Utilization Review Jobs in USA

Clinical Liaison (RN/LPN)We are seeking a compassionate and driven Clinical Liaison to join our this role you will be key in marketing our services to patients families and caregivers while working closely with referral sources to ensure a smooth and seamless transition of care.Employee Benefits Pa...

Clinical Liaison (RN/LPN)We are seeking a compassionate and driven Clinical Liaison to join our this role you will be key in marketing our services to patients families and caregivers while working closely with referral sources to ensure a smooth and seamless transition of care.Employee Benefits Pa...

AgencyOffice of State Human ResourcesDivisionTemporary SolutionsJob Classification TitleNurse Consultant I (S)Position NumberGradeMH16About UsTo provide a solid Human Resource management foundation responsible oversight and creative solutions through a collaborative approach with all stakeholders to...

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...

Lifekind Health is looking for a full-time Flow Coordinatorin our Rancho Mirage clinic to care for a medically complex patient population that requires compassion empathy and the ability to deescalate and appropriately react in individual and group settings.Our mission is to bring care thats whole h...

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...

Overview VPCH ADMISSIONSInterviews patients upon arrival to assess awareness of their status and to explain their rights. Distributes all required patient information to other hospital personnel. Enters patient information into automated systems and corrects errors and discrepancies. Produces report...

Part-timeDescriptionAt 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...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:This position primarily supports evening operations and will be scheduled to work Monday Tuesday and Thursday from 2:00 PM to 10:00 PM. Flexibility outside of these hours may b...

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:Genetic Counselor Review AssociateJob Description:Genetic Counselor Review AssociateGenetic Testing Utilization ReviewCarelon Medical Benefits ManagementVirtual: This role enables associates to work virtually full-time with the exception of required in-person trai...

Anticipated End Date:Position Title:Genetic Counselor Review AssociateJob Description:Genetic Counselor Review AssociateGenetic Testing Utilization ReviewCarelon Medical Benefits ManagementVirtual: This role enables associates to work virtually full-time with the exception of required in-person trai...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South...

Effectively screens/evaluates/rehabilitate patients with communication cognitive or swallowing disorders and develops appropriate plan of care following all regulatory and clinical practice standards. Utilizes standardized assessments and evidence-based practice to support clinical intervention...

Effectively screens/evaluates patients and/ with cognitive and/or ADL physical functioning disorders and develops appropriate plan of care following all regulatory and clinical practice standards. Utilizes standardized assessments and evidence-based practice to support clinical interventions. Prov...

Physical Therapist Assistant Duties include:Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with physical functioning disorders per regulatory and clinical practice requirements under the...

Physical Therapist Assistant Duties include:Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with physical functioning disorders per regulatory and clinical practice requirements under the...

Physical Therapist Assistant Duties include:Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with physical functioning disorders per regulatory and clinical practice requirements under the...

Department:11215 Behavioral Health Contract Management Group: Charlotte - Utilization ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Monday - Wednesday 8 hour day time shiftPay Range$35.50 - $53.25Major Responsibilities Identifies clinical fi...