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Utilization Review Specialist jobs

RN - Appeals Specialist

Multicare - Tacoma, WA

RN - Appeals Specialist Job Number: 38922 Location: Tacoma, WA Job Category: Nursing-RN Professional Employment Type: Full-Time Regular FTE: 1 Department: ...

18 days ago, Sponsored by Multicare

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Utilization Review RN

Dignity Health Medical Foundation - Rancho Cordova, CA

Description JOB ID: 1600000167 This position will review medical records, benefit, contractual and other guidelines to determine benefit coverage, medical appropriateness ...

6 days ago, Sponsored by Dignity Health Medical Foundation

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Behavioral Health Specialist

Wexford - Homestead, FL

Wexford Health Sources, the nation's leading innovative correctional health care company, provides clients with experienced management and technologically advanced ...

3 days ago, Sponsored by Wexford

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Registered Nurse - Case Manager/Utilization Review/HEDIS

Maxim Facility Nursing - Jacksonville, FL

Maxim Healthcare is currently interviewing RN's for contract positions as Case Managers with Florida Blue. The contracts available vary in length and location. Some positions ...

19 days ago, Sponsored by Maxim Facility Nursing

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Behavioral Health Specialist

Wexford - Indiantown, FL

Wexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically ...

8 days ago, Sponsored by Wexford

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RN Case Manager - Access Review

Baylor Scott & White Health - Temple, TX

Job Title: RN Case Manager, Access Review Hours: Full-Time Shift: Exempt position working7PM- 7AM 3 nights a week (Monday- Sunday) Location: Temple, TX ...

18 days ago, Sponsored by Baylor Scott & White Health

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Utilization Review Nurse

Novare - Frisco, TX

Description: Position Summary: To perform utilization review for workers’ compensation claims based on review criteria and protocols in accordance with state and regulatory ...

18 days ago, Sponsored by Nurse.com

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Utilization Review Manager

Recovery Village at Ridgefield - Ridgefield, WA

It is our philosophy that all individuals with the desire and ability to seek treatment are provided with the highest quality care for very reasonable rates. We have developed a ...

16 days ago, Sponsored by CareerBuilder

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Utilization Management Specialist

L. A. Care Health Plan - Los Angeles, CA

DUTIES Facilitation, coordination and approval of medically necessary referrals for direct lines of business (MediCal, Healthy Families, Healthy Kids) that meet established ...

NEW1 day ago, Sponsored by Glass Door

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APRN-(CNS or NP) - Psychiatric Assessment Clinic (PAC)/Behavioral Health Lab (BHL)

U.S. Department of Veterans Affairs - Crown Point, IN

Job Duties: The APRN will report to the Mental Health Service Line Nurse Manager and is responsible for the Psychiatric Assessment Clinic and the Behavioral Health Lab ...

9 days ago, Sponsored by U.S. Department of Veterans Affairs

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