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CDI RN DRG Downgrades Appeals Review Specialist

Allentown, PA

St. Luke's University Health Network Posted: 04/27/26

…experience required. DRG downgrade or clinical validation denial experience strongly preferred.

Quality Auditor, Hospital Bill Audits & Itemized Bill Review (Program Integrity)

Leawood, KS

Elevance Health Posted: 06/11/26

…preferred + Clinical experience (eg, acute care, med-surg, ICU, ED, OR, case management, utiliza

Physician Advisor- CDI

Burlington, MA

Tufts Medicine Posted: 06/08/26

…physician support for high quality, compliant and efficient workflows related to utilization r

Medical Director

Houston, TX

RxBenefits Posted: 05/19/26

…benefit‑aligned activities. + Assist with responsibilities related to formulary management, ut

Physician Advisor (IPAS)

Detroit, MI

Henry Ford Health System Posted: 06/02/26

…the hospital through teaching, consulting, and advising the care management and utilization re

ECT Coordinator

Livonia, MI

Trinity Health Posted: 05/21/26

**Employment Type:** Full time **Shift:** **Description:** POSITION PURPOSE The Utilization Revie

Director Care Management

Napa, CA

Providence Posted: 04/21/26

…strategic direction and operational leadership for care‑management processes including resource

Physician Advisor

Orlando, FL

AdventHealth Posted: 05/18/26

…Collaborates with Senior Medical Officers with contracted managed care payers regarding utilizat

Penn Medicine Physician Advisor

Philadelphia, PA

Penn Medicine Posted: 06/04/26

…the hospital through teaching, consulting, and advising the care management and utilization re

Quality Improvement Coordinator

Ann Arbor, MI

University of Michigan Posted: 06/12/26

…**Desired Qualifications ? Previous home health care Quality Improvement (QI) and/or Utilization

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