Utilization Review Jobs in USA

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...

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39) and as outlined in the posting.Ohio is a...

    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...

Anticipated End Date:Position Title:Behavioral Health Clinical AuditorJob Description:Behavioral Health Clinical Auditor Location: It is highly preferred that the selected candidate reside within commutable distance to a PulsePoint.Virtual: This role enables associates to work virtually full-time ex...

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...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

Job Title: ICU Registered NurseLocation: Madigan Army Medical CenterJoint Base Lewis-McChord WA 98431Pay Rate: $70/HRSchedule: 12 hr shifts day or night shiftOngoing Contract renewable every 13 weeksQualifications:- Bachelor of Science (B.S.) in Nursing Graduate from a college or university accredit...

Department:Status: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Territories Available:South Charlotte/MonroeShelby/ Belmont /GastoniaHuntersville/Charlotte/ConcordHarrisburg/AlbemarlePay Range:$41.10 - $61.65Essential FunctionsServes as the liaison between t...

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...

A career can mean different things at different workplaces. Apply now to see what it means to us and what its like to work somewhere your voice is heard your wellness is a priority and your success matters.JOB TITLE: Utilization Review TherapistEMPLOYMENT TYPE: Full-time 40 hours/wk...

DescriptionThe Case Manager 1directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to...

DescriptionMust possess an Illinois RN license.Salary $90k yearly/based on years of experienceCenturion is proud to be the provider ofcomprehensive services to the Illinois Department of Corrections. We are currently seeking a Full-time Utilization Management (UM) Registered Nurse (RN) to join our R...

The University of Mississippi fondly referred to as Ole Miss stands as a premier public research institution with a proud legacy of academic distinction. We are devoted to nurturing a vibrant inclusive community where every member student faculty and staff can achieve their fullest potential.Joi...

Founded in 1875 our agency has grown over the years to address most of the challenges children adults families and communities face across the lifespan including substance use child abuse and neglect domestic violence/sexual assault human trafficking homelessness juvenile justice mental health neigh...