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Utilization or Review or Grapevine jobs in United States

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ARB Coordinator (Architectural Review Board)

May Management Services Inc  –  St. Augustine Beach, FL
Job Description Description: ARC - Architectural Review Coordinator Position Summary: The Architectural Review Board Coordinator (ARB) is responsible for managing architectural review processes within housing communities. This role involves ... - Jun 29

Manager Nurse Utilization

Tucson Medical Center  –  Tucson, AZ, 85718
... and Finance, and serves as an expert in utilization management. This position is part of an interdisciplinary team consisting of the Director of Professional Staff Services and Utilization Management Physician Advisors that review and determines the ... - Jun 27

Utilization Review Specialist

Acadia Healthcare Inc.  –  Columbia, MO, 65201
... 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 ... - Jun 21

Utilization Management Nurse

Presidential Staffing Solutions, LLC  –  Los Angeles, CA, 90079
... The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management. Responsibilities Review patient files and treatment information ... - Jun 29

Utilization Review Clinician - Behavioral Health (Sat-Wed Shift)

Centene Corporation  –  Frankfort, KY, 40601
... and criteria Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning Analyzes BH member data to improve quality and appropriate utilization of services Provides ... - Jun 24

Travel Utilization Review Case Manager - per week

Nightingale Nurses  –  White Plains, NY, 10606
Nightingale Nurses 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: 06/30/2025 Duration: 13 weeks 36 hours per week... - Jun 16

Utilization Specialist

Acadia Healthcare  –  Danville, PA, 17821
... We are looking for a full-time Utilization Specialist! What would you do in this role? Proactively monitor utilization of ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Jun 25

Clinical Supervisor-Utilization Review

Kings View Corporation  –  Fresno, CA, 93711
48.05USD - 58.46USD per hour
Job Description Apply Here: Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor-Utilization Review to join our mission to provide compassionate ... - Jun 29

Travel RN Case Manager Utilization Review - per week

Nurse First  –  Greenbrae, CA, 94904
Nurse First is seeking a travel MRI Technologist for a travel job in Greenbrae, California. Job Description & Requirements Specialty:MRI Technologist Discipline:Allied Health Professional Start Date:06/23/2025 Duration:13 weeks 40 hours per week... - Jun 27

RN Utilization Review Registered Nurse

Ascension Health  –  Jacksonville, FL
... including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._ **Responsibilities** Provide health care services regarding admissions, case management, discharge planning and utilization review. ... - Jun 18
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