• Novo Nordisk Inc. (Hackensack, NJ)
    …appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved ... and customer groups Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds… more
    HireLifeScience (07/29/25)
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  • Novo Nordisk Inc. (Walnut Creek, CA)
    …productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
    HireLifeScience (07/31/25)
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  • Novo Nordisk Inc. (Pasco, WA)
    …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... with those individuals Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds… more
    HireLifeScience (07/26/25)
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  • Utilization Management

    Elevance Health (Miami, FL)
    ** Utilization Management Representative II ** **Location:** This role enables associates to work virtually full-time in **Florida** , with the exception of ... 6 am - 6 pm EST including weekends. The ** Utilization Management Representative II ** is...provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer ; and handles… more
    Elevance Health (07/23/25)
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  • Utilization Management Intake…

    Monroe Plan for Medical Care (Rochester, NY)
    Utilization Management Intake Representative II Summary Title: Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, ... Buffalo, Syracuse, or Utica Job Type:Full-time Date Posted:07/24/2025 Openings:1 Department: Utilization Management Description Looking for meaningful work with… more
    Monroe Plan for Medical Care (07/25/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
    LA Care Health Plan (07/12/25)
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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 (07/08/25)
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  • Per Diem Registered Nurse II /III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II /III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II /III - Utilization Management VCMC...as needed to assist with patient care coordination and utilization review . The incumbent will be responsible… more
    Ventura County (07/28/25)
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  • Discharge Planner II (LVN)…

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214906/discharge-planner- ii -%28lvn%29 utilization - ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management /case management terminology and functions,… more
    Prime Healthcare (07/15/25)
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  • Physician Advisor Denials Management

    CommonSpirit Health (Englewood, CO)
    **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... to all constituents. **Key Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of inpatient...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
    CommonSpirit Health (07/11/25)
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  • Utilization Review Tech II

    Prime Healthcare (Garden Grove, CA)
    utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/206176/ utilization - review -tech- ii more
    Prime Healthcare (07/31/25)
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  • Utilization Review Technician…

    Prime Healthcare (North Las Vegas, NV)
    utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/217067/ utilization - review -technician- ii more
    Prime Healthcare (07/22/25)
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  • Utilization Review Technician…

    Prime Healthcare (North Las Vegas, NV)
    utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/216978/ utilization - review -technician- ii more
    Prime Healthcare (07/22/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print...Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
    The County of Los Angeles (05/22/25)
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  • Utilization Review Registered Nurse…

    Emory Healthcare/Emory University (Atlanta, GA)
    …mentorship, _development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be ... responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor...in UR. + Minimum 1 year as UR RN II or equivalent experience. + Case Management more
    Emory Healthcare/Emory University (07/19/25)
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  • Registered Nurse ( Utilization

    Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
    …of the interdisciplinary team. Responsibilities Duties include but not limited to: Utilization Review (UR) Registered Nurse (RN) is responsible for providing ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …development in practice with increased levels of self-direction. Uses Utilization Management criteria to perform basis review while developing technical and ... Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental...with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and… more
    Veterans Affairs, Veterans Health Administration (07/21/25)
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  • Case Manager, RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/212260/case-manager%2c-rn utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visitwww.stfrancismedicalcenter.com for more information. Join an… more
    Prime Healthcare (06/24/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay range ... the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and… more
    LA Care Health Plan (07/16/25)
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  • Accountant I/ II /Senior

    Ventura County (Ventura, CA)
    …prepares the depreciation forecast for the Budget Development Manual. + Learns to review (Accountant I) or reviews (Accountant II ) fixed asset reconciliations ... inquiries from auditors and other agencies. + Learns to review (Accountant I) or reviews (Accountant II )...and prepare (Accountant I) or complies and prepares (Accountant II ) financial statements and utilization statistics for… more
    Ventura County (06/02/25)
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