• Outpatient Utilization

    Truman Medical Centers (Kansas City, MO)
    …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Outpatient Utilization Specialist 101 Truman Medical ... Schedule** 10:00AM - 6:30PM **Hours Per Week** 40 **Job Description** The Utilization Specialist can be the first point of contact for many patients regarding… more
    Truman Medical Centers (12/16/25)
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  • Utilization Review Specialist Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of the URN, this position is able to cover a multitude of utilization review functions through point of entry, observation progression of care management, concurrent… more
    Houston Methodist (11/02/25)
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  • Utilization Review Specialist

    CaroMont Health (Gastonia, NC)
    …liaison to managed care organizations. Communicates with attending physicians regarding utilization issues. Collaborates with discharge planning specialist and ... criteria within 24 hours of admission. Assesses patient status, whether outpatient , observation, or inpatient and determines appropriateness of status and level… more
    CaroMont Health (10/11/25)
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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) treatment at… more
    BriteLife Recovery (12/05/25)
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  • Intake Specialist Utilization Review…

    BayCare Health System (Clearwater, FL)
    …per week in office Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Utilization Review - Health Plan **Location** Clearwater:Park ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than… more
    BayCare Health System (12/12/25)
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  • Utilization Review Specialist - Per…

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's ... Children, Adolescents and Adult populations in both inpatient and outpatient settings. Our goal is to ensure patients and...utilization review plan to ensure the effective and efficient… more
    Westborough Behavioral Healthcare Hospital (10/14/25)
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  • Utilization Management Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
    Mount Sinai Health System (10/03/25)
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  • Utilization Management Specialist II

    AnMed Health (Anderson, SC)
    …This position is responsible for performing the daily operations of the Utilization Management program at AnMed within the Care Coordination model. These duties ... continued stay/concurrent review, retrospective review, bed status management, resource utilization management, regulatory compliance, and related denial management issues.… more
    AnMed Health (11/13/25)
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  • Outpatient Oncology Clinical Pharmacist…

    Vanderbilt University Medical Center (Nashville, TN)
    …enhance safety of medication therapy. . **Vanderbilt Health** is hiring an ** Outpatient Oncology Clinical Pharmacist Specialist ** at **The Vanderbilt Clinic** ! ... to meet the individualized drug therapy needs of the patient. The clinical specialist is responsible for leading efforts in the prevention and reporting of… more
    Vanderbilt University Medical Center (12/04/25)
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  • 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 Appeals ... Specialist has a strong knowledge of medical appeal and...appeal and audit practices for both the inpatient and outpatient populations. They are knowledgeable about insurance requirements and… more
    University of Michigan (12/13/25)
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