• BroadPath Healthcare Solutions (Tucson, AZ)
    **Overview** BroadPath is seeking a highly motivated and results-driven ** UM RN Appeals Coordinator .** This role collaborates with clinical review staff, ... to ensure consistent clinical evaluation and processing of medical necessity appeals . Accurate documentation and detailed recordkeeping of notifications to members… more
    DirectEmployers Association (11/13/25)
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  • Registered Nurse - ISP Care…

    Cedars-Sinai (Beverly Hills, CA)
    …the Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days ... Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins… more
    Cedars-Sinai (11/25/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Salem, OR)
    …Management at Superior HealthPlan or LPC, LCSW or Psy D. licensure within UM Behavioral Health Appeals team. **Specialty Therapy Requirement:** Master's degree ... **Remote position.** **Pacific Standard Time is strongly preferred Must have a current RN or LPN** **Oregon state license **Utilization review, case management, and … more
    Centene Corporation (11/05/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... review cases for medical necessity, uses InterQual and/or other UR/ UM Committee-approved medical necessity screening criteria, when appropriate. Works… more
    Corewell Health (11/24/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
    Saint Francis Health System (11/14/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if patients...Identify and facilitate resolution of system process problems impeding UM functions. Identify and resolve delays and obstacles as… more
    San Antonio Behavioral Health (11/26/25)
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