Utilization Review Jobs in USA

Summary POSITION INFORMATIONPosition summary:The utilization specialist in the Emergency Department (ED) will formulate a patient status recommendation for observation or inpatient status after thorough review of patient assessments during the workup process and collaborate with the ED physicians....

Position Summary: The RN Case Manager supports coordinated patient-centered care by overseeing utilization review discharge planning and transitions of care from admission through post-discharge. Working collaboratively with physicians nursing staff social workers payers and community partners this...

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with complex medical and psychosocial needs. This role focuses on ensuring seamless transitions between levels of care optimizing resource utilization and advocating for patient-centered outcomes within a worl...

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...

Thank you for considering a career at Mercy Health!Scheduled Weekly Hours:40Work Shift:Days/Afternoons (United States of America)Mercy HealthAbout UsAs a faith-based and patient-focused organization Mercy Health exists to enhance the health and well-being of all people in mind body and spirit throug...

City/StateNorfolk VAWork ShiftMultiple shifts availableOverview:Sentara is hiring a Registered Nurse Case Manager II for the Specialty Case Management PharmacyLocation: Sentara Norfolk General Hospital Norfolk VAStatus: Full Time (40 hrs/wk)Hours: Monday-Friday 8am-5pm (will be required to work unti...

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...

Job DetailsRevenue Integrity Nurse Data Manager - Jefferson HealthJob DescriptionRevenue Integrity Nurse Data Manager - Jefferson HealthJoin the mission of Improving Lives as a Revenue Integrity Nurse Data Manager at Jefferson Health. With more than 42000 employees were the second largest employer i...

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...

Description Schedule: Full-Time DaysYour experience mattersMesa Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a PHP Th...

The Orthopedic Institute of WI 3077 North Mayfair Road Wauwatosa WI 53226The Orthopedic Institute of Wisconsin (OIW) is seeking an energetic and self-motivated Business Office Analyst to join the team at our Wauwatosa location.Established in 1985 theOrthopedic Institute of Wisconsinis a nationally...

Colorado PACE has an immediate opening for a President - PACE.Location: Aurora COStatus: Full-timeSchedule: Monday-Friday 8-5Annual Pay Range: $204256 - $240000 (eligible for Short-Term Incentive Plan)Mileage and Expense Reimbursement:Sixty-two and a half cents per mile one of the highest in the in...

Current University of Arkansas System employees including student employees and graduate assistants need to log in to Workday via then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply...

Location: Mentor OhioShift: 1st Shift 8:00 AM 4:00 PMReports To: Quality SupervisorPosition OverviewWe are seeking a detail-oriented and proactive Quality MRB Coordinator to join our 1st shift Quality team in this role you will support quality control processes MRB operations and customer requirem...

Registered Nurse Case Manager (Utilization Review / CDI)Location: Syracuse NY Duration: 13 Weeks Schedule: Day Shift 5x8s (7:00 AM 3:00 PM)CompensationGross Weekly Pay: $2585Position OverviewA healthcare facility in Syracuse NY is seeking an experienced Registered Nurse Case Manager with a stron...

Reports to: Director of Digital LearningWage/Hour Status: ExemptDept./School: Digital LearningPay Family: Professional/AdministratorsPC Assignment: Coordinator Digital ProgPay Grade: 04PC Assignment Code: 45065Minimum Salary: $81977Insight: SupportDuty Days: 230 days per school year Primary Purpose:...

GeneralSummary:The Foster Care Program Coordinator supports community foster home providers in implementing basic behavior interventions and supervises foster parents ensuring safety and compliance of foster care environment. This role is critical in supporting the well-being of children in foster c...

Job SummaryThe Special Events Coordinator position supports Guest Services and the Program Director managing student workers and providing logistical and administrative support for summer conferences and guest apartment housing. This position requires independent judgment on critical matters ensurin...

Job Description:Summary:This part-time (25 hours/week) position is responsible for coordinating the Post-Baccalaureate Research Education Program (PREP at Brown). The goal of this program is to support individuals from underrepresented groups who are seeking to enroll in STEM PhD programs. The Progr...

DescriptionCoordinates delivery of programs and events and is responsible for program registration and tracking including the utilization of the learning management system and other related software. Manages program material inventory. Organizes and assists with the execution of leadership and organ...