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

    Sanford Health (Sioux Falls, SD)
    …Sioux Falls, SD 57105, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** 27.50 - 38.50 **Department ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
    Sanford Health (10/08/25)
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  • Utilization Review Specialist - RN

    Rochester Regional Health (Rochester, NY)
    Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours ( ... Review Specialist actively participates in the utilization management of patients and evaluating hospital...representation of current potential base pay for a successful full time applicant. It may be modified… more
    Rochester Regional Health (10/07/25)
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  • Insurance Specialist -Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West...Nurse and Enter Denial information in Allscripts + Meets time frame for reviews / appeals as specified by… more
    Mount Sinai Health System (07/23/25)
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  • Authorization Technician II (12 Month Assignment)

    LA Care Health Plan (Los Angeles, CA)
    …to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and ... the Manager and Director of the Utilization Management department in meeting regulatory time lines...terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full more
    LA Care Health Plan (08/08/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
    Sharp HealthCare (08/02/25)
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  • Marketing Specialist FT

    Coast Guard Community Services Command (Petaluma, CA)
    …Click on Myself/Talent/Career Center. Search by location or Job Title for: Marketing Specialist FT 6434 Petaluma, CA, US Equal Employment Opportunity: All ... Pay Plan/Series/Pay Band: NF-1035-03 Closing Date: Until Filled Work Schedule: Full-Time (30-40 hrs/wk) Position: Marketing Specialist Salary: $25.00+ DOE/hour… more
    Coast Guard Community Services Command (10/08/25)
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  • AI Integration Specialist Senior (TS/SCI)…

    SMX (Fort Belvoir, VA)
    AI Integration Specialist Senior (4612) (TS/SCI) ( Ft . Belvoir, VA - Nolan Bldg)at SMX(View all jobs) (https://www.smxtech.com/careers/) Fort Belvoir, VA SMX is ... seeking a **Senior AI Integration Specialist ** to design, integrate, and optimize AI/ML solutions for Army Intelligence workflows. This role will enhance decision… more
    SMX (08/26/25)
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  • Registered Nurse Transition Specialist

    AdventHealth (Minneola, FL)
    …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Minneola **Schedule:** Full-time **Shift:** 1 ... 204,000 square feet, the hospital will include an emergency department; full -service imaging; five operating suites; endoscopy services; outpatient laboratory; heart… more
    AdventHealth (09/13/25)
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  • Pharmacy Clinical Specialist - Infectious…

    Houston Methodist (Baytown, TX)
    At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties, enabling the delivery of optimal ... designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary… more
    Houston Methodist (09/16/25)
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