Utilization Review Jobs in USA

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:ExemptHiring Range:$50835.20 - $91520.00Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details...

Build Something Bigger And Change Lives Including Your Own. In 1935 Louise Whitbeck Fraser opened a school in her home for people with disabilities defying social expectations and choosing compassion over convention. She believed everyone deserves the chance to reach their potential and thrive. To...

Part-timeDescriptionDo you love working with kids and want to make a real difference in their lives Were looking for enthusiastic compassionate and dependable individuals to join our team in a part-time role supporting children in a safe welcoming and dynamic environment. From leading fun activities...

Part-timeDescriptionDo you love working with kids and want to make a real difference in their lives Were looking for enthusiastic compassionate and dependable individuals to join our team in a part-time role supporting children in a safe welcoming and dynamic environment. From leading fun activities...

Job DescriptionThis position provides academic and student support for Virginia Techs growing Department of Entomology in the College of Agriculture and Life Sciences reporting to the Department Head. The Graduate Program Coordinator will provide ongoing support for current students and newly admitt...

Build Something Bigger And Change Lives Including Your Own. In 1935 Louise Whitbeck Fraser opened a school in her home for people with disabilities defying social expectations and choosing compassion over convention. She believed everyone deserves the chance to reach their potential and thrive. To...

DescriptionPrimary duties may include but are not limited to responsibility for reviewing assigned clinically related denials payer audits and payer correspondence as well as preparation of relevant appeal submission or audit responses. Utilizes clinical expertise and critical thinking in the evalua...

DescriptionRN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOWThe Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness of the admission and continued stay assist in the development of the plan of car...

Where Youll WorkWe believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.Job Summary and ResponsibilitiesYou have a purpose unique talents and now is the time to embrace it live it and put it to work. We value in...

Title: Resource Utilization Coor - Outcome ManagementDepartment Org: Outcome Management - 110040Employee Classification: B5 - Unclass Full Time AFSCME HSCBargaining Unit:AFSCME HSCPrimary Location: HSC HShift:1Start Time:7:00 am End Time:5:30 pmPosted Salary: $ 32.81 - $ 42.58Float: TrueRotate: True...

Quality Assurance Nurse (RN or LPN)Location: 2100 N Gemini Rd Flagstaff AZSchedule: Flexible (7am3pm 8am4pm or 8am5pm) MondayFriday 8 hours/day. Some weekends may be required.Position: 1 Full-TimeWe are seeking a dedicated RN or LPN to join our team as a Quality Assurance Nurse covering QA Staff Edu...

Where Youll WorkDignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of option...

Become a part of our caring community and help us put health firstTheClinical Managercoordinates and oversees all direct care patient services provided by clinical personnel.Develops plans implements analyzes and organizes clinical operations for a specific location managed.Conducts/delegates the as...

DescriptionCase Manager (RN) Inpatient RehabilitationFull-timeYour experience mattersMercy Health Rehabilitation Hospital Youngstown is operated jointly with Lifepoint Health and Mercy Health. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to...

OverviewPreauthorization Specialist - Cardiology CenterUnityPoint Health - AllenShift: Monday - Friday Daytime0.8 FTE 32 hours/weekFull-time BenefitsObtains insurance eligibility benefits authorizations and pre-certifications for scheduled and non-scheduled visits and procedures performed at hospita...

Where Youll WorkMarian Regional Medical Center a 191-bed facility located in Santa Maria California is recognized as one of the Top 250 Hospitals in the Nation by Healthgrades and was awarded Best Maternity Care by Newsweek. It ranks among 10% in the nation for safety core measures in cardiac servic...

OverviewRBTs come join our team! KORT Kids Madison IN is growing!KORTKids Madison IN is a growing multi-disciplinary clinic that offers ABA Speech Therapy Occupational Therapy and Physical Therapy. Our ABA team offers both clinic-based services under the direction of a Board Certified Behavior Analy...

Anticipated End Date:Position Title:Medical Director Associate CarelonRxJob Description:Medical Director Associate CarelonRx Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. Thi...

OverviewRBTs come join our team! KORT Kids Madison IN is growing!KORTKids Madison IN is a growing multi-disciplinary clinic that offers ABA Speech Therapy Occupational Therapy and Physical Therapy. Our ABA team offers both clinic-based services under the direction of a Board Certified Behavior Analy...

Anticipated End Date:Position Title:Medical Director-PSCCRJob Description:Medical Director-PSCCRLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivit...