• Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... review, case management or equivalent revenue cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or level of… more
    Houston Methodist (07/31/25)
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  • Clinical Denials Coordinator

    UNC Health Care (Goldsboro, NC)
    …Current North Carolina nursing licensure. Experience * Minimum 7-10 years of applied clinical experience as a Registered Nurse required. * Minimum ... for validity and probability to overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates...years of applied clinical experience as a Registered Nurse required. * 2 years utilization… more
    UNC Health Care (08/14/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and ... What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for… more
    BriteLife Recovery (09/02/25)
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  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... utilization of health care resources, provision of high-quality health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist … more
    UnityPoint Health (07/22/25)
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  • Referral/Pre-Auth Specialist - Remote (OR,…

    PeaceHealth (Vancouver, WA)
    **Description** **PeaceHealth is seeking a Referral/Pre-Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The salary range ... receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical … more
    PeaceHealth (09/04/25)
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  • Mental Health Clinician I - Colorado Mental Health…

    State of Colorado (Denver, CO)
    …their job duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill ... include: Provide Therapeutic Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a… more
    State of Colorado (06/26/25)
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  • Director of Care Management

    Children's Mercy Kansas City (Kansas City, MO)
    …Utilization Review, and Performance Improvement Leadership + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required ... Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates,...upon hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
    Children's Mercy Kansas City (08/29/25)
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  • Cdoc Temp Certified Nurses Aide (CNA) / Medication…

    State of Colorado (Denver, CO)
    …Report changes in patient skin condition and patient health care complaints to shift registered nurse ; + Empty catheter bags; offer fluids and record Intake and ... but not limited to, the following: + In a clinical setting, assist patients with activities of daily living...pulse oximetry under the supervision and direction of a registered nurse ; + Maintain appropriate tool and… more
    State of Colorado (08/27/25)
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  • Advanced Practice Nurse

    Cummins Behavioral Health Systems Inc. (Avon, IN)
    …Indiana state licensure as a Registered Nurse with certification as a Clinical Nurse Specialist or Nurse Practitioner with prescriptive authority ... place. * If being part of a learning organization appeals to you, get in touch with us. *...throughout central and west central Indiana. The Advanced Practice Nurse , under the supervision of a Staff Psychiatrist, will… more
    Cummins Behavioral Health Systems Inc. (08/08/25)
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