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System or Utilization or Management jobs in United States

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Clinical Informatics (Internal Medicine): Open-Rank Non-Tenure System

University of Illinois Chicago - Dept Medicine  –  Chicago, IL, 60612
... Previous project management and/or process improvement successes To apply, submit CV and application at: https://uic.csod.com/ux/ats/careersite/1/home/requisition/14374?c=uic The University of Illinois System is an equal opportunity employer, ... - Mar 27

PHYSICIAN ADVISOR-UTILIZATION MANAGEMENT

Covenant HealthCare  –  Saginaw, MI, 48607
Overview The Physician Advisor acts as a liaison between the physicians, Utilization Management (UM) and Clinical Documentation Integrity (CDI), revenue cycle and the hospital administration. The Physician Advisor works as part of a team and advises ... - Apr 10

Travel RN Case Manager - Utilization Review - per week

Coast Medical Service  –  White Plains, NY, 10606
Coast Medical Service 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: 8 weeks 40 hours per ... - May 06

System Utilization Management SUM Utilization Review RN

Alameda Health System  –  Oakland, CA
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity ... - Apr 29

Catalog Management / Data Entry

Style of Optics, Inc  –  New York City, NY
$20-$30/hr
... Maintain well-organized records and databases for effective information management. Take on ad hoc tasks and projects with flexibility, adapting to the needs of the business. Qualifications: Demonstrated experience in a Virtual Assistant or similar ... - May 08

Travel RN Care Manager (Utilization & Case Management)

Anders Group  –  Tuscaloosa, AL
Anders Group 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 hours, ... - May 08

Utilization Review Technician I

Prime Healthcare  –  Ontario, CA, 91764
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 ... Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management ... - May 07

System Utilization Management SUM Utilization Review RN

Alameda Health System  –  Oakland, CA
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity ... - Apr 28

System Utilization Management SUM Utilization Review RN

Alameda Health System  –  Oakland, CA
Summary SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity ... - Apr 28

Medical Director Utilization Management

AmeriHealth Caritas  –  Newtown Square, PA
... Discover more about us at Responsibilities: The Medical Director, Utilization Management provides organizational leadership ... Assuring a high-performing Medical Management system that adheres to the terms of contracts and all relevant regulatory ... - May 06
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