Utilization Review Jobs in USA

Job Title: Care Management ManagerLocation: Johnson County Hospital Tecumseh NEDepartment: NursingReports To: CNOPosition Summary: The Care Management Manager is responsible for the operational and clinical oversight of the hospitals Care Management program including Utilization Review (UR) care coo...

Job Title: Care Management ManagerLocation: Johnson County Hospital Tecumseh NEDepartment: NursingReports To: CNOPosition Summary: The Care Management Manager is responsible for the operational and clinical oversight of the hospitals Care Management program including Utilization Review (UR) care coo...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

Site: Brigham and Womens Faulkner Hospital Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community servi...

BAYADA Home Health Care has an immediate opening for a Clinical Educator in our Saddle Brook NJ Skilled Nursing Office. This role has a strong hands-on focus on leading and facilitating clinical simulation scenarios in our skills labs making it ideal for an educator who is passionate about experient...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

The Director of Nursing provides leadership and oversight to organizations medical and health service programs that are provided by Nurse Coordinators throughout the organization; provides direction consultation support to Registered Nurses Licensed Vocational Nurses Nurse Practitioners and Psychiat...

The Director of Nursing provides leadership and oversight to organizations medical and health service programs that are provided by Nurse Coordinators throughout the organization; provides direction consultation support to Registered Nurses Licensed Vocational Nurses Nurse Practitioners and Psychiat...

People. Passion. Purpose.P3 Health Partners is a population health management group founded and led by fellow physicians who want to shift the industrys focus from managing illness to cultivating wellness. We are health plan agnostic and work with most plans in our markets. As the conduit between yo...

JOB DEFINITION:Work with the CN Guidance FACT Team to deliver services to those individuals who are diagnosed with severe mental illness and whose needs have not been met by more traditional service delivery approaches.EDUCATIONAL REQUIREMENTS:Licensed Clinical Social Workers Licensed Marriage and F...

OverviewFull-time position available (37.5 hours per week)Pay range starting at: $36.50 - $41.98 / hour DOECompensation is set by agreed to language in the Collective Bargaining Agreement between CCSNW & SEIU 1199NW and determined based on experience.With COMPETITIVE BENEFITS INCLUDING:Generous PTO:...

Site: Mass General Brigham Community Physicians Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community...

JOB DEFINITION:Provide clinical and administrative supervision to a dynamic team of professional and paraprofessional residential staff providing counseling services to people with psychiatric disabilities. Responsible for the overall functioning of the program and ensuring compliance with agency po...

Anticipated End Date:Position Title:Nurse Case Manager - Site of CareJob Description:Title: Nurse Case Manager Site of CareLocation: Virtual - Ideal candidates would be willing to work East Coast HoursVirtual:This role enables associates to work virtually full-time with the exception of required in...

JOB DEFINITION:The Program Manager assumes overall daily responsibility for the Health Home Care Management (HHCM) program to ensure that clients assigned to the program receive client-centered integrated multidisciplinary coordinated care that promotes better health and more appropriate utilization...

Job DescriptionUW Medical Center Northwest Behavioral Health Clinic has an outstanding opportunity for a Clinical Court Evaluator to join us in our new Center for Behavioral Health and Learning building.WORK SCHEDULE40 hours per weekMonday FridayDay Shift shifts typically start at 8am 4:30pmPOSI...

JOB DEFINITION:Work with the CN Guidance Forensic ACT Team to deliver services to those individuals who are diagnosed with severe mental illness and whose needs have not been met by more traditional service delivery approaches.EDUCATIONAL REQUIREMENTS:A bachelors degree in a related field.EXPERIENCE...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

Thank you for considering a career at Mercy Health!Scheduled Weekly Hours:40Work Shift:Days/Afternoons (United States of America)Primary Function/General Purpose of PositionThe RN Navigator provides essential support to patients by guiding them through the healthcare system ensuring they have access...