• University of New Mexico - Hospitals (Albuquerque, NM)
    …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for this… more
    JobLookup XML (12/22/25)
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  • Oklahoma City County Health Department (Oklahoma City, OK)
    …receive Quality Improvement (QI) training deemed necessary by their supervisor . QUALIFICATIONS/REQUIREMENTS: -Valid Oklahoma Registered Nurse License required ... CLINIC SUPERVISOR Location: Oklahoma City, Oklahoma Department: Clinical Services...assignments. 4. Supervising employee activities by direct observation and review of job products. 5. Monitoring and evaluating employee… more
    Appcast IO CPC (12/21/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Apply fast, check the full description by… more
    JobLookup XML (12/22/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
    The County of Los Angeles (10/06/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (09/27/25)
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  • Utilization Management Nurse (RN)…

    Saint Francis Health System (OK)
    …reimbursement issues and participate in treatment teams, Patient Care Committee, and the Utilization Review Staff Committee by providing data and contributing to ... levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate...nor does it prohibit the assignment of additional duties. Utilization Review Management - Yale Campus Location:… more
    Saint Francis Health System (12/13/25)
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  • Utilization Management Supervisor

    CareFirst (Baltimore, MD)
    …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
    CareFirst (11/22/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
    BayCare Health System (10/10/25)
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  • Behavioral Health Utilization Management…

    AmeriHealth Caritas (LA)
    **Role Overview:** Under the direction of the Supervisor , the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... providers to collect all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer's discretion to retain requests for… more
    AmeriHealth Caritas (11/19/25)
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  • Off Hours Nurse Supervisor

    State of Colorado (Denver, CO)
    Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health Hospital Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply  Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental… more
    State of Colorado (12/10/25)
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