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RN Utilization Specialist-Utilization Review Part Time Days
Northwestern Memorial Healthcare
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Palos Heights, IL, 60463
... Responsibilities: RN Utilization Review: Applies medical necessity screening criteria, level of care guidelines, and professional nursing knowledge to ensure that admissions & length of stay are appropriate Completes initial admission and thereafter ... - May 03
Utilization Review Specialist
Acadia External
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Austin, TX, 78754
... 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 09
Travel RN Care Manager - Utilization Review - per week
GHR Healthcare
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Louisville, KY, 40201
GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks 40 ... - May 05
Utilization Review/Quality Associate (RN)
Mile Bluff Medical Center
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Mauston, WI, 53948
Job Description General Information: Job title: Utilization Review/Quality Associate (RN) Schedule: Full-time, 80 hours per pay period Weekend rotation: None required Holiday rotation: None required Additonal Information: Remote eligible position, ... - May 07
Utilization Review RN - Per Diem
CARSON VALLEY HEALTH
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Gardnerville, NV, 89410
Job Description Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.POSITION SUMMARY: Performs clinically ... - May 07
Utilization Review Case Manager
Avenues Recovery
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Aurora, CO, 80012
50000USD - 55000USD per year
... Avenues Recovery Center of Denver is looking for hire a Utilization Review Liaison! What You'll Do • Provide complete support to Utilization Review team, coordinating between all necessary parties • Provide compliance and quality assurance oversight ... - May 07
Utilization Review Specialist
Davies
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Orlando, FL, 32819
$75,000 - $80,000 / year
Department Claims Administration & Adjusting Employment Type Permanent - Full Time Location Orlando, FL Workplace type Hybrid Compensation $75,000 - $80,000 / year Reporting To Shelly Rice Key Responsibilities Skills, knowledge & expertise Benefits... - May 05
Utilization Review Nurse (RN)
Matrix Providers
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Aurora, CO, 80012
Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ( Experience the Matrix Providers Advantage. We strive to provide a framework of stability and structure for our valued ... - Apr 29
Utilization Review Nurse-Remote-Contract
HireOps Staffing LLC
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Dallas, TX, 75215
... pay rate is $40/hour This position is responsible for performing initial, concurrent review activities; discharge care ... utilization management requirements and operational procedures to members, providers and facilities. Registered Nurse (RN ... - Apr 29
Medical Director, Utilization Management - Promise Health Plan
Blue Shield of California
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Long Beach, CA, 90802
... initiatives, utilization management, care and case management, and clinically related functions. These functions include performance of pre-service, concurrent and retrospective utilization review, and retrospective provider claims dispute reviews. ... - May 08