- Trinity Health (Maywood, IL)
- …Office location is Loyola campus. Position is hybrid, must reside in Illinois. The ** Regional Utilization Review Documentation Specialist** nurse works ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …years of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred. Extensive knowledge and understanding of ... of patient care. Works with physicians to ensure accurate and thorough documentation that will result in correct DRG assignment and improve reimbursement. Performs… more
- Guthrie (Binghamton, NY)
- Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and payers, ... CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such as Microsoft… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale AFB, ... identification of types ofhealthcare services for which preauthorization or concurrent review will be required.Reviews previous and present medical care practices as… more
- UPMC (Media, PA)
- …of clinical care provided to Community Care members. + Focus on quality and utilization from a regional perspective to include UPMC Passavant and UPMC St. ... members. This includes significant responsibility for quality management and utilization management and for assuring the adequacy of the...a backup for other business units + Advises the Regional Director on the development and review … more
- C&W Services (Hollister, CA)
- …performance through analysis of work order flow, project demands and expectations. May review utilization and cost data to recommend corrective actions to reduce ... **Job Title** Regional Planner/Scheduler **Job Description Summary** **Job Description** **Job...(CMMS, etc) and standard procedures to optimize maintenance resource utilization and productivity. Responsible for effective configuration and … more
- UTMB Health (Galveston, TX)
- Advanced Practice Provider, Department of Obstetrics & Gynecology, Regional Director **Galveston, Texas, United States** Patient Care UTMB Health Requisition # ... Provide competent, age specific health care to women and children in the Regional Women's Services and Pediatrics (RWSP) healthcare program and in collaboration with… more
- Sevita (Columbus, OH)
- …a regional business unit, review financial statements, oversees regional purchasing, and ensures billing compliance and documentation . + Provide ... + Execute regional core growth strategy to increase census, maximize utilization and occupancy percentages; respond to local requests for proposals to address… more
- Prime Healthcare (Chicago, IL)
- …patient financial services, and coordination with HIM, Coding, Utilization Review , Charge Master, and Clinical Documentation . Partners closely with the ... new members to join our corporate team! Responsibilities The Regional VP of Revenue Cycle leads the overall ...Regional VP of Revenue Cycle leads the overall regional market strategy, optimization, implementation, and end-to-end management of… more