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Director, Utilization Management
Alameda Health System
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Oakland, CA, 94612
... Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of ... - May 03
RN Charge-Medical/Surgical - Bonus
Starr Regional Medical Center
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Philadelphia, TN, 37846
Description: Starr Regional Medical Center is currently seeking talent to fill the position of RN Charge for our MedSurg Department. This job is permanent, full time. Benefits Include: $20,000 SIGN ON BONUS AVAILABLE for qualified applicants ... - May 08
Clinical Review Manager
VNS Health
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Manhattan, NY, 10017
Overview Oversees the completion and approval of all clinical utilization documentation, including Start of Care, Re ... Evaluates clinician’s performance for annual performance review process. • Collaborates internally to ensure timely and ... - May 04
Clinical Utilization Review Nurse
Albany Medical Center
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Petersburgh, NY, 12138
Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Join our dedicated team as a Clinical Utilization Review Nurse, where you will play a crucial role in ensuring optimal ... - May 07
Utilization Review Clinician - Behavioral Health
Centene
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Florida
... Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... - May 08
Utilization Review Clinician - Behavioral Health
Centene
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Florida
... Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... - May 06
Utilization Review Specialist-PRN
Acadia External
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Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Apr 27
Travel RN Care Manager (Utilization & Case Management)
Access Healthcare
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Tuscaloosa, AL
Access Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Tuscaloosa, Alabama.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/23/2025Duration: 13 weeks40 hours per weekShift: 8 ... - May 08
Director of Utilization
Acadia Healthcare
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La Place, LA, 70068
... PURPOSE STATEMENT: Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ... LICENSES/DESIGNATIONS/CERTIFICATIONS: If applicable, current licensure as an LPN or RN within the state where the facility ... - Apr 30
Registered Nurse (RN), Medical Surgical
Frye Regional Medical Center
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Maiden, NC, 28650
Description: Registered Nurse (RN), Medical Surgical 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 can provide ... - May 04