• Utilization Review Specialist

    BayCare Health System (Tampa, FL)
    …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + ... + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Sr. **Location** Tampa:St Josephs… more
    BayCare Health System (08/26/25)
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  • Utilization Review Specialist

    Hunterdon Health Care System (Flemington, NJ)
    Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
    Hunterdon Health Care System (06/13/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
    BriteLife Recovery (08/03/25)
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  • RN Utilization Review

    HonorHealth (AZ)
    …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (06/11/25)
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  • Utilization Review Specialist

    Blessing Hospital (Quincy, IL)
    …to improve patient throughput and length of stay performance of the organization. The Utilization Review RN exhibits excellence in organizational skills when ... ON RELEVANT EXPERIENCE COMPETITIVE BENEFITS Click here (https://www.blessinghealth.org/sites/default/files/users/user15/HR\_2023\_Total\_Rewards\_Guide.pdf) to review our complete Total Rewards Guide. + 403b +… more
    Blessing Hospital (08/16/25)
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  • Utilization Review Specialist

    Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
    The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. + Performs… more
    Desert Parkway Behavioral Healthcare Hospital (08/24/25)
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  • Utilization Review RN

    Amergis (Middletown, CT)
    Salary: $2400 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a ... + Current license for the state in which the nurse practices if nursing licensure is required by contract...in Nursing or at least two years' experience in Utilization Review preferred + Certification in … more
    Amergis (08/20/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + ... + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
    BayCare Health System (08/22/25)
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  • Registered Nurse

    HonorHealth (AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... Registered Nurse in an acute care setting - RequiredLicenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure - Required… more
    HonorHealth (08/22/25)
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  • UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services ... healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence...regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (07/29/25)
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