Utilization Review Jobs in USA

Position Summary:The Nurse Case Manager reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards. Assists in coordinatin...

Utilization Management Registered Nurse (UM RN)Job SummaryWe are seeking an experienced and detail-oriented Utilization Management Registered Nurse (UM RN) to join our hospital team. The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services medical...

Overview:$5000 Sign-On Bonus for new-to-NCH new hiresMonday - Friday 8am - 5pmLearn about Care Navigation: Experience: our website: Description Summary:

Vista Medical Center is seeking a dedicated and detail-oriented Case Manager - Registered Nurse (RN) to join our healthcare team. This role plays a crucial part in ensuring patients receive the best possible care by coordinating services facilitating discharge planning and optimizing the care contin...

Provides utilization management functions as a part of the Program for All Inclusive Care for the Elderly benefits management system. This includes providing utilization review and management for all acute post-acute and outpatient services as well as performing the identification analysis and resol...

DescriptionPsychiatric Nurse Practitioner - Assertive Community TreatmentNew Hire Retention Bonus and Relocation Assistance Available!Our adult and youth Assertive Community Treatment (ACT) programs are seeking a Psychiatric Nurse Practitioner. This position is responsible for providing comprehensiv...

Find your calling at Mercy!This position is an advanced CDI role. The Senior Clinical Documentation Specialist coworker is responsible for assisting in the overall integrity of the medical record documentation primarily by conducting reviews of inpatient medical records to identify missing vague an...

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...

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 interventions....

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

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

Join CommunityCommunity Health Network was created by our neighbors for our neighbors. Over 60 years later community is still the heart of our organization. It means providing our neighbors with the best care possible backed by state-of-the-art technology. It means getting involved in the communitie...

Case Manager RN Acute Care HospitalLocationTallahassee FloridaScheduleFull-TimeDay Shift: 8:00 AM 4:30 PM1 Weekend Every 4 WeeksCompensation$31.94/hr $43.92/hr (based on experience)Additional CompensationEvening Differential: $2.50/hrWeekend Differential: $2.00/hrShift differentials may stack whe...

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryThe Division of Public and Behavioral Health Southern Nevada Adult Mental Health Services (SNAMHS) is recruiting for a Psychiatri...

WE ARE INSIGHT:At Insight Hospital and Medical Center- Chicago we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents to build a full-service community hospital in the Bronze...

DescriptionThe Staff Physician provides direct patient care and emergency services in an effort to ensure that patient health care needs are met at all times. ResponsibilitiesTECHNICAL TASKSDemonstrates a commitment to the philosophy and values of the organization to ensure that the highest quality...

OverviewFred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track...

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...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:8am-5pmWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$53.570 - $69.120 - $77.410The stated pay scale reflects the range tha...