Utilization Review Jobs in USA

Anticipated End Date:Position Title:Associate Medical Director - Outpatient RehabJob Description:Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementOutpatient Rehab Utilization Management Review Preferred Shift: 8am-5pm Pacific TimeVirtual: This role enables associates...

Anticipated End Date:Position Title:Associate Medical Director - Outpatient RehabJob Description:Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementOutpatient Rehab Utilization Management Review Preferred Shift: 8am-5pm Pacific TimeVirtual: This role enables associates...

Anticipated End Date:Position Title:Associate Medical Director - Outpatient RehabJob Description:Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementOutpatient Rehab Utilization Management Review Preferred Shift: 8am-5pm Pacific TimeVirtual: This role enables associates...

Clinician Chelmsford MassachusettsAbout Clover Behavioral HealthClover Behavioral Health is a client-centered evidence-based behavioral health treatment organization serving the greater Boston metro area. With a strong foundation in dual-diagnosis care Clover offers a comprehensive continuum of pro...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

Come work at the best place to give and receive care!Job Description:This Role is On-SiteWho We Are:Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services De...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various lines of busine...

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various lines of busine...

The position maintains the medical records of the center in accordance with policies and procedures established for the medical record keeping practices.RESPONSIBLE TO: Medical Records/Health Information CoordinatorQUALIFICATIONS:Ability to establish procedures and to suggest changes for smoother o...

DescriptionNemours is seeking an Insurance Authorization Coordinator I FULL-TIME to join our team in Orlando Florida.The Insurance Authorization Coordinator I is responsible for obtaining authorizations for hospital-based and/or physician-based services. The Coordinator utilizes workqueues & other m...

OverviewProvides program support in coordination of the Helen Kaplan Program ICF. Ensures staff training on the individuals health and well-being and creates updates and trains on agency policy. Works in compliance with OPWDD regulation for individuals residing in intermediate care facilities while...

Do you have a passion for leading community-based mental health services and helping individuals with severe and persistent mental illness build stable meaningful lives within their communities At Easterseals PORT Health (ESPH) our mission is rooted in empowering individuals and strengthening commun...

Job Title: Verification of Benefits Specialist Location (On-site Remote or Hybrid): Plano TX (onsite) Contract Duration: Contract until 01/08/2027 Working hours: 8:00 AM - 5:00 PM Total hours: 40 WHAT YOU LL DO Assist with multiple levels of appeal in the event of initial coverage denial....

Clinical Manager Dumfries VAAbout Mainspring RecoveryMainspring Recovery is a behavioral health organization committed to delivering compassionate high-quality substance use disorder treatment across multiple levels of care. With locations in Dumfries and Lynchburg Virginia Mainspring supports indi...

Medical Director Live Well Behavioral Health LouisianaAbout Live Well Behavioral HealthLive Well Behavioral Health is committed to providing compassionate evidence-based treatment for individuals seeking recovery from substance use and co-occurring mental health disorders. Our mission is to empowe...

Job Title: Remote Utilization Review RNLocation: Santa Rosa CA Assignment Duration: 13 Weeks Schedule: Day Shift 5x8 Hours (8:00 AM 4:30 PM)Compensation:Pay Rate: $40$45/hr based on experiencePosition Overview:We are seeking an experienced Remote Utilization Review Registered Nurse (RN) to support...

DescriptionJob Title: Utilization Review Assistant (Non-Clinical) Mailroom OperationsThis position is On-Site: MO - Jefferson City - 3425 West Truman BlvdHours: Training would be M-F 7:30am 4:00pm CST. Following training would be 8-hour shift between 6am -5pm CSTHourly rate: $17-$18 (Based on Expe...

DescriptionAlign yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporations Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Companys Wor...

Current Saint Francis Colleagues - Please click HERE to login and apply.JOB SUMMARYThe Manager of Care Coordination assumes responsibility and authority as the leader for Case Management Social Services and Utilization Review departments. Under the supervision of the Director of Quality & Performanc...