• California Practice Staff (Modesto, CA)
    …staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance, Program Evaluation, Infection Control, Safety Committee ... Summary: Provides specialized nursing services with guidance of the attending physician . Completed related work as required. Considerable medical judgment is… more
    job goal (12/24/25)
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  • The Laurels of Salisbury (Salisbury, NC)
    …time frames. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the… more
    JobLookup XML (12/22/25)
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  • Aveanna Healthcare (Birmingham, AL)
    …the plan of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as requested. Attends appropriate ... as established by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director. **$10,000 Sign On Bonus** Schedule: Monday through… more
    JobLookup XML (12/22/25)
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  • VitalCore Health Strategies (Munising, MI)
    …POSITION SUMMARY The Regional Medical Director/ Hub Director must be a Physician and provide guidance, leadership, and oversight of all aspects of correctional ... quality and integrity of patient medical care including oversight of utilization and quality management, credentialing, and best practice guideline development… more
    job goal (12/23/25)
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  • The Laurels of Fulton (St. Johns, MI)
    review .Discusses resident care needs with care givers, including physician , nursing, social services, therapy, dietary, and activity staff.Reviews information ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management CoordinatorRemains current with American… more
    job goal (12/23/25)
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  • Utilization Review Physician

    Hackensack Meridian Health (Hackensack, NJ)
    The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
    Hackensack Meridian Health (09/30/25)
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  • Physician Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
    Hackensack Meridian Health (11/12/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification ... This role will be an expert on matters regarding physician practice patterns, over and under- utilization of...by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. **Required… more
    CommonSpirit Health (11/02/25)
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  • Chief Medical Officer, CMO - MercyOne

    Trinity Health (Des Moines, IA)
    …Process Improvement. Physician Relationships. Hospital Management and operations. Utilization review / physician advisor Graduate Medical Education ... a matrixed relationship for centralized medical staff functions such as quality, safety and utilization review and to the RHM President and other members of the… more
    Trinity Health (12/19/25)
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  • Nurse Practitioner / Physician Assistant…

    Hackensack Meridian Health (Hackensack, NJ)
    …(APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in ... Knowledge, Skills and Abilities Required: 1. Successful completion of an approved physician 's assistant program, accredited by the AMA Council on Medical Education.… more
    Hackensack Meridian Health (11/29/25)
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