• Clinical Documentation Specialist RN

    Hackensack Meridian Health (Red Bank, NJ)
    …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... with patient status. Facilitates accurate documentation for severity of illness and medical necessity. Interacts with physicians, case managers, and nursing staff and provides guidance and recommendations for admission or observation disposition. Assesses… more
    Hackensack Meridian Health (12/05/25)
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  • Director of Vocational & Employment Services

    The Arc Erie County NY (Buffalo, NY)
    …serve. + Monitors implementation of service plans through regular records and utilization of review , case conferences, consultations, and supervision. + Facility ... + Maintains quality programing in accordance with the standards of the Office of Mental Health, ACCES-VR, OPWDD, Commission for the Blind, Department of Labor, and all other funders. + Prepares program reports for internal use and compliance with regulatory… more
    The Arc Erie County NY (11/19/25)
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  • Licensed Practical Nurse Physicians Practice

    Banner Health (Brush, CO)
    …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... including new resident evaluations. Provides verbal and written communication to residents, families and referrals sources regarding the process for admission to the center. Facilitates problem solving with residents, families, referral sources, insurance… more
    Banner Health (10/17/25)
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  • Borough Certification Manager

    City of New York (New York, NY)
    …of DCP Standard Operating Procedures, and contribute to their improvement and consistent utilization by staff; - Review , analyze, and make recommendations and ... and processing land use applications pursuant to the Uniform Land Use Review Procedure (ULURP), and providing technical and policy guidance and direction on… more
    City of New York (11/05/25)
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  • Consultant Pharmacist

    Polaris Pharmacy Services, LLC (Lebanon, OH)
    …savings using preferred drug management and formulary compliance, perform review of controlled substance utilization , reconciliation, and documentation; ... medications stored in facility Emergency Drug Kit which would include review for outdated medications, and evaluate appropriate utilization and documentation… more
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Registered Nurse

    US Tech Solutions (LA)
    …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization ... setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships with providers… more
    US Tech Solutions (10/17/25)
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  • LVN Care Coordinator - Utilization…

    Sharp HealthCare (San Diego, CA)
    …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...quality of care issues encountered in the course of review .Serves as a resource for staff (as needed), and… more
    Sharp HealthCare (12/14/25)
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  • Case Manager- Utilization Management

    Prime Healthcare (Sherman Oaks, CA)
    …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/case-manager- utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySherman Oaks… more
    Prime Healthcare (12/30/25)
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  • Director, Regional Operations Center

    CN (Homewood, IL)
    …and employees' execution relative to train performance, crew productivity, and asset utilization while balancing costs. . Review service plan execution with ... most effective methods are used to resolve issues . Review safety tests and safety blitz data looking for...in the system to identify opportunities to improve asset utilization and service reliability . Oversee the management of… more
    CN (01/10/26)
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  • Senior Director, Resource Management, Global…

    BeOne Medicines (San Mateo, CA)
    …team on resource-related decisions, including prioritization, hiring, and FSP vendor utilization . + Lead cross-functional resource review forums to optimize ... Resource Management will lead the end-to-end global budget & resource management/ utilization within GCO including the development of the Annual Operating Plan… more
    BeOne Medicines (12/31/25)
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