• Health eCareers (Memphis, TN)
    …physicians, other patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation and services rendered ... CertifiedMastery-level certification or Clinical Documentation Improvement Certification, including:Certified Coding Specialist (CCS)Certified Coding Specialist ? Physician more
    Talent (09/27/25)
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  • Sr Utilization Review

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... the Utilization Review Nurse and Utilization Review Specialist Nurse job...and data in a comprehensive manner. + Works with physician leadership and the interprofessional health care team for… more
    Houston Methodist (08/26/25)
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  • Regional Utilization Review

    Trinity Health (Maywood, IL)
    …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
    Trinity Health (10/01/25)
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  • RN Utilization Review

    HonorHealth (AZ)
    …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
    HonorHealth (09/10/25)
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  • Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work ... this position: *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • RN Utilization Review Remote

    HonorHealth (AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
    HonorHealth (09/26/25)
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  • Physician Specialist -NDC- Advanced

    Health Advocates Network (Harrisburg, PA)
    Physician Specialist -NDC- Advanced **Pay Rate: ** $160 / hour *1099 Minimum Qualifications Be board certified in the requested specialty. Possess an active ... twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Basic computer skills to...Description: Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource… more
    Health Advocates Network (09/10/25)
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  • Provider Solutions Specialist

    HCA Healthcare (Salem, VA)
    …and personal growth, we encourage you to apply for our Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates ... We care like family! Jump-start your career as a Provider Solutions Specialist today with LewisGale Medical Center. **Benefits** LewisGale Medical Center offers a… more
    HCA Healthcare (09/27/25)
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  • Provider Solutions Specialist

    HCA Healthcare (Lake City, FL)
    …and personal growth, we encourage you to apply for our Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Provider Solutions Specialist you want with your current employer? We have an exciting opportunity… more
    HCA Healthcare (09/11/25)
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  • Senior Provider Solutions Specialist

    HCA Healthcare (Overland Park, KS)
    …facilitates access review audits. e) Tracks, monitors, and enhances provider utilization of HCA technologies, by offering at the elbow support and one-on-one ... personal growth, we encourage you to apply for our Sr Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates… more
    HCA Healthcare (09/10/25)
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