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Manager or Utilization or Review or RN jobs in United States

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System Utilization Management SUM Utilization Review RN

Alameda Health System  –  Oakland, CA, 94612
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate ... Participate in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge of ... - May 03

Utilization Review Department Coordinator

Trinity Health  –  Fort Lauderdale, FL
... review work queues assigned to Utilization Management. Coordinates Physician Advisor referrals with there are concerns regarding meeting level of care criteria (utilizing Indicia/InterQual). Reviews PA referrals with department manager as needed. ... - May 02

System Utilization Management SUM Utilization Review RN

Alameda Health System  –  Oakland, CA, 94612
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate ... Participate in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge of ... - May 03

Travel Case Manager - Utilization Review - per week

Access Healthcare  –  Port Angeles, WA
Access Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Port Angeles, Washington. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/05/2025 Duration: 13 weeks 40 hours per week ... - May 04

RN Case Manager - Case Management - Straight Weekend Days

Sanford Health  –  Fargo, ND, 58104
... Promotes patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services ... Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or ... - Apr 22

Travel Nurse RN - Utilization Review - per week

TotalMed Case Management Staffing  –  Frenchtown Township, MI, 48162
TotalMed Case Management Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Monroe, Michigan. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks 40 ... - May 03

Utilization Review Specialist

Tribe Recovery Services  –  Denver, CO, 80204
1500USD - 1501USD per week
Job Description Title: Billing Utilization Specialist (Substance Use and Mental Health Services) General Purpose: Make sure services provided (like therapy, IOP, detox, MAT, etc.) are properly documented, billed, and reimbursed. Review clinical ... - May 03

Utilization Review Specialist

The Behavioral Wellness Center at Girard  –  Philadelphia, PA, 19122
25USD - 28USD per hour
Job Description Utilization Review Specialist – Behavioral Health Location: Philadelphia, PA Facility: The Behavioral Wellness Center at Girard Schedule: Full-Time Exempt Day Shift Company Overview: The Behavioral Wellness Center at Girard is a well ... - May 04

Registered Nurse - Utilization Review

Ascension Health  –  Baltimore, MD, 21203
... Responsibilities Provide health care services regarding admissions, case management, discharge planning and utilization review. Responsibilities: * Review admissions and service requests within assigned unit for prospective, concurrent and ... - May 01

Utilization Review Nurse

Sidecar Health  –  Atlanta, GA
... internal policies What You'll Bring Clinical credentials (RN) 5+ years of experience as a nurse providing direct patient care, preferably in a hospital setting 3+ years of utilization review experience, preferably in a health plan, managed care, or ... - May 04
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