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Utilization or Review or Grapevine jobs in United States

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Third-Party Review Analyst

Knowledge Services  –  Indianapolis, IN, 46256
Third-Party Review Analyst The Third-Party Review (TPR) Analyst will be a representative of Knowledge Services, responsible for completing and coaching TPRs for the Knowledge Services Local Office Eligibility Specialist (ES) Staff. The TPR Analyst ... - Jun 20

Travel RN Case Manager Utilization Review - per week

Wellspring Nurse Source  –  Greenbrae, CA, 94904
... Coordinate and facilitate care across multiple healthcare settings, ensuring continuity of care, appropriate utilization of resources, and adherence to treatment plans. Collaborate with physicians, healthcare providers, and insurance companies to ... - Jun 27

Travel Utilization Review Nurse - per week

Focus Staff  –  Santa Barbara, CA, 93190
... Case Management Discipline: RN Start Date:07/07/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We currently have a client in Santa Barbara, CA looking for a Travel Utilization Review RN Registered Nurse! ... - Jun 28

Utilization Review Specialist - Appeals

Universal Health Services  –  Atlanta, GA, 30301
Responsibilities UTILIZATION REVIEW APPEALS SPECIALIST RN or Master's Licensed Behavioral Health Clinician preferred The Georgia Business Center is a centralized office for multiple Universal Health Services facilities. Due to our growth, we are ... - Jun 16

Travel RN Case Manager Utilization Review - per week

Assured Nursing  –  Greenbrae, CA, 94904
Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty:Case Management Discipline:RN Start Date:06/23/2025 Duration:13 weeks 40 hours per week Shift:8... - Jun 27

Utilization Management Nurse, Senior

Blue Shield of California  –  Norwalk, CA, 90652
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management ... - Jun 29

Travel Utilization Review Nurse - per week

Prime Staffing  –  Santa Barbara, CA, 93190
... Posted job title: RN:Utilization Review,08:00:00-16:00:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, ... - Jun 20

RN - Utilization Review / Discharge Planning

ZipRecruiter  –  Fairfax, CA, 94978
Job Description RN Case Manager with Utilization Review and Discharge Planning experience needed to support hospital system in Greenbrae, CA. Housing, travel, benefits offered to the qualified candidate. Company DescriptionContinuum Medical Staffing ... - Jun 26

Utilization Specialist

Acadia Healthcare  –  Chandler, AZ, 85225
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Jun 21

Travel RN -Case Management Utilization Review

Forhyre  –  Los Angeles, CA
Job Description Job Title: Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks] (Contract) Job Description ... - Jun 29
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