Utilization Review Jobs in USA

About UsAtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. W...

Position Highlights:Job Type: Quality RNLocation: Community HospitalSchedule: Full-TimeApplication Deadline: Open until August 3 2026Responsibilities:Ensures evaluates and communicates compliance with accreditation affiliations and regulatory licensure.Ensures CWHS meets standards of The Joint Commi...

Pinnacol Assurance does just one thing and does it better than anyone: provide caring workers compensation protection to Colorado employers and employees. And while we may be a little biased we believe that our work shapes communities and changes lives.We have big hearts and love big ideas. Weve bee...

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience improved access and better our medical clinics we provide comprehensive primary care for senior...

Join us as a Social Worker! Full time - 40 hours day shift! No weekends required!As a Social Worker for MiraVista in Holyoke Massachusetts youll bring your experience and knowledge where your voice matters. A Social Worker is an integral part of our multidisciplinary treatment team. You will provide...

DescriptionIn addition to clinical duties provider will function as administrative lead for all providers at the assigned site(s) except for clinical pharmacy and integrative behavioral health. Lead Provider will set the example for the site(s) following policies and procedures through his/her/their...

Inspire health. Serve with compassion. Be the difference.Job SummaryScreens patients to obtain clinical information and make timely contacts with insurers to provide clinical information to support physician collaboration with physicians leads the multidisciplinary team including clinical staff and...

At Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performance and clinical expertise that build...

OverviewPhysician / Medical ProviderFacility: Tower Behavioral Health Location: Reading Pennsylvania Position Type: Direct Care FLSA Status: Exempt Department: Medical StaffFacility OverviewTower Behavioral Health is a private free-standing behavioral health hospital located at 201 Wellness Way...

Where Youll WorkFounded in 1923 Dignity Health - St. Mary Medical Center is a 389-bed acute care nonprofit hospital located in Long Beach California. Serving over 80000 patients annually the hospital offers a full complement of services including a Level II Trauma Center Level III NICU heart care an...

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

Heres What You Need Associate degree Nursing Required or Bachelors degree Preferred 3 years in an acute care setting case management or utilization review Required One year of hospital case management experience is preferred. RN - Registered NurseUpon Hire Required BCCMN - Board Certified Nursi...

OverviewWe are seeking a dedicated and compassionate Registered Nurse (RN) to join our ADMISSIONS team at TrustPoint Hospital in Murfreesboro TN. Apply now to learn more!AVAILABLE SCHEDULEFull-Time Day shift (7a-7p)PRN: As needed As an Admissions RN you will play a crucial role in ensuring a smooth...

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...

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...

The Center for Human Development Inc. is seeking aHead of Clinical Operations under the supervision of the Administrative Council (AC) team. The Head of Clinical Operations is responsible for the day to day management and smooth operations of the mental health and substance use disorder teams. They...

Location:Avera Long Term Care PharmacyWorker Type:RegularWork Shift:Day/Evening/Weekend/Holiday Shift (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$20.00 - $28.00Position Highlights*May be eligible for a $4000 sign-on...

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...

Location:Brooksby Village by Erickson Senior LivingJoin our team as the Clinical Manager on our private 30-bed Skilled Nursing neighborhood. The Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment coordination implementation and evaluation of th...

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...