Utilization Review Jobs in USA

Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity to work closely with individuals who have complex medical behavioral...

Join us as a Utilization Review Clinician!Schedule: Monday - Friday 40 hours onsite. As a Utilization Review Clinician for MiraVista in Holyoke Massachusetts youll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinar...

Title: Nurse Supervisor Care Management / Transitional CareLocation: New York New YorkDuration: 13 Weeks (High possibility of extension)Schedule: MondayFriday Day ShiftWeekly Hours: 40 HoursPosition Overview:Seeking an experienced Nurse Supervisor to provide leadership and oversight for a Care Man...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

OverviewMonterey Park Hospital a 101-acute care facility located in the San Gabriel Valley of Los Angeles County is seeking a Case Manager RN or LVN for our Utilization Review Department. This is a per diem 8-hour variable shifts position reporting to the Chief Operating Officer. LVN Per Diem (Minim...

OverviewMonterey Park Hospital a 101-acute care facility located in the San Gabriel Valley of Los Angeles County is seeking a Case Manager RN or LVN for our Utilization Review Department. This is a per diem 8-hour variable shifts position reporting to the Chief Operating Officer. LVN Per Diem (Minim...

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...

Title: RN Case ManagerLocation: Santa Rosa CADuration: 13 weeksShift: 8*5/ DaysJob OverviewThe Case Manager RN is responsible for coordinating patient care ensuring appropriate utilization of healthcare services and supporting discharge planning. The role involves collaboration with interdisciplinar...

DescriptionJob SummaryThis role supports care coordination activities within ambulatory services; specifically for the medical group. Performs all duties as assigned.ResponsibilitiesCollaborate in overseeing the practices care coordination initiatives.Assist with and facilitate the transition of car...

DescriptionMercy Health Behavioral HospitalPartial Hospitalization Program (PHP) TherapistSchedule: Full-TimeYour experience mattersMercy Behavioral Health Hospital is operated jointly with Lifepoint Health and Mercy Health. We are driven by a profound commitment to prioritize your well-being so you...

Hours:Shift Start Time:8 AMShift End Time:4:30 PMAWS Hours Requirement:8/80 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$61.740 - $70.170 - $90.160The stated pay scale reflects the range as defined by the...

DescriptionThe Clinical Documentation Specialist (CDS) II is a more experienced CDS spending at least 75% of their time on independent reviews without supervision creating queries and facilitating their follow-up. Level 2 specialists create trend reports to provide insights into documentation practi...

Here is what you will need: High School Diploma or equivalent (REQUIRED) One year of experience in a healthcare field customer service telemarketing or call center environment (REQUIRED) Working knowledge of medical terminology (REQUIRED) Insurance Verification experience (PREFERRED) CHAA Certified...

DescriptionFacility Name: Kent HospitalJob Title: Licensed Case ManagerJob Type: Fulltime ExemptSchedule: Acute Rehabilitation Unit (ARU)Your experience mattersLifepoint Rehabilitation is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven...

PRN PT - Covering Tri- CountyWere seeking a dynamic PRN Physical Therapist whos ready to hit the ground running. This flexible role spans home health visits interdisciplinary team (IDT) meetings and in-clinic care offering a unique blend of autonomy and variety. As part of our team youll deliver per...

DescriptionFacility Name: Kent HospitalJob Title: Licensed Case ManagerJob Type: Fulltime ExemptSchedule: Acute Rehabilitation Unit (ARU)Your experience mattersLifepoint Rehabilitation is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven...

Weekly outpatient therapy isnt always enough and a trip to the ER isnt the only answer. Patients and their families rely on CompassHealth Center whenincrisis every day wehelp people overcome depression anxiety suicidality obsessions/compulsions trauma chronic pain and other obstacles in order for o...

Anticipated End Date:Position Title:RN Utilization Management Nurse (InPatient) California HMOJob Description:RN Utilization Management Nurse (InPatient) California HMOVirtual:This role enables associates to work virtually full-time with the exception of required in-person training sessions provid...

Anticipated End Date:Position Title:RN Utilization Management Nurse (InPatient) California CommercialJob Description:RN Utilization Management Nurse (InPatient) California CommercialVirtual:This role enables associates to work virtually full-time with the exception of required in-person training s...

Weekly outpatient therapy isnt always enough and a trip to the ER isnt the only answer. Patients and their families rely on CompassHealth Center whenincrisis every day wehelp people overcome depression anxiety suicidality obsessions/compulsions trauma chronic pain and other obstacles in order for o...