• NORTH EAST MEDICAL SERVICES (Burlingame, CA)
    …Salary Range $128752.00 - $165048.00 Salary Description SUMMARY OF POSITION: The Utilization Management (UM) Nurse is a licensed nursing professional responsible ... for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases… more
    Upward (07/09/25)
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  • Lifepoint Health (Louisburg, NC)
    Description Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... an employee but as a person. As a registered nurse (RN) joining our team, you're embracing a vital...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
    Upward (06/27/25)
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  • Medline (Nashville, TN)
    …in collaboration with Medline salesforce) to expand and retain business. Review account and product/service information and recommend formal, onsite educational ... training on product lines Conduct quality investigations, waste assessments, clinical review & observations for improved practice and best practice recommendations.… more
    Upward (07/21/25)
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  • FC Compassus LLC (Brentwood, TN)
    …as assigned, including tasks related to start and resumption of episode, OASIS review and utilization . Performs other duties as assigned. Education and/or ... Company: Compassus Position Summary The Clinical Quality Specialist is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork,… more
    Upward (07/21/25)
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  • Regency Integrated Health Services (Cuero, TX)
    …Rehabilitation Center - Cuero, TX Position Type Full Time Job Category Nurse Description Primary Responsibilities Responsible for the coordination of the Resident ... and benefit period through regular communications with Regional Care Management Specialist , Business Office and external Case Managers. Gathers information needed… more
    Upward (07/13/25)
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  • Northwestern Memorial Healthcare (Winfield, IL)
    …Preferences for the Emergency Room and the Pediatric Emergency Room Trauma Nurse Specialist (TNS) Emergency Communications Registered Nurse Certified ... $1,500 sign-on bonus 2+ years of experience: $3,750 sign-on bonus The Staff Nurse Inpatient reflects the mission, vision, and values of NM, adheres to the… more
    Upward (07/19/25)
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  • GLOBALHEALTH HOLDINGS LLC (Oklahoma City, OK)
    …Case Manager Complete TOC activities to include post-discharge assessment, medication reconciliation/ review , and ensuring member has access to follow up care. ... Qualifications EDUCATION AND EXPERIENCE: Active Licensed Practical Nurse in the state of Oklahoma required Active multi-state license is preferred Previous… more
    Upward (07/21/25)
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  • UHS (Corona, CA)
    …retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.Responsible for improving the overall ... Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist . Duties include but not limited to: Providing clinically based concurrent… more
    Upward (07/15/25)
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  • StateJobsNY (Thiells, NY)
    …1, Speech Language Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional ... List: Associate Psychologist, Audiologist 1, Audiologist 2, Community Mental Health Nurse , Developmental Assistant 3, Developmental Specialist 2, Developmental … more
    Upward (07/14/25)
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  • Talent Connect Now (San Diego, CA)
    …consultant and resource to the Primary Care Physician, on-call physicians, and Nurse Practitioners. The Medical Director also interfaces and collaborates with ... specialist physicians in the provider network. Note : All...and Chief Medical Officer RESPONSIBLE FOR : Geriatrician, PCPs, Nurse Practitioners, Medical Assistants, Pharmacist, Pharmacy Technician DUTIES AND… more
    Upward (07/19/25)
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