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Utilization Management Nurse Consultant, Concurrent Review CVS Health Baton Rouge, LA, US Apr 01, 2026At 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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Summary =========== We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role…
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Overview: Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! Harbor Oaks Hospital, New Baltimore's leading Mental…
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Utilization Management Specialist (Monday Friday) PacificSource Health Plans Boise, ID, US Mar 29, 2026Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care! PacificSource is…
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About this Job: Only candidates living in the Greater Baltimore region will be considered for the position General Summary of Position Conducts…
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Utilization Management Specialist (Monday Friday) PacificSource Health Plans Salem, OR, US Mar 28, 2026
Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care! PacificSource is…
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Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care! PacificSource is…
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Overview: Evaluates patients for appropriateness of admission type and setting, utilizing a combination of clinical information, medical necessity standards, and/or and InterQual…
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Registered Nurse (RN) Case Manager Utilization Review PT Hutchinson Regional Healthcare System Hutchinson, KS, US Mar 27, 2026Collaborates with healthcare providers and members to assess general patient needs and benefit requirements in an effort to optimize resources. Manages patient…
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Your experience matters At Sycamore Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality,…
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SUMMARY: Reports to the Director of Care Management or designee. Conducts surveillance over medical necessity of patient care records. In collaboration with…
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Utilization Management Specialist (Monday Friday) PacificSource Health Plans Portland, OR, US Mar 25, 2026
Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care! PacificSource is…
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Utilization Review Nurse Health Plans Case Management CHRISTUS Health Alamogordo, NM, US Mar 25, 2026Description 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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Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care! PacificSource is…
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Become a part of our caring community and help us put health first ====================================================================== The Utilization Management Behavioral Health Professional 2 utilizes…
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Review Nurse, Prior Authorization/Utilization Management Alliant Health Solutions Atlanta, GA, US Mar 24, 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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VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a Full Time opening for a Utilization Management RN at the…
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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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Overview: Join an award winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Medical Center,…
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Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full…
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