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Behavioral Health Utilization Management Review AmeriHealth Caritas Baton Rouge, LA, US Jan 28, 2026Role 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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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about…
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About Curative: Curative is creating the future of health insurance with its first of its kind employer based plan. Leveraging experience from…
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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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Case Manager, Utilization Review Case Mgmt FT Days BHC #25137 Broward Health Fort Lauderdale, FL, US Jan 27, 2026Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Summary: Performs and monitors integrated, concurrent utilization review and case referrals on patients,…
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Review Nurse, Prior Authorization/Utilization Management Alliant Health Solutions Atlanta, GA, US Jan 27, 2026Alliant Health Group is a family of companies that provides professional services supporting the effective administration of healthcare programs and funding to…
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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about…
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Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well being of…
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Utilization Review Coordinator Opportunity This opportunity is for a dynamic and talented Utilization Review Coordinator for a growing hospital and offers PRN/Per…
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Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Department of Corrections. We are currently seeking a…
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Responsibilities: Willow Springs Center is looking for an experienced Utilization Management Manager to join our WSC team! Located in the heart of…
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Service Area Utilization Review Coordinator Integrea Community Mental Health Systems Opelika, AL, US Jan 25, 2026Integrea Community Mental Health System is seeking a highly organized and clinically experienced Service Area Utilization Review Coordinator to support and oversee…
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Utilization Specialist OASIS & Coding Certification Concierge Home Care Jacksonville, FL, US Jan 24, 2026Join the Team at Concierge Home Care - Where Care Changes Lives! At Concierge Home Care, we believe in the power of…
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Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well being of…
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you…
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Under general supervision, provides consultative support to the admitting teams concerning patient status determinations and utilization of resources for patients requiring hospital…
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Utilization Review Coordinator/Outpatient Nurse (RN) Behavioral Health Setting Highlands Behavioral Health System Highlands Ranch, CO, US Jan 23, 2026Pay Range: $38.81 $58.31 per hour Benefit Highlights: Tuition and Educational Reimbursement Program. Student Loan Repayment Program. Challenging and rewarding work environment…
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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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