Utilization Review Jobs in USA

DescriptionJob SummaryManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional...

The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review resource management and safe discharge planning. The RN Case Manager prioritizes plans organizes and implements timeliness of care. Collabo...

DescriptionJob SummaryManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional...

DescriptionSystem Director of Nursing- Baptist Medical GroupSummaryThe System Director of Nursing provides strategic leadership and oversight for nursing practice across all clinical care sites within Baptist Medical Group. This role ensures the highest standards of patient care quality safety and o...

DescriptionJob SummaryManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional...

Occupational Therapist Santa Cruzidence Opco LLC dba Santa Cruz Post Acute Santa Cruz CA. Job Duties: Evaluate and treat patients communicate with families physicians and other health team members and maintain documentation of services in the medical records. Conduct in-services and training for f...

DescriptionJob SummaryThis role supports care coordination activities within ambulatory services; specifically for the medical group. Performs all duties as assigned.ResponsibilitiesCollaborate in overseeing the practices care coordination initiatives.Assist with and facilitate the transition of car...

DescriptionJob SummaryThis role supports care coordination activities within ambulatory services; specifically for the medical group. Performs all duties as assigned.ResponsibilitiesCollaborate in overseeing the practices care coordination initiatives.Assist with and facilitate the transition of car...

Position SummaryThe Case 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...

Description Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional n...

Utilization Management Physician (UMP)Full-Time Remote Florida License RequiredWe are seeking a Utilization Management Physician (UMP) for a full-time remote opportunity with a well-established multi-specialty healthcare organization in Florida. This role requires strong clinical judgment critical...

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

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...

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...

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...

Location:Eagles Trace by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled Assisted Living and Memory Care neighborhoods.What we offer A culture of diversity inclusion equity and belonging which builds on o...

Associate Chief Medical Officer (ACMO)Full-Time Leadership OpportunityA large multi-specialty healthcare organization is seeking an experienced Associate Chief Medical Officer (ACMO) to join its executive leadership team. This key leadership role is responsible for overseeing the daily operations o...

Location:Eagles Trace by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled Assisted Living and Memory Care neighborhoods.What we offer A culture of diversity inclusion equity and belonging which builds on o...

Job Title: RN Case Manager (Care Coordinator) Location: Tallahassee FL Shift: Evening Shift (12:00 PM 8:30 PM EST) Schedule: 1 weekend per 4-week rotation Employment Type: Full-TimeCompensation & IncentivesBase Pay: $31.94 $43.92 per hour (based on experience)Shift Differentials:Evening Shift: $2....

DescriptionPosition Summary: Provide operational leadership toindividual contributors and hourly workforce to ensure the execution of daily tasks and activities including driver deliveries loading/unloading of trailers cross docking and customer service operations in a manner consistent with company...