Utilization Review Jobs in USA

Job Objective/ Summary: The Case Manager/Utilization Review RN is responsible for case management discharge planning and utilization review for Lawrence Memorial Hospital. Responsible for coordinating and providing care that is safe timely effective efficient equitable and patient centered. Handling...

DescriptionJob SummaryCase Managers will apply systems science incentives and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The case ma...

Job DetailsWorks under the direction of the Manager of Case Management and Case Manager RN to provide assistance with the utilization review process including communicating clinical information/reviews to third party payers to ensure certification/approval of inpatient and post-hospital services. As...

Weekly outpatient therapy isnt always enough and a trip to the ER isnt the only answer. Patients and their families rely on CompassHealth Center whenincrisis every day wehelp people overcome depression anxiety suicidality obsessions/compulsions trauma chronic pain and other obstacles in order for o...

Join our team as a Quality Assurance Coordinator!Are you ready to make a difference in the lives of adults with Traumatic Brain Injuries At NeuLife Rehabilitation of Michigan were more than just a workplace; were a community committed to compassion quality care and supporting both our persons served...

JOB SUMMARY:Under the general supervision of the Chief Operating Officer the incumbent will provide ongoing supervision of the Supportive Housing Division which includes all OMH/DOHMH/HUD/HASA scatter-site supportive housing programs and in collaboration with other executives will provide leadership...

Anticipated End Date:Position Title:BH Clinical Quality Audit AnalystJob Description:BH Clinical Quality Audit AnalystLocation: Selected candidate must reside within commutable distance to a PulsePoint.Virtual: This role enables associates to work virtually full-time except for required in-person tr...

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...

Job Posting TitleManaged Care PharmacistAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationPharmacyJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting...

OverviewJoinReynolds Consumer Productsand Drive Your Career across a world of opportunities! We provide amazing job opportunities for growth with competitive salaries and benefits in an exciting dynamic fast-paced and high-performance workplace environment. Are looking to build a strong career Then...

Squirrel Hill Health Center is hiring a Substance Use Disorder (SUD) Program Coordinator to support recovery improve health outcomes and sustain public health initiatives like harm reduction and medication-assisted treatment (MAT). This role serves as a liaison between patients providers staff and...

Posting SummaryRutgers The State University of New Jersey is seeking a Senior Program Coordinator (Pesticide Safety Education Program) for the Department of Entomology within the School of Environmental and Biological Sciences. The New Jersey Agricultural Experiment Station ( NJAES ) is an integral...

DescriptionRN/Case Manager MSH Case Management FT Weekdays/Weekends/HolidaysThe Case Manager (CM) will be responsible for all aspects of case management for an assigned group of patients to determine the appropriateness of the Level of Care assist in the development of the plan of care; ensure that...

JOB SUMMARY: The QMHP provides ongoing support group facilitation and therapeutic interventions throughout the patients course of treatment in the Intensive and Partial Hospital Outpatient Programs. The QMHP is vital to the development and implementation of group skills training supportive patient i...

Position SummaryThe Care Manager Assistant - LPN assists with 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 and interpersonal contact with accordance with all applica...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

Anticipated End Date:Position Title:RN Medical Management Clinician Sr. (UM/UR)Job Description:Medical Management Clinician Sr.LOCATION: This is a virtual eligible position. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtua...

Current Employees:If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.The Program Coordinator (A) coordin...

Posting SummaryRutgers The State University of New Jersey is seeking a Sr. Program Coordinator/Study Abroad Enrollment Manager and Data Administrator for Study Abroad. Reporting to the Director of Study Abroad this position plays a critical role in managing enrollment processes optimizing CRM system...