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Utilization or Review or Grapevine jobs in United States

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Distance: Job alert Jobs 381 - 390 of 449640

Travel Utilization Review RN - per week

Coast Medical Service  –  Louisville, KY, 40201
Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: Case Management Discipline: RN StartDate: 07/07/2025 Duration: 13 weeks 40 hours per week... - Jun 20

Travel RN Care Manager Utilization Review - per week

Stability Healthcare  –  Kealakekua, HI, 96750
Stability Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Kealakekua, Hawaii. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days... - Jun 28

Medical Director, Clinical Review and Care Integrity (Rochester)

MVP Health Care  –  Rochester, NY
Medical Director, Clinical Review and Care Integrity 625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • ... years of clinical practice experience Managed care, utilization management, or health plan operations experience preferred. ... - Jun 26

Utilization Review Coordinator-LPN

State of Indiana  –  Evansville, IN, 47715
... Role Overview: The Utilization Review Coordinator performs duties within a psychiatric hospital setting and is the chair for the Utilization Committee. This position completes chart reviews for new admissions, completes 30 day reviews, and quarterly ... - Jun 19

Utilization Review RN

Community Health Systems  –  Birmingham, AL
... Essential Functions Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. Collaborates with interdisciplinary teams (IDT) to ensure effective ... - Jun 17

Utilization Review Intake RN Behavioral Health

UChicago Medicine AdventHealth Great Lakes  –  Glendale Heights, IL, 60139
... leader for additional review as determined by department standards. Additionally, the UM RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is ... - Jun 20

Travel Nurse - RN - UR - Utilization Review - / Week

BluePipes  –  Ellsworth, ME, 04605
Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Camden, ME. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2593.22 / Week Coast Medical Service is a nationwide ... - Jun 24

Psychologist Behavioral Health Utilization Reviewer - Remote

Optum  –  Phoenix, AZ, 85066
... The role of the Psychologist Peer Review involves applying clinical criteria and benefit plan requirements to Commercial, Medicaid, and Medicare cases, and making clinical and /or benefit determinations to continue coverage of treatment, shaping and ... - Jun 26

RN Case Management Utilization Review - Care Coordination

Presbyterian Healthcare Services  –  Albuquerque, NM, 87106
Overview: The RN - Case Management - Utlization Review to provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition ... - Jun 27

Utilization Review Nurse

Integrated Resources  –  Springfield, IL, 62777
... This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical ... - Jun 28
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