Utilization Management Jobs in USA

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(rn) Case Manager Inpatient Rehab

Select Medical

profile Columbus - USA

OverviewOhioHealth Rehabilitation HospitalJoint venture with Select MedicalPosition: RN Case Manager PRN (RN or MSW)Location: Columbus OH$40.00 per hourBenefits of becoming a Case Manager with us:Manageable case loadsImpact on patients recovery process and quality of lifeHigh success rate of patient...

30+ days ago
Hourly

Rn-case Coordinator

Southcoast Health System

profile Plymouth County - USA

OverviewCommunity Focused. Care Driven.Join Southcoast Health where your future is as promising as the care we provide. Our commitment to each other our patients and our community is more than a mission - its our way of life and youll be at the heart of it.Southcoast Health is a not-for-profit chari...

30+ days ago
Full Time

Rn-case Coordinator

Southcoast Health System

profile Plymouth County - USA

OverviewCommunity Focused. Care Driven.Join Southcoast Health where your future is as promising as the care we provide. Our commitment to each other our patients and our community is more than a mission - its our way of life and youll be at the heart of it.Southcoast Health is a not-for-profit chari...

30+ days ago
Full Time

Clinical Strategy Program Manager

Medical University Of South Carolina

profile Charleston - USA

Job Description SummaryThe Clinical Strategy Program Manager supports the organizations clinical strategy program by managing data processes communications and performance monitoring that enable evidence-based cost-effective product and service decisions. This role serves as the central operational...

30+ days ago
Full Time

Case Manager, Denials And Appeals, 40 Hours (days)

Boston Medical Center

profile Boston - USA

The UM RN will be responsible for review of potential transfers to the BMC System for tertiary care in conjunction with the multidisciplinary care team utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of patient care appropri...

30+ days ago
Full Time

Case Manager (on Site), Denials And Appeals, 30 Ho...

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The UM/CM RN will be responsible for review of potential transfers to the BMC System for tertiary care in conjunction with the multidisciplinary care team utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of p...

30+ days ago
Part-Time

Surgical Support Specialist Srs Ophthalmology Day ...

Sharp Healthcare

profile San Diego - USA

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.550 - $31.860 - $35.680The stated pay scale reflects the range that Sharp reasona...

30+ days ago
Full Time

Contracts Associate Scmg Capitation Administration...

Sharp Healthcare

profile San Diego - USA

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$39.690 - $51.220 - $57.370The stated pay scale reflects the range that Sharp reasona...

30+ days ago
Full Time

Regional Medical Officer Sign On Bonus Or Relo Bon...

Alignment Healthcare

profile Fresno - USA

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

30+ days ago
Full Time

Regional Medical Officer- Fresno, Ca

Alignment Healthcare

profile Fresno - USA

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

30+ days ago
Full Time

Rn Care Coordinator, Case Management, 32-hours, Da...

Athol Hospital

profile Athol - USA

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 32-Hours Days Monday through Friday$38.00 - $57.48ResponsibilitiesEssential Functions:Utilization Management- Utilization Re...

30+ days ago
Full Time

Clinical Informaticist

Blue Cross Blue Shield North Dakota

profile Fargo - USA

All about usYou likely know us as an insurance company but thats just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. Its a mission we take seriously.We also work with entities throughout the state to c...

30+ days ago
Full Time

Psych Nurse Practitioner Non-crisis Yuma

Community Bridges Inc

profile Yuma - USA

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

30+ days ago
Full Time

Psych Nurse Practitioner Non-crisis Page

Community Bridges Inc

profile Page - USA

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

30+ days ago
Full Time

Psych Nurse Practitioner Non-crisis Tucson

Community Bridges Inc

profile Tucson - USA

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

30+ days ago
Full Time

Psych Nurse Practitioner Crisis Multiple Site

Community Bridges Inc

profile Tucson - USA

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

30+ days ago
Full Time

Psych Nurse Practitioner Non-crisis Phoenix, Mesa,...

Community Bridges Inc

profile Mesa - USA

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

30+ days ago
Full Time

Psych Nurse Practitioner Non-crisis Phoenix, Mesa,...

Community Bridges Inc

profile Phoenix - USA

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

30+ days ago
Full Time

Psych Nurse Practitioner Crisis Multiple Site

Community Bridges Inc

profile Phoenix - USA

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

30+ days ago
Full Time

Medical Coding Modernization Specialistclinical Do...

Ltsi

profile Bethesda - USA

DescriptionMEDICAL CODING MODERNIZATION SPECIALISTCLINICAL DOCUMENTATION IMPROVEMENT SPECIALISTON-SITEABOUT US:Laredo Technical Services Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right people to the right opportunity. With our experience in...

30+ days ago
Full Time