- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Nov 30, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... social services, health care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review,… more
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN Coordinator and other UR team ... collaborative and supportive liaison and educator to providers and staff around utilization management principles. This professional role will be responsible… more
- Humana (Jackson, MS)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
- Access Dubuque (Dubuque, IA)
- …Experienced Sales Executive - Risk Management Cottingham & Butler/ SISCO Utilization Management Nurse Cottingham & Butler/ SISCO Bilingual Member Services ... Absence Management Payroll Coordinator **Sedgwick** 1 Positions ID: R68239 Posted On 11/21/2025 **Job Overview** By joining Sedgwick, you'll be part of something… more
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit (FC-PMOU) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5143934) ... Apply Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit...education, health sciences, health care administration, chiropractic, health care management , health systems management , and health studies… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …caregiver support programs. Collects, analyzes, and reports program data to local management , VISN Caregiver Support Coordinator Lead and the National Caregiver ... more information, refer to Required Documents below. Caregiver Support Program Coordinator for the Program of Comprehensive Assistance to Family Caregivers (PCAFC)… more
- Houston Methodist (Houston, TX)
- …for patients receiving services. Assists other team members (eg, Patient Service Coordinator , account integrity) as directed by management . Seeks management ... At Houston Methodist, the Patient Care Coordinator position is responsible for serving as an...coordinates, records and transmits information pertinent to the resource management of patients to next level of care providers… more