Utilization Review Jobs in USA

Where Youll WorkVirginia Mason Franciscan Health has a rich history of providing exceptional healthcare dating back to 1891. Building upon a legacy of compassionate care and innovation our organization has evolved over the years through strategic partnerships and integrations to expand our reach and...

About Us: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized compassionate expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute scienti...

Hourly Pay Range:$19.89 - $28.84 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Access Rep IIILocation: PalatineFull Time- 40 hours/Week ; 4/10 hour shifts (11:00am-9:30pm/Rotating Holidays and W...

At Zelis we Get Stuff Done. So lets get to it!A Little About UsZelis is modernizing the healthcare financial experience across payers providers and healthcare consumers. We serve more than 750 payers including the top five national health plans regional health plans TPAs and millions of healthcare p...

DescriptionCentraCare is looking for a qualified Clinical Documentation Nurse to join our team! This role is responsible for concurrent auditing of medical record documentation to evaluate the documentation and utilization review of services to adequately reflect care provided and resources used. Re...

Employment Type:Part timeShift:Day ShiftDescription:CLINICAL RESOURCE MANAGER / CASE MANAGERNAMPA IDSUMMARY:Provides hospital case management/utilization review and discharge planningcollaboratively determining level of care needs beyond acute care providing decision support to patients/families and...

DescriptionPosition Summary: Provide operational leadership toindividual contributors and hourly workforce to ensure the execution of daily tasks and activities including driver deliveries loading/unloading of trailers cross docking and customer service operations in a manner consistent with company...

Anticipated End Date:Position Title:Clinical Pharmacist Pharmacy Strategy Team - CarelonRxJob Description:Clinical Pharmacist Pharmacy Strategy Team - CarelonRxLocations: GA-ATLANTA 740 W PEACHTREE ST NWIN-INDIANAPOLIS 220 VIRGINIA AVEKY-LOUISVILLE 3195 TERRA CROSSINGS BLVD STE 203-204 & 300FL-TAMPA...

Job DescriptionThis Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply.Welcome to the Department of Health!Wed be delighted to have you join our team.If you envision yourself in this role and are ready to start an exciting career with us apply today!Th...

The RN Charge Nurse reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards. A clinically competent registered professi...

Registered Nurse Utilization Review (Remote)Local Candidates in the Austin TX Area OnlyLong Term Opportunity High Potential for ExtensionUse Your Clinical Expertise to Improve Healthcare Outcomes Without Providing Direct Patient CareAre you an experienced Registered Nurse looking to transition away...

Current Employees:If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.The Case Manager RN (U) coordinates...

Utilization Review Clinician/Advocate needed for remote Per Diem position.The Utilization Review Clinician/Advocate provides telephonic care review and authorization determinations for psychiatric and substance use treatment services including prospective concurrent and discharge reviews. This role...

SummaryIn support of the Director and their area(s) of responsibility the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities.EducationAssociates degree or equivalent in related field from two-year college or technical school. Bachelors deg...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...

OverviewBayside Marin can accommodate 30 residents in two high-end residential estates 12 on the Canyon side and 18 on the Mountain side. Our staff is the heart and soul of our drug rehabilitation program. You wont find a more passionate experienced and skilled group of professionals who work close...

DescriptionRegistered Nurse (RN) Clinical Case Manager PRNPRNSchedule:Monday-Friday 7:30a-4:00p/8:00a-4:30pYour experience mattersFrye Regional Medical Center is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment...

Pay:From $19.00 per hourJob description:SUMMARYThis role is responsible for the daily operations and efficient scheduling of specialty appointments in the community clinics and medical records. The position encompasses aSchedule Coordinator role as well as Utilization Review Coordinator.PRIMARY FUNC...

MAIN FUNCTION: Gathers all relevant data related to patientâs treatment status; objectively evaluates it to identifies barriers clarifies realistic goals & seeks potential alternatives to care. Works with the patient/family primary care physician & multi-disciplines to develop a treatment plan that...

Employment Type:Part timeShift:Rotating ShiftDescription:An Opportunity to Join our Remarkable Care as a Case Manager awaits YOU!!!!Trinity Health Livonia is a beautiful full-service 304-bed acute care hospital located in Livonia MI that provides comprehensive care including a 24-hour emergency depa...