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Utilization Review Specialist
Acadia External
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Columbia, MO, 65203
... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current licensure as an LPN or RN within ... - Apr 30
RN - Utilization Review
healthtrust
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Louisville, KY, 40202
Job Title:RN,University - UofL - Travel: RN - Utilization Review - Mon - Friday - 3p -11:30p (921519), City: Louisville, State: Kentucky, Estimated Start Date:05/27/2025, Shift:5 x 8 Hour Evening Shift, 15:00:00-23:00:00, 8.00-5, Length of Contract ... - May 03
Registered Nurse (RN), Coordinator Electrophysiology (EP)
Frye Regional Medical Center
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Taylorsville, NC, 28681
Description: Registered Nurse (RN), Coordinator Electrophysiology (EP) Fulltime Days $20,000 Sign on Bonus eligible Your experience matters At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you ... - May 04
Utilization Review Nurse
Sidecar Health
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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
Travel RN Case Manager (Utilization Review) - per week
Planet Healthcare
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White Plains, NY
Planet Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in White Plains, New York. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/19/2025 Duration: 13 weeks 40 hours per week ... - May 04
LPN/Utilization Review-NCCIW
State of North Carolina
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Wilmington, NC, 28412
... Adult Correction Division: Operations Opening Date: 04/30/2025 Closing Date: 5/14/2025 5:00 PM Eastern Job Class Title: Licensed Practical Nurse-Utilization Review Position Number: 60066935 Salary Grade: MH07 Description of Work **THIS IS A REPOST. ... - May 02
Utilization Review Coordinator - BHC Utilization Management - Per Diem
John Muir Health
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Concord, NC
... Collaborates and partners closely with the Manager of Business Operations and their team to secure authorizations for treatment and address denials of care. Initiates appeal process and monitors response. Communicates utilization review and ... - Apr 23
Travel Nurse RN - Utilization Review - per week
Cross Country Nurses
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Louisville, KY
Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks 40 hours per ... - May 04
Utilization Management Behavioral Health Professional
Humana
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Virginia
... (LMFT), Licensed Professional Counselor (LPC), Psychologist (PhD), Registered Nurse (RN) or other professional license. ... Preferred Qualifications Experience with utilization review process. Experience with behavioral change, health promotion, ... - May 03
Registered Nurse - Utilization Review
TotalMed
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Woodfield, SC, 29219
Registered Nurse-Utilization Review Job ID #1822786 Share About this Role Reviews and evaluates medical or behavioral ... Required Qualifications Active, unrestricted RN licensure 4 years recent clinical in defined specialty area. Specialty areas ... - Apr 28