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Registered Nurse RN Case Manager Hospice
AdventHealth

Greenwood Village, Colorado

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RN, Case Manager
Optum

Torrance, California

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Registered Nurse RN Prior Authorization Nurse Healthcare Compact Lics
Optum

San Antonio, Texas

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Utilization Review RN for Behavioral Health
AdventHealth

Glendale Heights, Illinois

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Veterans Affairs, Veterans Health Administration Logo
Nurse (Home Based Primary Care, Outpatient)
Veterans Affairs, Veterans Health Administration

Vancouver, Washington, Washington

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University of Maryland Medical System Logo
PRN PICU Nurse Practitioner
University of Maryland Medical System

Baltimore, Maryland

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Supervisor Clinical Utilization Management - Health Plans Admin
CHRISTUS Health

Irving, Texas

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RN / REGISTERED NURSE - CASE MANAGER - CASE MANAGEMENT DEPARTMENT
Beebe Healthcare

Lewes, Delaware

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AdventHealth Logo
RN Clinic
AdventHealth

Aurora, Colorado

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Optum Logo
Registered Nurse RN Clinic Healthcare Manager Houston Texas
Optum

Houston, Texas

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University of Maryland Medical System Logo
Nurse Practitioner (Adult, FNP) or Physician Assistant: Interventional Radiology Team
University of Maryland Medical System

Baltimore, Maryland

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RN Clinic
AdventHealth

Littleton, Colorado

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Veterans Affairs, Veterans Health Administration Logo
Physician Assistant - Women's Health Navigator - Clinical Coordinator
Veterans Affairs, Veterans Health Administration

Hines, Illinois, Illinois

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Optum Logo
Field Nurse Case Manager RN - Raleigh, NC
Optum

Raleigh, North Carolina

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Kindred Hospitals Logo
Case Manager
Kindred Hospitals

San Antonio, Texas

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Optum Logo
Field Nurse Case Manager RN - Mecklenburg, Wadesboro, and Anson Counties - NC
Optum

Concord, North Carolina

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AdventHealth Logo
Registered Nurse RN Case Manager
AdventHealth

Orlando, Florida

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Veterans Affairs, Veterans Health Administration Logo
Registered Nurse - Utilization Management(UM)
Veterans Affairs, Veterans Health Administration

El Paso, Texas, Texas

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Optum Logo
Medical Behavioral RN Case Manager
Optum

Phoenix, Arizona

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AdventHealth Logo
Consumer Access Specialist ( ER)
AdventHealth

Celebration, Florida

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Veterans Affairs, Veterans Health Administration Logo
Advanced Practice Nurse/Nurse Practitioner - Women's Health Navigator-Clinical Coordinator
Veterans Affairs, Veterans Health Administration

Hines, Illinois, Illinois

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AdventHealth Logo
Registered Nurse RN Case Manager
AdventHealth

Orlando, Florida

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University of Maryland Medical System Logo
Emergency Department Case Manager
University of Maryland Medical System

Bel Air, Maryland

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AdventHealth Logo
Registered Nurse RN Case Manager
AdventHealth

Winter Park, Florida

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Pediatric Nurse Practitioner Primary Care - Nemours Children's Health, Dover
Nemours

Dover, Delaware

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Utilization Reviewer
Job DescriptionUtilization Reviewer - Case ManagementFull-time / Day-shift (Primarily Mon-Fri; 9a-5:30p or 10a-6:30p; Occasional weekends/holidays may be necessary. This is a fully onsite position.)UM Capital Region Health - Largo, MD General SummaryUnder general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers.


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