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UMC Logo
Nurse Case Manager
UMC

Las Vegas , Nevada

Colorado Access Logo
Care Manager II
Colorado Access

Aurora, Colorado

Director-RN, Case Management
SSM Health

Oklahoma City, Oklahoma

Manager Social Services Case Management
Kaiser Permanente

Vacaville, California

AdventHealth Logo
Registered Nurse RN Case Manager
AdventHealth

Orlando, Florida

NEW!
Veterans Affairs, Veterans Health Administration Logo
Rehabilitation Counselor (Open Continuous Announcement)
Veterans Affairs, Veterans Health Administration

Fort Wayne, Indiana, Indiana

NEW!
University of Maryland Medical System Logo
Social Worker II, $10k Sign On Bonus
University of Maryland Medical System

Cambridge, Maryland

NEW!
AdventHealth Logo
Consumer Access Specialist
AdventHealth

Hinsdale, Illinois

NEW!
Marshfield Clinic Health System Logo
Nurse Practitioner or Physician Assistant - Urology Surgical No Call
Marshfield Clinic Health System

Wausau, Wisconsin

NEW!
Baylor Scott & White Health Logo
Care Manager RN
Baylor Scott & White Health

Anderson Mill, Texas

NEW!
University of Maryland Medical System Logo
Assistant Nurse Manager (RN), Labor and Delivery, Nights
University of Maryland Medical System

Largo, Maryland

NEW!
Kindred Hospitals Logo
Case Manager
Kindred Hospitals

Greensboro, North Carolina

NEW!
Harris Health System Logo
Behavioral Health Medical Director
Harris Health System

Houston, Texas

NEW!
Baylor Scott & White Health Logo
Care Manager RN
Baylor Scott & White Health

Leander, Texas

NEW!
AdventHealth Logo
Case Management Assistant
AdventHealth

Orange City, Florida

NEW!
Baylor Scott & White Health Logo
Care Manager RN
Baylor Scott & White Health

Austin, Texas

NEW!
Optum Logo
RN Care Coordinator Pierce County
Optum

Tacoma, Washington

NEW!
Baylor Scott & White Health Logo
Care Manager RN
Baylor Scott & White Health

Pflugerville, Texas

NEW!
Optum Logo
RN Care Coordinator Per Diem
Optum

Yakima, Washington

NEW!
University of Maryland Medical System Logo
CASE MANAGER
University of Maryland Medical System

Baltimore, Maryland

NEW!
BJC HealthCare Logo
Medical ICU Clinical Nurse
BJC HealthCare

Saint Louis, Missouri

NEW!
University of Maryland Medical System Logo
PRN - NURSE PRACTITIONER
University of Maryland Medical System

Baltimore, Maryland

NEW!
Veterans Affairs, Veterans Health Administration Logo
Senior Social Worker (Access)
Veterans Affairs, Veterans Health Administration

Redding, California, California

NEW!
Duke University Health System Logo
RN CARE COORDINATOR, REGISTERED NURSE BSN OR MSN
Duke University Health System

Durham, North Carolina

NEW!
PIH Health Logo
Ambulatory Case Manager, LVN, Resource Pool, Hybrid
PIH Health

Whittier, California

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Registered Nurse (RN) Utilization Reviewer
Job DescriptionGeneral SummaryUnder general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers. Staff assigned to this position are not scheduled to work sufficient hours to qualify for FLSA Exempt status.Principal Responsibilities and TasksPerforms timely and accurate utilization review for all patient populations, using nati


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