• Staff Nurse - Utilization Review (ED)

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …REVISED FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse*to join our Utilization Management department for the/Emergency Department / This position is a*0.6 ... and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing implementation of ... the Utilization Review Plan and the overall operation of the Utilization Management Department in accordance with federal, state and local guidelines, regulatory… more
    Huron Consulting Group (11/27/25)
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  • Utilization Management Registered Nurse

    Katmai (Fort Carson, CO)
    **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... analyze data, and develop recommendations to resolve problems related to the appropriate utilization of patient care services at the appropriate level of care. +… more
    Katmai (11/26/25)
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  • Director, Organ Utilization

    LifeCenter Northwest (Bellevue, WA)
    …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
    LifeCenter Northwest (11/21/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a **Registered Nurse (RN) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an onsite ... match & more available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting… more
    Community Health Systems (11/20/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic… more
    Alameda Health System (11/07/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is ... with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health care services. This role will be an expert on… more
    CommonSpirit Health (11/02/25)
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  • Utilization Review Specialist Nurse (RN)…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of the URN, this position is able to cover a multitude of utilization review functions through point of entry, observation progression of care management, concurrent… more
    Houston Methodist (11/02/25)
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  • Executive System Director of Utilization

    UNC Health Care (Morrisville, NC)
    …unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for ... designing, implementing, and standardizing utilization management functions across a large healthcare system, including a complex academic health system and multiple… more
    UNC Health Care (10/29/25)
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  • Utilization Management Reviewer, RN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
    Excellus BlueCross BlueShield (10/07/25)
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