Utilization review Jobs
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    Utilization review Jobs

    9,007 Jobs

    • 3.3
      MultiCare Health System
      Patient Access Tech
      Auburn, WA
      $14-$19  per hour  (Glassdoor Est.)
      6d
      team (Personal Health Partners, Emergency Department, UtilizationReview, etc) to ensure the optimum patient experience, accurate…
    • 3.3
      MultiCare Health System
      Registered Nurse
      Tacoma, WA
      $25-$40  per hour  (Glassdoor Est.)
      6d
      management. - Participates in Home Health and Hospice UtilizationReview and other audits as needed. - Participates in department… Position Summary: The Clinical Reviewer is responsible for reviewing and analyzing documentation to ensure compliance with OASIS…
    • 3.3
      MultiCare Health System
      INW Regional Director of Case Management
      Spokane, WA
      $91k-$122k   (Glassdoor Est.)
      7d
      operations, and staff management for the Case Management and UtilizationReview functions at Deaconess and Valley Hospitals and Rockwood… relative to established goals/measurements; coordinates utilizationreview functions to comply with hospital procedures and federal…
    • 3.3
      MultiCare Health System
      RN
      Tacoma, WA
      $25-$40  per hour  (Glassdoor Est.)
      6d
      management. - Participates in Home Health and Hospice UtilizationReview and other audits as needed. - Participates in department… Position Summary: The Clinical Reviewer is responsible for reviewing and analyzing documentation to ensure compliance with OASIS…
    • 3.3
      MultiCare Health System
      Utilization Insurance Verification Specialist
      Tacoma, WA
      12d
      0.001 Specialty: Not Applicable Department: UtilizationReview Shift: Variable Work Schedule: 7a-630p Weekends… DETAILS BACK REFER FRIEND APPLY Utilization Insurance Verification Specialist Job Number: 65460…
    • 3.3
      MultiCare Health System
      Patient Access Tech-Float Pool
      Auburn, WA
      27d
      team (Personal Health Partners, Emergency Department, UtilizationReview, etc) to ensure the optimum patient experience, accurate…
    • 3.3
      MultiCare Health System
      Physician Advisor
      Tacoma, WA
      1d
      : 0.4 Specialty: Not Applicable Department: UtilizationReview Shift: Variable Work Schedule: Variable… for assuring quality patient care and effective, efficient utilization of health care services. The PA meets with care management…
    • City of the Heart Psychological Services, Inc.
      Licensed Mental Health Professionals (LMFT, LCSW & Licensed Psychologist)
      Perris, CA
      Easy Apply
      2d
      adults/children. Experience in quality assurance or utilizationreview activities. Experience with managed care or insurance…
    • 4.0
      Caduceus Inc
      Dentist
      Pennington Gap, VA
      Easy Apply
      1d
      appropriate section of the electronic record, pending review by the UtilizationReview committee.…
    • 3.8
      Tower Health
      Utilization Review Specialist
      Phoenixville, PA
      27d
      experience Minimum of 2 years Clinical Case Management/UtilizationReview experience (preferred) Theoretical knowledge of the…
    • 3.9
      Advanced Medical
      Registered Nurse / RN - Case Management-Utilization Review
      Hershey, PA
      4d
      seeking applications for several open Case Management - UtilizationReview jobs at top medical facilities in the Hershey area. These… have a minimum of 1 year experience in Case Management - UtilizationReview and 2 years experience in an acute setting overall. Advanced…
    • 3.9
      Wentworth-Douglass Hospital
      Registered Nurse - Case Management - UR
      Dover, NH
      $58k-$77k   (Glassdoor Est.)
      6d
      in a UtilizationReview or Quality Assurance position. Experience Preferred/Desired 2 years in a UtilizationReview or Quality… cultivate community wellness and professional growth. The UtilizationReview RN is accountable for a designated caseload and plans…
    • 3.4
      Carilion Clinic
      Utilization Management RN
      Roanoke, VA
      $62k-$96k   (Glassdoor Est.)
      13d
      Quality Assurance. Utilizing a collaborative process, the Utilization Analyst (UA) will assess, plan, monitor and evaluate all… presenting to CMC for intervention. The UA will ensure the utilization of appropriate and timely intervention being the steward…
    • Huberty
      Accounting Manager
      Fond du Lac, WI
      Easy Apply
      15d
      potential. • Mentors team members to increase retention and utilization. • Reviews federal and state income tax returns for individuals…
    • 3.5
      Parkview Medical Center
      Intake Coordinator
      Pueblo, CO
      11d
      …
    • 3.9
      Wentworth-Douglass Hospital
      Registered Nurse- Case Management- UR
      Dover, NH
      $58k-$77k   (Glassdoor Est.)
      19d
      in a UtilizationReview or Quality Assurance position. Experience Preferred/Desired 2 years in a UtilizationReview or Quality… cultivate community wellness and professional growth. The UtilizationReview RN is accountable for a designated caseload and plans…
    • 3.6
      Northfield Hospital & Clinics
      Utilization Review Nurse
      Northfield, MN
      10d
      education on utilizationreview to medical staff and nursing Prepares and presents appropriate utilizationreview reports to… BSN preferred One to two years' experience in UtilizationReview preferred One to two years directly related experience…
    • 4.5
      Hendrick Health System
      Case Management Technician; Admin Assistant
      Abilene, TX
      1d
      department’s Offie Manager, Case Managers, Social Workers and UtilizationReview nurses. This role includes but is not limited to: arranging…
    • 3.3
      HCRS
      Crisis Intervention Specialist-Windham County - Part Time
      Brattleboro, VT
      14d
      individual’s insurance carrier for service authorization/utilizationreview purposes, providing information required for such purposes… for the total provision of care, treatment planning and case review for individuals. Coordinates with psychiatrist (if applicable…
    • 3.3
      HCRS
      Crisis Intervention Specialist - Full time - Windsor & Windham Counties
      Springfield, VT
      $32k-$53k   (Glassdoor Est.)
      21d
      individual’s insurance carrier for service authorization/utilizationreview purposes, providing information required for such purposes… for the total provision of care, treatment planning and case review for individuals. Coordinates with psychiatrist (if applicable…
    • 5.0
      Nurse First Travel Agency
      Travel - RN - Utilization Review
      Charlottesville, VA
      Easy Apply
      21d
      seeking a RN (Registered Nurse) for a Case Management (UtilizationReview) position in Charlottesville VA. The ideal candidate will… license. This is a Days position in the Case Management (UtilizationReview). Requirements Current Resume 2 years` experience…
    • The Edge Treatment Center
      Therapist
      Santa Ana, CA
      $24-$27  per hour(Employer Est.)
      Easy Apply
      27d
      cooperative working relationships with staff, supervisors, utilizationreviews, managed health care clinicians, and medical and mental… evaluation of clients' physical and mental condition based on a review of the client. Conduct one on one sessions with clients,…
    • 4.4
      Northside Hospital
      RN, Clinical Documentation Improvement
      Atlanta, GA
      $24-$38  per hour  (Glassdoor Est.)
      Top Company
      6d
      setting through direct patient care, utilizationreview, case management or quality review. Ability to interact with a wide range…
    • 4.5
      Hendrick Medical Center
      Utilization Review - RN
      Abilene, TX
      $19-$32  per hour  (Glassdoor Est.)
      Easy Apply
      6d
      The UtilizationReview (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity… health plan utilization departments regarding medical necessity for prospective, concurrent and retrospective reviews. The UR RN…
    • 4.0
      Memorial Health System
      Utilization Review Nurse
      Springfield, IL
      21d
      Saturday The Utilization Management Review Nurse performs prospective, concurrent, and retrospective clinical review of patient… collection for quality improvement initiatives. The Utilization Management Review Nurse plays a significant role in optimizing appropriate…
    • 3.3
      HCRS
      Office Support Generalist - Administration
      Springfield, VT
      5d
      and medical terminology, confidentiality requirements, utilizationreview and auditing requirements. Demonstrated ability to recognize… intakes and doctor appointments prior to the appointment. Reviews and updates the client information at each visit. Assists…
    • 3.0
      Matrix Absence Management
      Manager, Worker's Compensation
      Roseville, CA
      $57k-$82k   (Glassdoor Est.)
      Easy Apply
      20d
      outside service providers (medical clinics, bill and utilizationreview services, et cetera). All other duties as assigned.… performance guarantees Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed…
    • 3.7
      Halcyon Rehabilitation
      Occupational Therapist - Linley Park - FT
      Anderson, SC
      $29-$45  per hour  (Glassdoor Est.)
      3d
      interdisciplinary team meetings, patient/resident care conferences, utilizationreview meetings, and other meetings as required or directed.… . Actively participates in the supervision process: a. Reviews evaluation results, treatment plan with OTA. b. Communicates…
    • 3.3
      HCRS
      Crisis Intervention Specialist-Windsor Cty - Per Diem
      Hartford, VT
      $37k-$53k   (Glassdoor Est.)
      6d
      individual’s insurance carrier for service authorization/utilizationreview purposes, providing information required for such purposes… for the total provision of care, treatment planning and case review for individuals. Coordinates with psychiatrist (if applicable…
    • 4.5
      Hendrick Health System
      Utilization Review RN
      Abilene, TX
      1d
      JOB SUMMARY: The UtilizationReview (UR) Nurse is a registered nurse who provides clinical review against nationally recognized… health plan utilization departments regarding medical necessity for prospective, concurrent and retrospective reviews. The UR RN…
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