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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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