• Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and ... knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance… more
    University of Michigan (12/13/25)
    - Related Jobs

  • Care Review Clinician ( RN )

    Molina Healthcare (Orem, UT)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/01/25)
    - Related Jobs

  • Clinical Liaison - Neuro Transitional…

    Select Medical (Harrisburg, PA)
    …or SLP)** **Location: Harrisburg, PA** **Schedule: Full-time, M -F 8am - 5pm** ** Clinical Liaison ( RN , OT, PT, or SLP)** **Competitive base salary with ... monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients...state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or… more
    Select Medical (12/11/25)
    - Related Jobs

  • Clinical Nurse (DOM Bay…

    Johns Hopkins University (Baltimore, MD)
    …Provide phone triage during clinic hours. **Minimum Qualifications** + Individual must be a registered nurse , licensed in the State of Maryland. + Completion of ... in the Johns Hopkins system. + Experience with EPIC. Classified Title: Clinical Nurse Role/Level/Range: ACRP/03/ME Starting Salary Range: $64,600 - $113,300… more
    Johns Hopkins University (11/04/25)
    - Related Jobs

  • Clinical Documentation Specialist

    CaroMont Health (Gastonia, NC)
    …for promoting and monitoring safe, high-quality, cost-effective healthcare with the best clinical outcomes possible. Provide physician and nurse education to ... and reporting. Perform data collection and analysis, trend identification for assigned clinical outcomes, and present this data at the appropriate meetings as… more
    CaroMont Health (12/17/25)
    - Related Jobs

  • Care Facilitator- Canton-Potsdam Hospital, Potsdam

    Rochester Regional Health (Rochester, NY)
    …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... acute hospital care experience + Licensed in New York State as a Registered Nurse PREFERRED QUALIFICATIONS: + Case Management or Utilization Management… more
    Rochester Regional Health (12/18/25)
    - Related Jobs

  • Utilization Management - Nurse Manager

    Sanford Health (Rapid City, SD)
    …experience preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... these conditions. Additionally includes admission certification, continued stay authorization, clinical documentation improvement, and interaction with payers. Additional duties… more
    Sanford Health (12/17/25)
    - Related Jobs

  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... continued stay review. + Communication to third-party payers for initial and concurrent clinical review. + Reviews patient chart to ensure patient continues to meet… more
    University of Utah Health (10/02/25)
    - Related Jobs