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Utilization Management Specialist I [Full time] SUN Behavioral Delaware Georgetown, DE, US Nov 23, 2025Position Summary: Responsible for the coordination of case management strategies pursuant to the Case Management process. Assists and coordinates care of the…
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RN Utilization Management Nurse Care Manager HDVCH Medical Psychiatric Unit Corewell Health Grand Rapids, MI, US Nov 23, 2025Monday, Tuesday, Wednesday, Thursday, Friday (4 hours), mostly remote, occasional on site About the Department: RN UM Supporting the insurance coordination functions…
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TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance to join a Forbes magazine…
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Position Summary: Responsible for the coordination of case management strategies pursuant to the Case Management process. Assists and coordinates care of the…
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Utilization Review Coordinator / Case Management / PRN CHRISTUS Health Santa Fe, NM, US Nov 22, 2025Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG(R)/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and…
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Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital wide Utilization Management Programs in a general acute…
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Supervisor Case Management / Utilization Management Community Memorial Healthcare Ventura, CA, US Nov 20, 2025Compensation: Salary Range: $58.97 $89.96 per hour The pay range above represents the lowest possible rate for the position and the highest…
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Utilization Management Representative I Virtual: This role enables associates to work virtually full time, with the exception of required in person training…
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TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance to join a Forbes magazine…
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Medical Management Nurse Location: Virtual: This role enables associates to work virtually full time, with the exception of required in person training…
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Case Management Nurse I (Remote Eligible) Wellmark Blue Cross and Blue Shield Sioux Falls, SD, US Nov 18, 2025Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've…
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Case Management Nurse I (Remote Eligible) Wellmark Blue Cross and Blue Shield Cedar Rapids, IA, US Nov 18, 2025
Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've…
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Behavioral Health Utilization Management Review AmeriHealth Caritas Baton Rouge, LA, US Nov 18, 2025Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews.…
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Job Summary and Responsibilities The Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued…
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Utilization Management Representative I Virtual: This role enables associates to work virtually full time, with the exception of required in person training…
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