Management

workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians... of utilization management, discharge planning, and care coordination to ensure patiens receive timely, appropriate, and efficient...

Company: Prime Healthcare
Location: Inglewood, CA
Posted Date: 28 Aug 2025
Salary: $108160 - 163800 per year

Manager of Utilization Management

: Utilization Management Licences & certifications Reg Nurse Reg Addiction Cnslr... authorizations for duration of patient stay. Evaluate the utilization program for compliance with regulations, policies...

Location: Wilmington, NC
Posted Date: 24 Aug 2025

Utilization Management Technician

experience preferred Work experience in utilization management/review in a healthcare/MCO setting preferred Knowledge.... Discover more about us at www.amerihealthcaritas.com. Responsibilities: The Utilization Management Tech functions under the...

Location: USA
Posted Date: 24 Aug 2025

Utilization Management Technician

experience preferred Work experience in utilization management/review in a healthcare/MCO setting preferred Knowledge.... Discover more about us at www.amerihealthcaritas.com. Responsibilities: The Utilization Management Tech functions under the...

Location: USA
Posted Date: 24 Aug 2025

Utilization Management Director

System's Acute Care Hospitals. Responsible for overall policy and operational accountability for utilization review to meet... system strategic goals and directions. Oversees team members with responsibility for all utilization review activities...

Posted Date: 23 Aug 2025

D203 - Utilization Management - Clinical Training Specialist

education, review, and data analysis. Communicate with Utilization Manager and program supervisors/managers regarding team... service degree. Registered Nurse (RN) or licensed as APC/LPC, LMSW/LCSW, or AMFT/LMFT. At least 1 year of Utilization...

Company: River Edge
Location: Macon, GA
Posted Date: 23 Aug 2025
Salary: $43 per hour

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: 21 Aug 2025

Care Management, Care Coordinator, Utilization Management

for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...

Posted Date: 09 Aug 2025