• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
    The County of Los Angeles (05/22/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (06/28/25)
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  • Utilization Management Review

    AmeriHealth Caritas (LA)
    …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... **Responsibilities:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work… more
    AmeriHealth Caritas (06/25/25)
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  • Utilization Management Review

    AmeriHealth Caritas (Washington, DC)
    …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... ON BONUS** **Role Overview:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization ...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Current driver's license… more
    AmeriHealth Caritas (06/03/25)
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  • Utilization Review Registered…

    BJC HealthCare (St. Louis, MO)
    … experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization more
    BJC HealthCare (07/12/25)
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  • Nurse Family Partnership Nurse

    University of Colorado (Colorado Springs, CO)
    Nurse Family Partnership Nurse Supervisor & Instructor - Clinical Practice - 37436 Faculty **Description** **The University of Colorado Colorado Springs will ... work visas or permanent resident applications for this position** ** Nurse Family Partnership Nurse Supervisor ...Oversees and ensures timely and accurate data input and utilization of the web-based reports and other reports available… more
    University of Colorado (08/08/25)
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  • Registered Nurse Supervisor (2nd…

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5002155) Apply  Registered ... Nurse Supervisor (2nd Shift) - Selinsgrove Center...services. You can expect to participate in the development, review , training and implementation of center policies and procedures.… more
    Commonwealth of Pennsylvania (08/11/25)
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  • Staff Utilization Coordinator

    University of Utah Health (Salt Lake City, UT)
    …reassign staff based on census and workload, adhering to the Nurse Utilization Policy. + Assist Hospital Supervisor and Nursing Leadership in identifying ... + Coordinate and communicate real-time staffing changes in conjunction with the Hospital Supervisor . + Review open shift requests and secure coverage as needed.… more
    University of Utah Health (08/07/25)
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  • Hybrid Clinical Review Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The ...on department activities as assigned. Essential Skills + Clinical review + Utilization review + ... Working under the general supervision of the Director and/or Manager/ Supervisor of Medical Management, and in collaboration with an...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
    Actalent (08/09/25)
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  • Insurance Specialist-Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
    Mount Sinai Health System (07/23/25)
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