Utilization review Jobs
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8474 utilization review Jobs
4.4Clinical Review - Utilization ManagementChattanooga, TNPerform comprehensive clinical review of requested services utilizing clinical criteria, received through various …
3.9Utilization Review NurseWashington, DCGeneral Summary of Position:
- Under the direction of The Director of UM/Appeals assists in the …
MMQ NurseLowell, MAEasy Apply11dOne to three years previous experience with case-mix utilization review preferred. …Reviews all pertinent documentation for accuracy and consistency…
3.1Utilization Review Coordinator / Managed Care - LADCNew Brighton, MNUtilization Review Coordinator / Managed Care Location: New Brighton, MN Meridian Behavioral Health LLC is a leader in behavioral health care…The Utilization Review Coordinator provides face-to-face…
3.2Utilization Review NurseRoseville, MN9dWe are currently seeking a part-time Utilization Review Registered Nurse to join our team at the Regional Office located in Roseville, Minnesota…Available Shift Monday through Friday working 24 hours per week; open to discuss schedule Responsibilities The Utilization (UM…
3.7RN UR MGR-BSN-115Dayton, OHRN Utilization Review Manager- OneFifteenFull Time/ M-F 8:00am-4:30pm/ 80 hours per pay The Utilization Management RN is a registered nurse (RN…The RN is responsible for concurrent and retrospective reviews of patients admitted to the behavioral health inpatient units…
3.9RN-Utilization Review Manager-Case ManagementBaltimore, MDWe Are Hiring: Hospital Utilization Review experience Not Remote Work Schedule… but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination, Collaborative treatment planning and core measures, Discharge Planning, tracking of the post…3.9Registered Nurse (RN) - Utilization Review - WeekendsMilwaukee, WIWe Are Hiring: Registered Nurse (RN) - Utilization Review - PRN, Weekends - Ascension Columbia St…
3.5Full Time RN Intake CoordinatorJenkintown, PABased in Jenkintown (Montgomery County), Abramson Homecare has an exciting Full-Time RN Intake Coordinator …
4.6Utilization Review CoordinatorEatontown, NJCPC Behavioral Healthcare is recruiting for a Utilization Review (UR) Coordinator. …
4ED RN Case ManagerBoynton Beach, FLexperience with a minimum of 1-3 years of hospital or payor Case management or Utilization management review experience preferred. …Is accountable for prioritizing, reviewing cases to determine the appropriateness of pre-admission, admission utilizing payer established criteria Assisting in identifying appropriate patient status and level of care…
3.1Care Manager (Registered Nurse/RN) | LPN Care ManagerPort Townsend, WAEasy Apply24h) year of clinical experience in post acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred Certified Case Manager (CCM…Utility ManagerEast Troy, WIEasy Apply24hRelated keywords: utilization review nurse, registered nurse, rn, utilization review, nurse Job Type…
3.5RN - Utilization Review Specialist - Potential for Sign On Bonus - Utilization ManagementGreenville, NCPosition Summary The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management…Perform Utilization Review according to CMS and commercial payor guidelines. …Evening IOP Substance Abuse TherapistCrystal Lake, ILEasy Apply24hThis position requires a knowledge and experience in addictions and mental health with the ability to make a diagnosis, work with medical staff and complete vital information for utilization review… and review treatment plans and perform counseling both individually and in group settings…
4.1Director of Nursing / DONSaint Paul, MNEasy Apply21dUtilization Review. …Perform quality review of all nursing documentation. …Quality review of assessments, visit notes and other supporting documentation daily to ensure appropriateness, completeness, timeliness and accuracy…
3.6Registered Nurse, Hospital Case ManagerSpringfield, MAThorough knowledge of Utilization Review concepts, resource management and reimbursement methodologies…Additional competencies include: Working knowledge of community resources and Utilization…
3.6Utilization Review ClinicianHampstead, NHEasy Apply20dDescription: Utilization review case manager needed for acute inpatient psychiatric…The ideal candidate must be familiar with all aspects of managed care and psychiatric-specific utilization review procedures…
3.1Social Worker LICSW/LMHCBoston, MAAttending multidisciplinary treatment team meetings and Utilization Reviews Collaborating care with Primary Care and other departments as needed…
3.8Patient Navigator RN - SurgeryAspen, CO21drole with utilization review and discharge planning processes for orthopedic patients. …: Aspen Valley Hospital · UTIL Review/DISCH Planning Schedule: Full-Time…
3.6RN Certified Case Manager, Days-Indirect Patient CareOmaha, NEhave strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients…Uses personal judgment within broad guidelines to initiate review of inappropriate utilization by physicians and follows-through to resolution (e.g…
3LPN - FT Overnight ShiftMarietta, OHQuality Assurance, Utilization Review, etc…Encourages the utilization of positive reinforcement in the treatment of clients and assures that all clients receive equitable care…
3.6RN Acute CareGridley, CAEasy Apply14dDemonstrate competency in utilization review, discharge planning and transfer process… on assigned shift and unit – review care provided with direct observation and document review; assure point of care testing (POCT) quality, acuity…Outpatient TherapistWaterloo, IAEasy Apply5dYou will provide comprehensive mental health assessments, and assist with the utilization review process needed to maintain funding authorizations…Valley View - PRN Occupational TherapistCanon City, COEasy Apply1d. * Participate in interdisciplinary team meetings, patient care conferences, utilization review meetings, and other meetings as required or directed…
3.5Registered Nurse (RN) - Case Manager (Kings Hwy)Shreveport, LAa patient’s hospitalization, which includes a review of the appropriate utilization of resources, balanced… of Participation as it relates to utilization review and discharge planning. …RN Supervisor-(Evening Shift)Tuscaloosa, ALEasy Apply4d, infection control, and utilization review activities. …RN Weekend SupervisorMoundville, ALEasy Apply6din quality assurance, infection control, and utilization review activities Assists the Director of Nursing with management of the nursing department Current R.N…Director of Nursing (DON)Shaker Heights, Cuyahoga, OHEasy Apply3dActs as a member of inter-disciplinary team to develop acute patient care plans, case management plans and utilization review…
3.2Case Manager - per diemFlorence, SCThe Case Manager is responsible for utilization review and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation…Performs verification of utilization criteria reviews…3.1Care Manager (Registered Nurse/RN) New Wage Scale. Sign On Bonus $5000-7500Puyallup, WA) year of clinical experience in post acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred Certified Case Manager (CCM…
2Bilingual Registered Nurse RN/LVNHealdsburg, CAEasy Apply6dprovider or per protocol - Direct nursing care as required by license standards of care, participates in infection control, utilization review, and quality assessment activities and analysis as directed…Jobs
Job Title Employer Location Salary Clinical Review - Utilization Management BlueCross BlueShield of Tennessee Chattanooga, TN Utilization Review Nurse MedStar Health Washington, DC MMQ Nurse Town and Country Health Care Center Lowell, MA Utilization Review Coordinator / Managed Care - LADC Meridian Behavioral Health New Brighton, MN Utilization Review Nurse Centurion Roseville, MN RN UR MGR-BSN-115 Premier Health Dayton, OH RN-Utilization Review Manager-Case Management Ascension Baltimore, MD Registered Nurse (RN) - Utilization Review - Weekends Ascension Milwaukee, WI Full Time RN Intake Coordinator Abramson Center for Jewish Life Jenkintown, PA Utilization Review Coordinator CPC Behavioral Healthcare Eatontown, NJ ED RN Case Manager Bethesda Hospital, Inc. Boynton Beach, FL Care Manager (Registered Nurse/RN) | LPN Care Manager Life Care Center of Port Townsend Port Townsend, WA Utility Manager Camp Timber-Lee East Troy, WI RN - Utilization Review Specialist - Potential for Sign On Bonus - Utilization Management Vidant Health Greenville, NC Evening IOP Substance Abuse Therapist Northern Illinois Recovery Center Crystal Lake, IL Director of Nursing / DON HealthStar Home Health Inc Saint Paul, MN Registered Nurse, Hospital Case Manager Baystate Health Springfield, MA Utilization Review Clinician Hampstead Hospital Hampstead, NH Social Worker LICSW/LMHC Uphams Corner Health Committee Inc Boston, MA Patient Navigator RN - Surgery Aspen Valley Hospital Aspen, CO RN Certified Case Manager, Days-Indirect Patient Care Banyan Medical Systems Omaha, NE LPN - FT Overnight Shift Oriana House, Inc. Marietta, OH RN Acute Care Orchard Hospital Gridley, CA Outpatient Therapist Elevate CCBHC Waterloo, IA Valley View - PRN Occupational Therapist Valley View Health Care Center Canon City, CO Registered Nurse (RN) - Case Manager (Kings Hwy) Ochsner LSU Health Shreveport, LA RN Supervisor-(Evening Shift) Park Manor Health and Rehabilitation, LLC Tuscaloosa, AL RN Weekend Supervisor Moundville Health and Rehabilitation Moundville, AL Director of Nursing (DON) Bellefaire JCB Shaker Heights, Cuyahoga, OH Case Manager - per diem Regency Hospital - Florence Florence, SC Care Manager (Registered Nurse/RN) New Wage Scale. Sign On Bonus $5000-7500 Life Care Center of South Hill Puyallup, WA Bilingual Registered Nurse RN/LVN Alliance Medical Center Healdsburg, CA