Utilization Review Jobs in USA

Where Youll WorkCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U....

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R161366 RN Case Manager - Weekdays (Open) How Youll Help Transform Healthcare:Monday - Friday 8am-4:30pmThe RN Case Manager provides case management for assigned...

SUMMARYProvides clinical supervision to therapists and clinical staff in community based outpatient or intensive outpatient mental health and/or substance abuse services to individuals groups families and couples. Overseeing the therapy services provided to people served development and implementati...

DescriptionFull Time position working Day shift in Care Management / Case Management at Northwest Medical Center in Tucson AZWhat Youll do:Coordinates services through an interdisciplinary process which provides a clinical and psychosocial approach through the continuum of care and is assigned to a...

OverviewRN Admissions opportunity at Orlando Behavioral Health7pm-7:30am3 /12s and every other weekendAcadia and Orlando Health offers a new 144-bed behavioral health hospital in Apopka Florida. The state-of-the-art hospital just opened and will provide inpatient and intensive outpatient treatment f...

OverviewRN Admissions Acute Behavioral Health opportunityuat River Place Behavioral HealthDAYSor NIGHTSBONUS 10k Days/15k Nights3 12s and every other weekendRate up to $42 per hourDepending on years experienceShift diffs up to $7hr(depending on day of week and hours)River Place Behavioral Health a s...

We Offer Flexible and Hybrid Scheduling Serving the Plymouth and Cape Communities as well as a $2000 Sign-on Bonus paid out in full after 90 days of employment for this Position!Who we are looking for:Are you the Clinical Supervisor we have been looking for In this position you will be able to conve...

OverviewThe Counselor is an important part of high-quality behavioral health services provided to patients of UnityPoint Health. Services will be provided at Abbe Center and in the Substance Use Disorder Services department. Foremost among the responsibilities listed below is the delivery of compete...

Job Family:CDI SpecialistTravel Required:NoneClearance Required:NoneWhat You Will Do:The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. Collaborates closely with Coders Coding Educators Codi...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:Overview:The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers writing appeal letters) in support of the centralized system Utilization Rev...

OverviewPay Range: $28-$35/hr.Schedule: 11pm - 7am (Nights) / 5 shifts per week every other weekend requiredCapitol Park Mental Health Hospital is seeking a skilled and compassionate Admissions Counselor to join our clinical team. This role is essential in ensuring that individuals seeking care rece...

About The University Corporation The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University Northridge. Our mission is to provide services and solutions that address the needs of California State University Northri...

About The University Corporation The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University Northridge. Our mission is to provide services and solutions that address the needs of California State University Northri...

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services activities programs and employment opportunities in accordance with the Americans wi...

    Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria including:    Admission reviews    Continued stay reviews    Transitional care reviews (Skilled Nursing Facility Inpatient Rehabilitation Facility Long-Term Acut...

DescriptionWe are searching for a Medical Compliance Auditor - someone who works well in a fast-paced this position you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes cl...

What Regulatory Management contributes to Cardinal HealthRegulatory Management is responsible for the development and implementation of policies procedures and programs designed to minimize risk enable compliant business operations products and services and drive uncompromised supply chain integrity...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

Our StoryImagine being part of a team thats not just shaping the future but actively driving it. At Davies North America were at the forefront of innovation and excellence blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group we help busines...

Anticipated End Date:Position Title:Medical Management Nurse - FloridaJob Description:Medical Management Nurse Hours:Monday - Friday 8am to 5pm EST or 4/10s Saturday-Tuesday 7AM-6PM ESTWill be required to work one weekend shift every 10-12 weeks and 3 holidays a year.Location: Candidates must reside...