Utilization Review Jobs in USA

Lifekind Health is looking for a full-time Medical Assistantat our Cathedral City Surgical Center to supply administrative and clinical services in Medical Team Units led by MD/APP. Facilitate efficient documentation and workflow as part of back-office operations helping to ensure top-notch patient...

Overview Clinician - Childrens Congregate CareSeven Hills Pediatric Center An Affiliate of Seven Hills FoundationSalary: $65000.00 to $70000.00 per yearProvide Trauma-Informed Care for Medically Complex YouthAre you ready to make a real difference in the lives of youth with complex medical and beha...

OverviewOutpatient MAT Opioid Treatment Program (OTP)Seeking:Case ManagerRequirements:AOD Registration is required.AOD Certification is preferred. Registration/Certification must be obtained from a California-approved Counselor Certification Organization (CAADE CADTP or CCAPP).Full TimeHours:Monday...

Centerstone is among the nations leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes peoples lives. A dynamic well-established organization we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about...

Job DetailsShape the future of healthcare delivery across one of the nations leading academic health systems. Jefferson Health is seeking a visionary Enterprise Medical Director to lead clinical strategy and utilization management for our integrated health plans and care management programs. This is...

OverviewPURPOSE STATEMENT:Clinical professional is responsible for facilitating admissions clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.ResponsibilitiesESSENTIAL FUNCTIONS:...

OverviewThe PFC/CAC assesses patients financial and insurance information in order to determine Medicaid Marketplace or other Community Programs or Resources. Assists with the actual insurance enrollment processes. Manages accounts that require a detailed large scope analysis of payment/insurance op...

Job Description SummaryAbout: Lexington County Detention Center is seeking an experienced and dedicated Physician Medical Director to oversee and lead the delivery of comprehensive healthcare services within a correctional setting. This role is ideal for a physician who is committed to quality safet...

OverviewPURPOSE STATEMENT:Clinical professional is responsible for facilitating admissions clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.ResponsibilitiesESSENTIAL FUNCTIONS:...

About the Medication Care Coordination Infusion TeamThe Medication Care Coordination Infusion (MCC) Pharmacy Team is a centralized team currently supporting 28 Infusion Departments across Corewell Health West (CHW) Corewell Health South (CHS) and Corewell Health East (CHE). Tasks within these areas...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe licensed clinician provides psychosocial evaluations psychotherapeutic interventions case management and discharge planning. Focuses upon transitions in care for assigned patient populations. Provides screening assessment planni...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe licensed clinician provides psychosocial evaluations psychotherapeutic interventions case management and discharge planning. Focuses upon transitions in care for assigned patient populations. Provides screening assessment planni...

OverviewAdmissions Counselor (11pm - 7am) Licensed or RNMasters Level: $22.00 - $29 hourlyRN: Competitive Nursing RateLakeland Behavioral Health System has been providing high-quality personalized treatment for over 30 years. Superseding all standards of care and considering the needs of those recei...

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...

Thank you for considering a career at Roper St. Francis Healthcare!Scheduled Weekly Hours:40Work Shift:Days (United States of America)Location: West Ashley Cancer Center and will float to Berkeley Hospital Tri-Com (North Charleston) and occasionally Mount Pleasant Hospital.Hours: 40 hrs./week - Mon...

PHYSICAL THERAPY ASSISTANT PER DIEMFor over 40 years North Hill a not-for-profit senior living community located in Needham Massachusetts has provided vibrant living opportunities to people 65 by offering a host of hospitality wellness and health care services.The Physical Therapist is responsible f...

Excited to grow your careerWe value our talented employees and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you we encourage you to apply!If you want to make a differ...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

Job Description:At Bank of America we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients teammates communities and shareholders every day.Being a Great Place to Work and pro...

OverviewResponsible for providing assistance in the assessment planning implementation and evaluation of patient care on the behavioral health units under the direction of a Registered Nurse (RN) or Nurse Manager and established standards of practice and institutional policies. Responsible for the d...