• Director, Utilization Management

    Alameda Health System (Oakland, CA)
    …nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred ... of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
    Alameda Health System (08/08/25)
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  • Denial Analyst - Revenue Integrity - Full Time…

    Montrose Memorial Hospital (Montrose, CO)
    …letter writing, eg, appeals , preferred. + Must at least be Licensed as a Registered Nurse in the State of Colorado or possess a Compact State License. + ... Montrose, CO, USA | Clinical Revenue Integrity | Hourly | 34.10-54.56 per...billed to the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the… more
    Montrose Memorial Hospital (10/07/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... continued stay review. + Communication to third-party payers for initial and concurrent clinical review. + Reviews patient chart to ensure patient continues to meet… more
    University of Utah Health (10/02/25)
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  • Care Manager

    Eastern Connecticut Health Network (Manchester, CT)
    …degree in an applicable field required + Must have a current license as a Registered Nurse in the State of Connecticut . + Professional certification in case ... with the interdisciplinary team. Communicates, as appropriate, the patient's clinical condition and care needs. Demonstrates knowledge of the principles… more
    Eastern Connecticut Health Network (10/11/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), ... 8:00am - 12:00pm **OR** 1:00pm - 5:00pm Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of… more
    Saint Francis Health System (10/08/25)
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  • Nurse Practitioner - #Staff

    Johns Hopkins University (Baltimore, MD)
    …division in fulfilling its mission. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. ... our ambulatory GI practices located at White Marsh and Bayview. The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team… more
    Johns Hopkins University (08/02/25)
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  • Licensed Vocational Nurse D/CF

    Sacramento County (Sacramento, CA)
    …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply  Licensed Vocational...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
    Sacramento County (07/22/25)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; +… more
    KidsPeace Childrens Hospital (10/07/25)
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  • Psychiatrist

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; e.… more
    KidsPeace Childrens Hospital (10/07/25)
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  • Psychiatric Technician - San Francisco Dept.…

    City and County of San Francisco (San Francisco, CA)
    …holiday shifts may be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
    City and County of San Francisco (10/03/25)
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