• Advanced Practice Nurse Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, ... direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The...non-discriminatory factors, including but not limited to: Labor Market Data : Compensation is benchmarked against market data more
    Hackensack Meridian Health (11/29/25)
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  • Utilization Review Specialist

    WestCare Foundation (Henderson, NV)
    …Description Position Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order ... case notes and be able to disseminate patient needs and professional/ clinical recommendations and communicate this information effectively + Call in intakes… more
    WestCare Foundation (11/13/25)
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  • Utilization Review Specialist - Per Diem

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization ... review plan to ensure the effective and efficient use...appropriateness of hospital admissions and extended hospitals stays. Completing data collection of demographic, claim and medical information; non-medical… more
    Westborough Behavioral Healthcare Hospital (10/14/25)
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  • Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …five): + Conducting prepayment investigations, involving internal and external research, detailed data analysis, review of medical records, and interviews of ... investigations under the direction of the Manager, FWA Prepayment Review . The Investigator I works closely with other members...the analytics and intake team to develop and refine data mining to address new and evolving schemes. +… more
    Point32Health (10/31/25)
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  • Utilization Review Clinician (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour RN/LCSW/LMFT/LPCC ... $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary...Treatment Team on a daily basis and collaborate with clinical team to answer clinical questions related… more
    Sacramento Behavioral Healthcare Hospital (12/11/25)
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  • Data Analyst/Statistician…

    General Dynamics Information Technology (Fairfax, VA)
    …to Obtain:** None **Public Trust/Other Required:** NACI (T1) **Job Family:** Data Science and Data Engineering **Skills:** Analytical Thinking,Statistical ... related experience **Job Description:** At GDIT, people are our differentiators. As Data Analyst/Statistician you will lay the groundwork for program integrity to be… more
    General Dynamics Information Technology (12/21/25)
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  • Neuroscience Data Abstractor II

    HCA Healthcare (San Antonio, TX)
    …satisfaction and personal growth, we encourage you to apply for our Neuroscience Data Abstractor II opening. We promptly review all applications. Highly ... Do you have the career opportunities as a Neuroscience Data Abstractor II you want with your current employer?...activities as approved by Manager or Director. + Maintain clinical knowledge of various abstracted measures. + Communicate in… more
    HCA Healthcare (12/09/25)
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  • Infection Data Abstractor II

    HCA Healthcare (San Antonio, TX)
    …satisfaction and personal growth, we encourage you to apply for our Infection Data Abstractor II opening. We promptly review all applications. Highly qualified ... and integrity. We care like family! Jump-start your career as an Infection Data Abstractor II today with Parallon. **Benefits** Parallon offers a total rewards… more
    HCA Healthcare (12/07/25)
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  • Data Entry Specialist

    WestCare Foundation (Stockton, CA)
    data systems for multiple counties. + Researching and fixing of any error in data that may occur. + Review client files for accurate data information. ... Person in this position will be responsible for the data management needs of the agency. Essential Job Functions...Must Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation; and +… more
    WestCare Foundation (11/19/25)
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  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …of health care resources, provision of high-quality health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist provides ... UM spcialist will also be called upon to provide clinical and nursing expertise and support within the HOD...referrals in a timely, legible manner. + Collects appropriate data , trends, analyzes and reports on patterns of care,… more
    UnityPoint Health (11/07/25)
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