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Clinical Transformation RN - Utilization & Provider

Job in Montgomery, Montgomery County, Alabama, 36136, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-03-03
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare organization based in the United States is seeking an experienced professional to engage with network providers in utilization management. The role involves analyzing performance data, educating stakeholders on medical policies, and developing action plans to enhance care quality. Candidates should have a nursing degree along with extensive experience in healthcare settings and ideally some exposure to data analysis practices.

This position is essential for maintaining high standards of care quality and efficiency.
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