Utilization Review Jobs in USA

Job Description SummaryGrowth and Success go hand in hand. Let MUSC Lancaster Medical Center help you achieve that.EntityMedical University Hospital Authority (MUHA)Worker TypeEmployeeWorker Sub-TypeRegularCost CenterCC001542 LAN - Rehab Center - IP (LMC)Pay Rate TypeHourly SalaryPay GradeHealth-29S...

Full Time 10am-10pm The Lead ED Quality Utilization Specialist 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....

Location: 7900 Fannin St Suite 3300 Houston TX 77054The Medical Assistant provides high quality care to meet departmental goals; responsibly and cost effectively manages equipment supplies and ancillary services; establishes communication and maintains good working relationships with physicians and...

UTILIZATION REVIEW NURSE LEADHYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470EMPLOYMENT TYPE: Full-Time ExemptAbout Umpqua HealthAt Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the heal...

Job Title: RN Case Manager / Utilization Review / CDIProfession: Registered Nurse Specialty: Case Management / Utilization Review / Clinical Documentation ImprovementJob Location:Syracuse New YorkJob Description:We are seeking a qualified Registered Nurse (RN) with experience in Case Management Uti...

Job Posting: Registered Nurse Case Manager (Acute Care)Location: Santa Monica CA Duration: 13 Weeks Shift: Day Shift MondayFriday 5x8-Hour (8:00 AM 4:30 PM) Orientation: 40 hours (Non-billable)Job DescriptionNavitas Healthcare LLC isseeking an experienced Registered Nurse Case Manager for an acut...

OverviewSalary: $120000 - $130000 as year (DOE)Location: RemoteReporting to: Chief Financial OfficerThe Director of Payer Compliance is a senior leadership role responsible for ensuring that clinical programming and documentation is in compliance with payor requirements and applicable governmental r...

DescriptionThe Clinical Director holds a senior administrative position and has responsibility for clinical and operational activities including but not limited to medical or clinical service delivery cost management utilization review quality assurance and development of medical protocols. This ind...

DescriptionThe Clinical Director holds a senior administrative position and has responsibility for clinical and operational activities including but not limited to medical or clinical service delivery cost management utilization review quality assurance and development of medical protocols. This ind...

Live the MissionPosition SummaryThe RN Care Manager is responsible for 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 patients. Works together with the patient and fami...

DescriptionFacility Name: Charlton Memorial HospitalJob Title: Case Manager (Licensed)Job Type: Fulltime ExemptSchedule: DaysYour experience mattersLifepoint Rehabilitation is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profoun...

DescriptionFacility Name: TGH Behavioral Health HospitalSchedule: PRN as neededYour experience mattersTampa General Behavioral Health Hospital is operated jointly with Lifepoint Health and Tampa General Hospital. We are driven by a profound commitment to prioritize your well-being so you can provide...

DescriptionFacility Name:Frye Regional Medical CenterPosition:Therapist Behavioral Healthschedule:Monday - Friday 8:00am-5:00pm occasional weekend as needed. Shift:Full time DaysYour experience matters:Frye Regional Medical Center is part ofLifepoint Health a diversified healthcare delivery network...

Job Summary : The purpose of the case manager is extender is to serve patients who have been discharged from the hospital or are to be admitted to the hospital. Focus is on the facilitation of the transitions before and after the acute episode of care with attention to medical psychosocial and econ...

Hours:Shift Start Time:8:30 AMShift End Time:5:30 PMAWS Hours Requirement:8/40 - 8 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 r...

Responsible (and working in partnership with the Medical Director SCCN) for developing implementing and evaluating Seattle Childrens Care Network (SCCN) Clinically Integrated Network (CIN) strategy to grow from a 1 state network to a multi-state specialty network and to boldly move from episodic car...

Anticipated End Date:Position Title:Behavioral Health Clinical AuditorJob Description:Behavioral Health Clinical Auditor Location: It is highly preferred that the selected candidate reside within commutable distance to a PulsePoint.Virtual: This role enables associates to work virtually full-time ex...

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...

Our CompanyPharMericaOverviewPharMerica is hiring aposition type Pharmacist inCity State!Join our closed-door pharmacy team where youll work in a non-retail environment dedicated to meeting the pharmaceutical needs of long-term care and senior living clients. If youre passionate about delivering exc...

Our CompanyPharMericaOverviewPharMerica is hiring aposition type Pharmacist inCity State!Join our closed-door pharmacy team where youll work in a non-retail environment dedicated to meeting the pharmaceutical needs of long-term care and senior living clients. If youre passionate about delivering exc...