• Utilization Management

    Penn Medicine (Lancaster, PA)
    …pressure, we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions is responsible for evaluating medical records ... Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate for… more
    Penn Medicine (12/24/25)
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  • RN Admissions / Utilization

    PeaceHealth (Bellingham, WA)
    **Description** PeaceHealth is seeking a RN Admissions / Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary ... assistance may be available.** **Job Summary** Responsible for promoting effective utilization and monitoring of healthcare resources. This position will assume an… more
    PeaceHealth (12/06/25)
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  • Admissions Specialist (CSR, Darc,…

    Hartford HealthCare (Meriden, CT)
    …this is *your moment*. **Job:** **Behavioral Health* **Organization:** **Rushford* **Title:** * Admissions Specialist (CSR, DARC, RSS) - Behavioral Health* ... the most appropriate level of care. Responsible for bed management for Rushford residential programs with a focus on...12. Collaborates with Admission and Program Managers to achieve utilization goals and ensure availability and accuracy of intake… more
    Hartford HealthCare (11/04/25)
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  • Clinical Admissions Specialist

    Sanford Health (Fargo, ND)
    …department looking to expand the role of on-site clinical admission specialist , promoting home health services through education and referral recruitment. Must ... RN, OT, or PT license **Job Summary** Responsible for identifying potential admissions , the processing and placement of new resident/client requests and tracking… more
    Sanford Health (12/12/25)
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  • Utilization Management

    FLACRA (Clifton Springs, NY)
    Utilization Management Specialist FLACRA...the admissions process. + Contribute to bed management and utilization planning. + Monitor and ... $16.50 - $17.50/Hour Apply Now (https://flacra.jobs.net/apply/jqn6gn6t2h294xv9ngh?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location:Finger Lakes… more
    FLACRA (12/19/25)
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  • Utilization Review Specialist Nurse…

    Houston Methodist (Houston, TX)
    …Provides education to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of department scores for ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...state, local, and federal programs + Comprehensive knowledge of utilization management , case management , performance… more
    Houston Methodist (11/02/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
    LA Care Health Plan (12/20/25)
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  • PRN Clinical Utilization Review…

    Community Health Systems (Franklin, TN)
    …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for...extended stays, identifying opportunities for process improvements to enhance utilization management . + Serves as a key… more
    Community Health Systems (12/03/25)
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  • Utilization Management

    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 ... external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
    Mount Sinai Health System (10/03/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …compliance. + Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in denials, approvals, ... What you will be doing? The Utilization Review (UR) Specialist is a...and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions ,… more
    BriteLife Recovery (12/05/25)
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