Utilization Review Jobs in USA

If you are interested please apply online and send resume to POSITION SUMMARYThe purpose of the Case Manager position supports the physician and interdisciplinary team in facilitating patient care with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction wh...

Position: Manager Case Management & Social Work Location: Los Angeles CA Employment Type: Full Time Compensation: $121430 to $194272 FocusPoint Talent Solutions Confidential Acute Care Client FocusPoint Talent Solutions has been exclusively retained by a respected acute care healthcare organiz...

Site: Mass General Brigham Community Physicians Inc.Mass 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...

Job Title: RN Case Manager / Utilization Review / CDI Location: Syracuse NY Contract Duration: 14 Weeks Pay Rate: Local: Up to $56/hr Travel: Up to $65/hr Shift & Schedule: Monday Friday Weekly Hours: 40 HoursPosition Overview: Navitas Healthcare LLC is seeking RN Case Manager / Utilization Revi...

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...

Summary Friday Saturday and Sunday 12-hour shifts.Weekend TrackThe RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with the physicians and interdisciplinary team to facilitate and maintain compassionate efficient quality care...

Overview*All positions are located in Fresno/Clovis CA*Community Medical Centers has been providing central California with the highest level of care available in the region. Community Regional Medical Center measures up with top hospitals nationally and is the 3rd largest in California! With 685 be...

Overview*All positions are located in Fresno/Clovis CA*Community Medical Centers has been providing central California with the highest level of care available in the region. Community Regional Medical Center measures up with top hospitals nationally and is the 3rd largest in California! With 685 be...

OverviewThe Grievance Coordinator is an in-office position responsible for assisting with the preparation of dental records (charts and x-rays) opening new grievances and managing payer and dental board complaints. This position ensures all grievances and appeals are processed in a timely manner and...

We are seeking an experienced and dedicated Regional Nurse Manager to oversee nursing operations within senior living communities specializing in assisted living and memory care. This leadership role requires a strategic thinker with a comprehensive understanding of geriatric care dementia managemen...

Principal PsychiatristLocation:Middletown CTEmployment Type: Full-time (40 Hour)We are currently accepting applications for this position.NATURE OF WORKIn the Departments of Children and Families Correction and Mental Health and Addiction Services this class is accountable for providing clinical adm...

Organization OverviewThis opportunity is with a well-established behavioral health and psychiatric care organization serving the State of Connecticut. The organization provides comprehensive psychiatric behavioral health addiction medicine and forensic mental health services across inpatient facilit...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

DescriptionJOB DESCRIPTION: The Social Work Care Manager I WEO (SW CM I) is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ensuring and facilitating high quality clinical and cost...

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.Shift:First Shift (United States of America)Pharmacist - HUB Centralized Services - Full TimePosition Highlights:Nebraska Medicine is now t...

Hourly Pay Range:$40.45 - $62.70 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: RN Patient Care NavigatorLocation: Glenbrook HospitalFull Time/Part Time: Full Time (40 hours per week)Hours: Monday to Fri...

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:7 AMShift End Time:5:30 PMAWS Hours Requirement:10/40 - 10 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$30.370 - $37.950 - $42.510The stated pay scale reflects the range that Sharp re...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:The On-Site Physician Advisor (OSPA) conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers writing appeal letters) in support of the centralized system Utilizati...

Primary City/State:Tucson ArizonaDepartment Name: Case Mgmt-HospWork Shift: DayJob Category:Clinical CareThe future is full of possibilities. At Banner Health were excited about what the future holds for health care. Thats why were changing the industry to make the experience the best it can be. If...