Utilization Review Nurse Jobs in USA

Job Title: Utilization Review ManagerLocation: Chicago Job Type: Full-TimeReports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical OfficerDirect Reports: none subject to change in futureAbout Us:God Restoring Order (GRO) Community is a mental healthcare provider that spec...

ID: Shift: Day 5x8-Hour (08:30 - 17:00) Description: Shift: 5x8 hour daysYears of Experience: 2 preferredUnit accepts first time travelersThe Case Manager is responsible for medical necessity review discharge planning and utilization review. Identifies and communicates changes in the patients plan...

About the OrganizationLotus Healthcare Billing is a behavioral health billing operation based in Boca Raton Florida supporting treatment programs through insurance authorization utilization review and payer communication. The team works closely with clinical staff to ensure that patients can access...

*Shifts are weekdays.The Utilization Reviewer 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.Responsibilities:...

*Shifts are weekdays.The Utilization Reviewer 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.Responsibilities:...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical ICU ER Psychiatric Labor & Delivery PACU Operating Room. The Registered Nurse will be responsible for providing skilled nursing care case management and hospice care to individuals facing adva...

This position is responsible for: Routine case management discharge planning swing bed coordinator and utilization review duties. Evaluating and screening potential admissions to the facilities swing bed program knowledgeable of criteria for Medicare Medicaid HMO swing bed and private insurance cove...

This position is responsible for: Routine case management discharge planning swing bed coordinator and utilization review duties. Evaluating and screening potential admissions to the facilities swing bed program knowledgeable of criteria for Medicare Medicaid HMO swing bed and private insurance cove...

This position is responsible for:Routine case management discharge planning swing bed coordinator and utilization review and screening potential admissions to the facilities swing bed programknowledgeable of criteria for Medicare Medicaid HMO swing bed and private insurance coverageInitiate ongoing...

ID: Shift: Day 5x8-Hour (09:00 - 17:00) Description: Required Certs: BLS and CA LicensePreferred Certs: BSN or MSNRequired Skills: Utilization review care coordination acute hospital ER/ICU audits data abstraction quality improvement HIPAA Joint Commission preparationRequired experience: 5 years -...

Scope of workProvides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requests for admi...

Job Title: Registered Nurse Utilization Review (RN-UR)Location: Syracuse NY 13210 Schedule: Day Shift Duration: 14 WeeksCompensationLocal Candidates: $2000 $2300 per weekTraveler Candidates: $2500 $2800 per weekPosition OverviewWe are seeking an experienced Utilization Review Registered Nurse (RN...

The Utilization Reviewer 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.Responsibilities:Responsible for utili...

The Utilization Review Coordinator 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.Responsibilities:The Utiliza...

If you are a current State of Maine employee please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the States career page and indicate on the application that they have previou...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans.This position...

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...

Clinical Coordinator - Utilization ReviewAnnual Salary: $62406Work Schedule: Monday - Friday 8:30 am - 5:00 pmThe Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator...

Position Title: Full-time Care Navigator Medical AssistantLocation: 200 W. Douglas Ste. 900 Wichita KS 67202 - Applicant must be able to work on-siteDepartment: Integrated Health ManagementReports To: Case Manager/Director of Integrated Health ManagementEmployment Type: Full-timeHours: 10a 7p th...

DescriptionJob Title:Utilization Review DirectorJob Type: Onsite Full-timePay rate:$$110000 -$148000Work Schedule: Monday-Friday 8am-5pm MSTYour experience matters Denver SpringsAt Denver Springs we are committed to empowering and supporting a diverse and determined workforce who can drive quality s...