Utilization Review Jobs in USA

SUMMARYCoordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objectives for the program are accomplished according to established priorities time and funding limitations or other specifications.A program refers to carrying out a specific s...

Department:09110 GCMG Neurology Call Center: 1000 Blythe - Call CenterStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This position is hybrid M-F 8am-5pmPay Range$28.55 - $42.85Major Responsibilities:Provides program and project management assistance.As...

Come work at the best place to give and receive care!Job Description:Social Worker Case ManagerWho We Are: The Care Coordination Department at the Elliot Hospital takes great pride in serving their community patients and families. Our Social Worker Case Managers observe best practices and strive to...

Step into a pivotal role as a Registered Nurse Case Management in Honolulu Hawaii where your clinical expertise and compassionate advocacy combine to create seamless patient-centered care this role you will assess complex clinical and psychosocial needs coordinate across multidi...

Employment Type:Part timeShift:Day ShiftDescription:Position Purpose: Saint Alphonsus Health System is hiring for our Financial Clearance team. This position works on an as needed basis during the week (Monday-Friday).The Financial Clearance Specialist obtains and/or verifies demographic clinical fi...

About the Mehney Discharge Lounge ClinicThe Mehney Discharge Lounge Clinic provides dedicated pharmacist support to patients transitioning from inpatient care to home. Clinical Pharmacy Specialists in this area deliver highvalue services that directly improve patient safety experience and postdischa...

Department:34006 Navicent Health Medical Center - Patient PlacementStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Monday- Friday 8:00-5:00 pm with varied weekendsPay Range$41.10 - $61.65Major ResponsibilitiesParticipates in rounds on the patient care u...

Department:02040 AMG Downers Grove 3743 Highland Ave - Behavioral HealthStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Monday-Friday day shift hybrid position 2-3 days in office.Pay Range$35.50 - $53.25Major Responsibilities:Provides quality individual...

Department:11211 Advocate Lutheran General Hospital - Social Services: ACHStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:M-F day shift with rotation to holidays and weekends as neededPay Range$38.20 - $57.30MAJOR RESPONSIBILITIESConducts complete asses...

Department:36343 Carolinas Medical Center: Mercy - Interventional RadiologyStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:FT M-F 7a-3:30p no call no holidays. This position is sign on bonus eligible based on eligibility.Pay Range$35.50 - $53.25This pos...

Are you looking to take your career to new heights with a leader in healthcare SUNY Downstate Health Sciences University is one of the nations leading metropolitan medical centers. As the only academic medical center in Brooklyn we serve a large population that is among the most diverse in the world...

About Umpqua HealthAt Umpqua Health were more than just a healthcare organization; were a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County Oregon where we prior...

Job DescriptionThe Manager of Utilization Review is responsible for overall policy and operational accountability for utilization review to meet system strategic goals and directions. This position oversees utilization for all patient encounters. This includes management of the department budget hir...

Job Purpose: Ensuring all projects follow Case Management Standards of PracticePromotes and restores individuals health and wellbeing by completing a collaborative process of assessment planning facilitation care coordination evaluation and advocacy for options and services to meet an individuals co...

Employment Type:Full timeShift:Day ShiftDescription:Position Summary and Highlights: Saint Alphonsus is hiring a Utilization Review Manager to lead the Utilization Review Team in Boise Idaho.This role oversees daily utilization review operations serving as the first point of escalation for problem-s...

DescriptionSummaryThe Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes precertification concurrent review and retrospective review. The nurse works closely with providers patients a...

POLITICAL CORRESPONDENT NERemote (NE-based) Full-Time $65k - $80kWho We AreCOURIER Newsroom is committed to building aninclusive workplace that values diverse perspectives and lived experiences. We strongly encourage women people of color individuals with disabilities LGBTQ candidates and those...

POLITICAL CORRESPONDENT MNRemote (MN-based) Full-Time $65k - $80kWho We AreCOURIER Newsroom is committed to building aninclusive workplace that values diverse perspectives and lived experiences. We strongly encourage women people of color individuals with disabilities LGBTQ candidates and those...

POLITICAL CORRESPONDENT NMRemote (NM-based) Full-Time $65k - $80kWho We AreCOURIER Newsroom is committed to building aninclusive workplace that values diverse perspectives and lived experiences. We strongly encourage women people of color individuals with disabilities LGBTQ candidates and those...

DescriptionSUMMARY:The SCSEP Coordinator is directly responsible to the Dean of Community Programs for coordination and implementation of the Senior Community Service Employment Program.DUTIES AND RESPONSIBILITIES:Recruits and selects individuals to fill program positions.Locates orientates and sele...