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Utilization Review Nurse Health Plans HP Utilization Management CHRISTUS Health Irving, TX, US Nov 27, 2025Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital…
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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and…
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Case Management/Utilization Review Supervisor Snoqualmie Valley Hospital Snoqualmie, WA, US Nov 23, 2025At Snoqualmie Valley Health, we're not just in the business of healthcare; we're in the business of empowering our community to live…
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JOB REQUIREMENTS + Education RN or LPN required. Must possess a degree in nursing, with preference given to a bachelor's degree. +…
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Utilization Review Coordinator / Case Management / PRN CHRISTUS Health Santa Fe, NM, US Nov 22, 2025
Description 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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Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? We…
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Anticipated End Date: 2025 12 19 Position Title: LTSS Service Coordinator - RN Clinician (Perry/Hocking/Morgan/Athens/Meigs/Noble/Washington) Job Description: LTSS Service Coordinator - RN…
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services…
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services…
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Details Department: Case Management Schedule: Full time, Days between 7A 7P Weekend rotations Hospital: Ascension St Thomas Salary: $37.77 $53.32 an hour…
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services…
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California residents preferred. Candidates who do not live in California must be willing to work Pacific Business Hours. JOB DESCRIPTION Job Summary…
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