1mo
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Utilization Management Specialist II
Baltimore, Maryland, United States
OnsiteFull Time
1+ YOEMaryland RN or equivalent license (or Compact-eligible), 12+ months case/utilization management experience, knowledge of utilization management, strong verbal/written communication and analytical skills, ability to work with hospital/utilization management software.
3w
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Utilization Management Nurse
Wilmington, Delaware, United States
HybridFull Time
5+ YOEBSN and active DE RN license required, 5+ years related experience, conducts concurrent utilization reviews, ensures regulatory compliance and coordinates interdisciplinary care using EMR.
EMR
1mo
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Utilization Review Specialist
Chadds Ford, Pennsylvania, United States
HybridFull Time
1+ YOEBachelor's degree in a related field, 1+ years utilization review/case management or behavioral health revenue cycle experience, strong understanding of medical necessity and authorization processes, attention to detail, and strong communication skills.
EHR
2w
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Conduct concurrent utilization reviews for psychiatric and residential drug/alcohol clients using ASAM criteria; coordinate appeals, maintain authorization and denial logs, and communicate with payers and treatment teams.
Microsoft Office
2w
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Master's degree or nursing graduate with Pennsylvania licensure; knowledge of ASAM and medical necessity criteria; utilization review experience preferred; Microsoft Office and billing experience; strong communication and documentation skills.
Microsoft Office
3w
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Utilization Specialist- OMY
Philadelphia, Pennsylvania, United States
OnsiteFull Time
2+ YOEBachelor's in human services/care management, 2 years mental health or social services experience, familiarity with EHRs, proficient with Microsoft Office, strong communication and analytical skills.
EHR, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
2w
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Utilization Management Director - Inpatient (Hybrid)
Baltimore, Maryland, United States
$135k-$251k/yr HybridFull Time
8+ YOE3+ MgmtRequires an active RN license, 8+ years clinical/UM experience with 3+ years management, proficiency with Guiding Care or similar, Microsoft Office, and knowledge of utilization management and regulatory requirements.
Guiding Care, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
3w
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Utilization Review Nurse RN - PRN
Baltimore or District of Columbia or Maryland or Pennsylvania or Virginia or West Virginia
$50/hr OnsitePart Time
2+ YOECurrent Maryland RN or compact multistate license, ADN required (BSN preferred), BLS as applicable, minimum 2 years acute inpatient ED utilization review experience, residency in DC/MD/PA/VA/WV required.
3d
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Utilization Review Coordinator
Blackwood, New Jersey, United States
$42/hr OnsiteFull Time
3+ YOEBachelor's degree, 3+ years inpatient behavioral health experience; knowledge of medical necessity criteria, concurrent review, payer authorization; strong clinical assessment, documentation, and communication skills.
Electronic Medical Records (EMR)
2w
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Utilization Review Per Diem Elkins Park
Philadelphia, Pennsylvania, United States
OnsitePart Time
2+ YOEMaster of Social Work and 2 years hospital social work experience required; performs psychosocial assessment, discharge planning, counseling, and multidisciplinary collaboration.
2w
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Registered Nurse Utilization Review
Baltimore, Maryland, United States
$81k-$116k/yr HybridFull Time
Maryland RN credential required prior to hire, diploma or equivalent nursing education, utilization/case management experience preferred, and clinical documentation/compliance expertise.
2d
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RN Utilization Management - Day Shift
Newark, Delaware, United States
$86k-$137k/yr OnsiteFull Time
3+ YOEDE or compact RN license, Bachelor’s in Nursing required, minimum 3 years acute care RN and 3 years utilization management, denial management and insurer experience, 8 CEUs/year in utilization/case management.
3mo
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Utility Worker III
Dover, Delaware, United States
$37k-$55k/yr OnsiteFull Time
Assist with maintenance, repair, and inspection of water distribution systems, operate equipment, perform physical labor, possess valid driver’s license and obtain Class A CDL within one year.
2d
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Operations Supervisor
Conestoga, Pennsylvania, United States
$120k-$135k/yr OnsiteFull Time
5+ YOE5+ years control room or power plant operations experience; ability to read electrical/hydraulic/mechanical prints; clear communication; MS Office proficiency; ability to lead teams and work independently.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
1mo
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Senior Director, Complex Care Management and Utilization Management
Baltimore, Maryland, United States
RemoteFull Time
7+ YOESenior leadership in complex care or utilization management; travel across multiple markets; RN preferred; CCM/URAC credentials beneficial.
2mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
2mo
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Product Engineer II – Utility Solutions
Denver or Philadelphia or Redlands or Remote Eligible
$80k-$133k/yr RemoteFull Time
2+ YOE2+ years in utilities/telecommunications with ArcGIS; ArcGIS Utility Networks; GIS workflows; strong communication; Bachelor in geography or related field.
Python, Arcade, ArcGIS Pro
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
3mo
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Grill / Utility
Pasadena, Maryland, United States
OnsitePart Time
Part-time grill/utility role requiring fast service and team collaboration.
3mo
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Dishwasher/Utility
King Of Prussia, Pennsylvania, United States
OnsiteFull Time
Dishwasher/Utility role; fast-paced kitchen; ability to clean and sanitize; maintain restrooms and facilities.