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Utilization Management Director, BSN, 4 Yrs Exp Req, Days (N...
Minimum of 4 years Utilization Management experience required. Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation,...
Sponsored by Penn State Milton S. Hershey Medical Center
Registered Nurse / Clinical Specialist: Full & Part time nee...
Vatica Health - Albany, NY
RN. Jump Start Nurses/ Clinical Implementation Specialists*. The Jump Start Nurse/ Clinical Implementation Specialist is responsible for driving participation...
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Sponsored
CLINICAL DOCUMENTATION SPECIALIST RN - PRESENCE SAINTS MARY...
Utilization review or coding experience is preferred. Conducts follow up reviews of clinical documentation to ensure points of clarification have been recorded...
Sponsored

Utilization Management Specialist Lakewood

Cleveland Clinic Lakewood - Cleveland, OH
Recommends resource utilization. Completes Utilization Management for assigned patients with a minimum of 25-30 reviews per day....

Utilization Specialist (RN or LPN)~PFS

Sanford Health - 109 reviews - Sioux Falls, SD
The Utilization Specialist is responsible to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length...

Assessment Specialist / RN

Emerald Coast Behavioral Hospital - 10 reviews - Panama City, FL 32405
The Assessment Specialist - RN performs psychosocial screening and. Evaluations of all patients, voluntary and involuntary, who present....

Utilization Review Specialist

Scottsdale Recovery Center - Scottsdale, AZ 85258 (North Scottsdale area)
Completing client discharge reviews; RN or medical experience preferred. Organizing physician peer-to-peer reviews with our medical staff;...
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Medical Management Specialist I

Anthem, Inc. - 1,631 reviews - Atlanta, GA
Medical Management Specialist I-III Responsible for providing non-clinical support to medical management operations, which includes handling more complex file...

Utilization Management Specialist - PRN

University of Maryland Medical Center - 185 reviews - Baltimore, MD
Certified Professional Utilization Reviewer(CPUR) and RN is highly desired. Reviews tests, procedures and consultations for appropriate utilization of resources...

Utilization Review Specialist - RN

Rochester General Hospital - 150 reviews - Rochester, NY 14621
The Senior Utilization Review Specialist will act as a mentor and resource for Utilization Review Specialists....

Utilization Review RN Appeals Specialist

Caromont - 27 reviews - Gastonia, NC
Orks closely with the Utilization Review Specialists to ensure that concurrent medical necessity is achieved....

Utilization Management Specialist

Sanford Health - 109 reviews - Sioux Falls, SD 57104
Performs utilization management activities in accordance with the hospital's Utilization Management Plan to assure compliance with accreditation/regulatory...

Utilization Review Specialist (LPN or RN)

Philhaven - 22 reviews - Mount Gretna, PA 17064
The Utilization Review Specialist works in cooperation with the Inpatient programs to coordinate Utilization Management activities for assigned clients in...
Medical Management Specialist I-III - Atlanta, GA - 120135
Medical Management Specialist I-III. Conducts initial review of files to determine appropriate action required....
Sponsored
Clinical Documentation Specialist (RN)
Current RN License. A minimum of two years of experience in nursing or other clinical area, coding, process improvement, or utilization review/case management...
Sponsored by HCA Inc

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Company with Utilization Review Specialist RN jobs
Presence Health has more than 150 sites of care that serve the distinct physical, emotional and spiritual needs of our communities.