• UM Specialist LVN - Sharp Extended Care…

    Sharp HealthCare (San Diego, CA)
    …with contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner ... our recruitment and hiring teams. **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are confined to… more
    Sharp HealthCare (11/28/25)
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  • Patient Placement Specialist

    Parkview Health (Fort Wayne, IN)
    …with Point of Entry Case Manager to ensure all patients have verified admission order and status review . Monitors and projects bed availability based ... Summary: The Patient Placement Specialist will be responsible for daily patient flow,...acting as the central facilitation point for patients requiring admission within the Parkview Health System (excludes L&D, PBH,… more
    Parkview Health (11/18/25)
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  • Preregistration Specialist

    Penn Medicine (Philadelphia, PA)
    …Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Ophthalmology Pathology Admin Personnel **Location:** Penn Presbyterian ... 39th Street **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual… more
    Penn Medicine (11/20/25)
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  • Senior Clinical Staff Specialist

    Rochester Institute of Technology (Rochester, NY)
    **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical ... delegated by the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement to address… more
    Rochester Institute of Technology (11/01/25)
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  • Crisis Intervention Specialist I (Full-time…

    St. Luke's University Health Network (Sellersville, PA)
    …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... position is to provide comprehensive crisis intervention, including coordination of admission / referral for patients and their families presenting for psychiatric… more
    St. Luke's University Health Network (10/13/25)
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  • Clinical Documentation Improvement…

    University of Southern California (Arcadia, CA)
    …Minimum of three years' experience in clinical disciplines (RN, MD, FMG) or utilization review /case management in an acute care facility, with clinical ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… more
    University of Southern California (11/24/25)
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  • Quality Management Specialist I

    DePaul (Rochester, NY)
    …follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits, admission reviews, continued ... Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we… more
    DePaul (10/10/25)
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  • Rehab Care Coordination Specialist Full…

    Tenet Healthcare (Detroit, MI)
    …resolve conflict. Promotes a positive customer relations environment. Coordinates the utilization review function for assigned patients. Performs periodic ... Rehab Care Coordination Specialist Full Time Days - 2506003435 Description :...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… more
    Tenet Healthcare (10/15/25)
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  • Blind Rehabilitation Specialist

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    Summary The Supervisory Blind Rehabilitation Specialist (BRS) provides supervision and subject matter expertise for provision of blind and vision rehabilitation ... the benefits of blind and vision rehabilitation. Participating in the planning, review and evaluation of proposed therapy programs at the inpatient BRC. Coordinating… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Clinical Transitions Specialist RN - Case…

    Carle Health (Normal, IL)
    … issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document ... and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the healthcare… more
    Carle Health (11/26/25)
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