Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
74 jobs match your filters
1w
Clinical Utilization Review Specialist
Baldwin Health
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
1w
Clinical Utilization Review Specialist
Tennova Healthcare- Turkey Creek Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
RN Utilization Review Specialist
Corewell Health
Scope of work: Provides health information, interacts, and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and conc
Grand Rapids, Michigan, United States Of America
onsiteFull-time
2w
C
RN Utilization Review Specialist
Corewell Health
Scope of work: Provides health information, interacts, and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and co
Grand Rapids, MI
hybridFull-time
2w
Sr. Virtual Utilization Review Specialist
Jobgether
How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring co
US
remoteFull-timeEasy Apply
2w
Clinical Utilization Review Specialist
Flowers Hospital
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Santa Rosa Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Moberly Regional Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
MountainView Regional Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Longview Regional Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Lake Granbury Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Grandview Medical Center - Birmingham, AL
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
DeTar Healthcare System
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
East Georgia Regional Medical Center, LLC
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Community Health Systems
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Carlsbad Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Baldwin Health
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Tennova Healthcare- Turkey Creek Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Tennova Healthcare- Jefferson Memorial Hospital
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Tennova Healthcare- North Knoxville Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Tennova Healthcare- LaFollette Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
2w
Clinical Utilization Review Specialist
Eastern New Mexico Medical Center
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports de
United States
remote
1mo
H
Botox Utilization Review Specialist - Phoenix, AZ
HealthOp Solutions
Job Title: Botox Utilization Review SpecialistLocation: Phoenix, AZHours & Schedule: Full-time, Monday through Friday, mornings to 4:00 PMWork Environment: Neurology ClinicSalary / Hourly Rate: $20–25 per hourWhy work with us:This position play...
Phoenix, Arizona, United States
remoteFull-time
3mo
CSP Utilization Review Specialist/Quality Manager
Pascua Yaqui Tribe
Under general direction, of the Associate Administrative Director of Centered Spirit, the Utilization Review Specialist/Quality Manager is responsible for coordinating the implementation of the quality management/utilization review systems and activities of the Pascua Yaqui Cente
Tucson, AZ, AZ, US
onsiteFull-time