• Utilization Management Nurse

    US Tech Solutions (Hopewell, NJ)
    …fees for such services as appropriate. Coordinates with patient, family, physician , hospital and other external customers with respect to the appropriateness ... 7. Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided. 8. Encourages member participation and… more
    US Tech Solutions (10/24/25)
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  • Scheduling Coordinator

    Ellis Medicine (Schenectady, NY)
    …schedulers to communicate open time availability + Coordinates operating room schedules with physician availability to maximize utilization of OR time + Displays ... participates in the creation of the daily surgical schedule optimizing block utilization and customer satisfaction, participates in the creation of the pre-admission… more
    Ellis Medicine (12/23/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Utilization Review Program and makes appropriate referrals to designated Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a… more
    Medical Center Hospital (10/18/25)
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  • Utilization Review Nurse LVN

    Prime Healthcare (Ontario, CA)
    …Provides training to new staff on system and referral processes. Assists physician offices and vendors with problem resolution. Knowledgeable in policies, procedures ... of experience in acute hospital case management or equivalent. + Utilization Management experience required. + Excellent interpersonal relationship skills with… more
    Prime Healthcare (12/31/25)
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  • LVN Care Coordinator - Utilization

    Sharp HealthCare (San Diego, CA)
    …care setting in collaboration with the Hospitalist team, SRS primary care physician , and ancillary staff to ensure cost effective quality service throughout the ... issued under the direction of the appropriate Medical Group Physician Representative.Collaborates with SCMG Medical Group Appeals when necessary....and also discuss with the PCP's nurse if the physician is unable to come to the phone for… more
    Sharp HealthCare (12/14/25)
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  • Senior Manager, Operations - VIVO Health (Hybrid)

    Northwell Health (New Hyde Park, NY)
    …such as arrivals, no-shows, cancellations, bumps, patient cycle time, exam room utilization , physician productivity, and appointment lag. + Upholds and ... communicates the mission, vision and values of the organization across multiple Practices and/or Cost Centers and/or Locations and/or Hospital; manages and maintains relationships between Practices and/or Cost Centers and/or Locations and/or Hospital, staff… more
    Northwell Health (12/25/25)
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  • Behavioral Health Physician Advisor…

    Carle Health (Champaign, IL)
    Overview Carle Health is seeking a ** Physician Advisor** to help oversee the efficiency of care for our Behavioral Health team over the West, Central, and East ... Details + Part-time position (.5 FTE and 100% Virtual) + The Behavioral Health Physician Advisor is responsible for conducting clinical case reviews referred by the … more
    Carle Health (12/20/25)
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  • Practice Manager (Bilingual) - Saint Francis…

    Trinity Health (Wilmington, DE)
    …to schedule patients + Monitors patient flow through practice to ensure appropriate utilization of physician time and staff coverage + Oversees daily practice ... budgetary oversight as well as general management of a physician practice with two or more of the following:...the monthly office hour schedule, and ensures colleague and physician staffing are aligned + Monitors practice's progress in… more
    Trinity Health (10/22/25)
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  • Physician Advisor | Case Management

    Houston Methodist (Houston, TX)
    …compliance rules and regulations; collaboration and relationships with payers; physician practice patterns; documentation and over- and under- utilization ... At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting,...is a key member and leader of the hospital's utilization review/management committee, which is charged with regulatory goals… more
    Houston Methodist (12/26/25)
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  • Registered Nurse (RN) - Utilization Review,…

    Dartmouth Health (Lebanon, NH)
    …preferred Responsibilities * Works with Medical Director and appropriate physician (s) to establish Dartmouth-Hitchcock (D-H) ambulatory and inpatient procedure list, ... updates and maintains list. * Reviews reservation forms and the log of emergent and urgent admissions daily. * Identifies areas that require intervention and education around the use of definitions. * Reviews “one day stays” to assess appropriate use of level… more
    Dartmouth Health (12/04/25)
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