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Keywords: Utilization Management Specialist (Home-Based) - Prior Authorization, Location: USA

Page: 1

RN Clinical Review Prior Authorization UM Specialist

Job Category: Utilization Management Job Description: HealthPartners is hiring a RN Clinical Review Prior... Authorization UM Specialist. POSITION PURPOSE: Accurate application of HealthPartners evidence-based coverage criteria...

Location: Bloomington, MN
Posted Date: 04 Feb 2026

RN Clinical Review Prior Authorization UM Specialist

Job Category: Utilization Management Job Description: HealthPartners is hiring a RN Clinical Review Prior... Authorization UM Specialist. POSITION PURPOSE: Accurate application of HealthPartners evidence-based coverage criteria...

Location: Bloomington, MN
Posted Date: 04 Feb 2026

RN Clinical Review Prior Authorization UM Specialist

Job Category: Utilization Management Job Description: HealthPartners is hiring a RN Clinical Review Prior... Authorization UM Specialist. POSITION PURPOSE: Accurate application of HealthPartners evidence-based coverage criteria...

Location: Bloomington, MN
Posted Date: 04 Feb 2026

Prior Authorization Specialist, Data Extraction & AI Quality (Fully Remote, Part-Time)

Prior Authorization Specialist, Data Extraction & AI Quality (Fully Remote, Part-Time) Rate: $30–$60/hour (depending... Authorization (PA) specialist to work with our AI research teams to improve our access agent. This role focuses on identifying...

Company: Quantile Health
Location: USA
Posted Date: 28 Jan 2026
Salary: $30 - 60 per hour

Utilization Management Clinical Assistant - Corporate Center Warrenville

of experience, among other factors. Position Highlights: Position: Utilization Management Clinical Assistant Location: LOH... of pending appeals. Coordinates with Business Office and Coordinators, Utilization Management regarding benefit issues/questions...

Posted Date: 11 Feb 2026

Data Management Specialist 1

Overview: DATA MANAGEMENT SPECIALIST I TACOMA, WA Catholic Community Services, Family Behavioral Health... is looking for a Data Management Specialist to join our team of innovators who continually "push the envelope" and challenges traditional...

Company: CCSWW
Location: Tacoma, WA
Posted Date: 13 Feb 2026
Salary: $27.74 - 30.86 per hour

Data Management Specialist 1

Overview: DATA MANAGEMENT SPECIALIST I TACOMA, WA Catholic Community Services, Family Behavioral Health... is looking for a Data Management Specialist to join our team of innovators who continually "push the envelope" and challenges traditional...

Company: CCSWW
Location: Tacoma, WA
Posted Date: 13 Feb 2026

Data Management Specialist 1

Overview DATA MANAGEMENT SPECIALIST I TACOMA, WA Catholic Community Services, Family Behavioral Health... is looking for a Data Management Specialist to join our team of innovators who continually "push the envelope" and challenges traditional...

Posted Date: 12 Feb 2026
Salary: $27.74 - 30.86 per hour

Patient Access Insurance Specialist

authorization, pre-certification, and prior approval for admissions to Beacon or Epworth Center by using web-based tools...'s provider. The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures...

Location: Granger, IN
Posted Date: 01 Feb 2026

Accounts Receivable/Billing and Collections Specialist

BOSTON SENIOR HOME CARE – ACCOUNTS RECEIVABLE/BILLING AND COLLECTIONS SPECIALIST - JOB DESCRIPTION JOB TITLE...: Accounts Receivable/Billing and Collections Specialist DIVISION: Administration DEPARTMENT: Fiscal REPORTS TO: Director...

Location: Boston, MA
Posted Date: 29 Jan 2026
Salary: $42000 - 58000 per year

Diversion Specialist - Osceola County - Orlando, FL

disruption. · Act as a liaison with DCF/case management and the community · Conduct home visits at a minimum every 30 days... with or is currently with to move case forward and keeping the children safe without “ongoing” case management. · Diversion Specialist...

Posted Date: 29 Jan 2026
Salary: $52000 per year

Diversion Specialist - Osceola County

disruption. · Act as a liaison with DCF/case management and the community · Conduct home visits at a minimum every 30 days... with or is currently with to move case forward and keeping the children safe without “ongoing” case management. · Diversion Specialist...

Posted Date: 28 Jan 2026

Care Coordination Specialist

of Care & Utilization Management, including insurance authorization, payer communications, Appeals and Denial information...: Utilization Management Payer communications - responds to requests and inquiries and provides information as requested. Prepares...

Posted Date: 19 Jan 2026
Salary: $22.77 per hour

Care Manager - Readmission Specialist

Management or Utilization Management · Understand levels of care including Inpatient, Observation, ED and Outpatient...: · Bilingual · Certified in Case Management, UM, Quality, Risk or MCG · Home Care experience · Telehealth experience...

Posted Date: 21 Dec 2025
Salary: $88000 per year

Care Manager - Readmission Specialist

Management or Utilization Management · Understand levels of care including Inpatient, Observation, ED and Outpatient...: · Bilingual · Certified in Case Management, UM, Quality, Risk or MCG · Home Care experience · Telehealth experience...

Posted Date: 21 Dec 2025
Salary: $88000 per year

Care Manager - Readmission Specialist

Management or Utilization Management · Understand levels of care including Inpatient, Observation, ED and Outpatient...: · Bilingual · Certified in Case Management, UM, Quality, Risk or MCG · Home Care experience · Telehealth experience...

Posted Date: 20 Dec 2025
Salary: $88000 per year

Clinical Admissions Specialist - Home Health - FT

, and internal policies that affect resource utilization and potentially, prior authorization. Depending on location, enters data... health department looking to expand the role of on-site clinical admission specialist, promoting home health services through...

Company: Sanford Health
Location: Fargo, ND
Posted Date: 14 Dec 2025

RN - Clinical Transition Specialist Weekend

and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the..., and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle...

Location: Urbana, IL
Posted Date: 13 Feb 2026

Clinical Admissions Specialist - Long Term Care

utilization and potentially, prior authorization. Depending on location, enters data into Customer Referral Management (CRM.... If working in home-based services, can also hold an unencumbered license: Certified occupational Therapy Assistant (COTA...

Company: Sanford Health
Location: USA
Posted Date: 13 Feb 2026

RN - Clinical Transition Specialist Weekend

management/utilization review software and the multidisciplinary plan of care document on all assigned patients. Evaluates..., coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients...

Location: Urbana, IL
Posted Date: 13 Feb 2026