Utilization Review Jobs in USA

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

Anticipated End Date:Position Title:Medical Management Clinician SeniorJob Description:Medical Management Clinician Senior Location: Candidates are required to reside in the state of Florida. This role enables associates to work virtually full-time except for required in-person training sessions pro...

Hourly Pay Range:$18.38 - $26.65 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Service RepresentativeLocation: Chicago ILFull Time/Part Time: Full TimeHours: Monday-Thursday 7am 7pm Fridays 7am...

IntroductionThis examination is being given to fill 1 vacancy in the Behavioral Health Services department and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final fi...

Scope of work: Provides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requests for ad...

Registered Nurse (RN) Case Management / Utilization ReviewLocation: Hyannis MA 02601Duration: 27 WeeksShift: Day ShiftHours: 40 Hours Per WeekSchedule: Monday Friday 8-Hour ShiftsOn-Call: Rotating Weekend and Holiday Coverage RequiredWe are seeking an experienced Registered Nurse (RN) with a stro...

SummaryThe Inpatient Nurse Care Manager in collaboration with the multidisciplinary team is responsible for assessing planning implementing and evaluating patients incorporating the clinical psychosocial and family factors specific to the care and disease management plan. Communicates and manages th...

OverviewJOB SUMMARY: The Case Manager P.T. facilitates patient admission from outside referrals provides on-site evaluation and provides ongoing communication to the external case manager on the progress of the patient. He/She assures that each patient is appropriate for admissions and writes treatm...

Case Management Registered Nurse (RN)Location: Eureka CaliforniaContract Duration: 13 WeeksPosition Overview: Seeking an experienced Case Management Registered Nurse to support an acute care hospital setting. The ideal candidate will have strong acute care experience and be responsible for coordinat...

ID: Shift: Day 5x8-Hour (08:30 - 17:00) Description: ### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call-offs or additional RTO on unit could possibly turn into a Cancel and DNR ###***BSN REQUIRED WITH 3 YEARS OF EXPERIENCE***REQUIRED SKILLS / CERTS / EXP:Minim...

Employment Type:Full timeShift:Day 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 departmen...

Position SummaryWestwind Recovery is seeking a Part-Time Primary Therapist to provide clinical services in an outpatient behavioral health setting. This role is responsible for maintaining a caseload of approximately 810 clients facilitating 35 groups per week completing assessments and treatment pl...

Position SummaryThe Care Manager Assistant - LPN assists with the coordination of the patients care and services. Promotes quality care using a collaborative process that coordinates monitors and evaluates services according to the needs of and interpersonal contact with accordance with all applica...

Employment Type:Full timeShift:Day ShiftDescription:At Mercy Medical Center our RN Inpatient Care Coordinators are responsible for coordinating patient care assessing patient needs and developing individualized care plans. They collaborate closely with healthcare providers monitor patient progress a...

DescriptionInpatient Therapist Behavioral HealthPRNYour experience mattersColumbus Springs East is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional car...

Location:Windsor Run by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled Assisted Living and Memory Care neighborhoods.What we offer A culture of diversity inclusion equity and belonging which builds on ou...

Location:Windsor Run by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our 36 bed Long Term Care neighborhood.What we offer A culture of diversity inclusion equity and belonging which builds on our mission vision an...

DescriptionCompliance Coordinator (HCPM/DAIO)The Compliance Coordinator (Health Care Program Manager) provides management of the Recovery Audit Contractor (RAC) program along with other utilization review programs. The role is an expert at contract management internal planning coordinating with exte...

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...