Utilization Review Jobs in USA

Location:Medical Center - Fort WorthDepartment:Case ManagementShift:Weekend Shift (United States of America)Standard Weekly Hours:30Summary:The RN Weekend Case Manager delivers comprehensive case management services for patients and families during weekend hours. This role supports safe efficient di...

Find your calling at Mercy!Job Profile SummaryThe Clinical Documentation Specialist provides clinically based concurrent and retrospective reviews of inpatient medical records. Will work to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and r...

We are hiring a weekend RN supervisor. This would be 12-hour shifts Saturday and Sunday from 7:00am to 7:00pm. Sign on bonus available. Position SummaryThe RN Care Manager is responsible for the coordination of the patients care and services. Promotes quality care using a collaborative process that...

Find your calling at Mercy!This position is an advanced CDI role. The Senior Clinical Documentation Specialist coworker is responsible for assisting in the overall integrity of the medical record documentation primarily by conducting reviews of inpatient medical records to identify missing vague an...

Registered Nurse (RN) Case Manager - Travel Position (with $7500 Completion Bonus) Location:Irvine CAJob Type:Travel ContractDuration:13 weeksShift:5x8 DaysPay:$2484/week(plus $2500 completion bonus per contract up to $7500 after three contracts)Job Summary:The RN Case Manager coordinates patient c...

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...

DescriptionYour experience mattersSycamore 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 Help for Heroes Therapist j...

DescriptionRegistered Nurse (RN) Supervisor Emergency ServicesJob Type: FT / 40 hours a week / Varied ShiftsWage scale: $41.52 $65.16 per hourYour experience mattersAt Lourdes Health we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others....

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 Description:Burrell Inc. d/b/a Burrell Behavioral Health/Brightli- Clinical Providers - Licensed Psychologists - Job ID #51677 in Springfield Missouri1. Independently provides professional healthcare services with a focus on neurodevelopmental and neuropsychological issues including autism testi...

Hours:Shift Start Time:6:30 AMShift End Time:5 PMAWS Hours Requirement:10/40 - 10 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.300 - $30.360 - $34.000The stated pay scale reflects the range that Sharp re...

Company :Allegheny Health NetworkJob Description :St. Vincent HospitalSt. Vincent Hospital is a Magnet-designated hospital for excellence in nursing serving the people in the Lake Erie region since 1875 with a quality of care and service second to none! Allegheny Health NetworkAt AHN employees trust...

*$1000 Hiring BonusAdditional $1500 Spanish Speaking Bonus*QUALIFICATIONS Education & ExperienceFamily Specialist IBachelors degree plus 4 years of direct experience* working with children or families with complex needs. Preferred education emphasis in human services counseling guidance social work...

The Department of Pathology at St. Jude Childrens Research Hospital is seeking a Staff Clinical Pathologist supporting Transfusion Medicine and Clinical Laboratory Immunology in addition to supporting other Core Lab services including Clinical Chemistry and Point-of-Care Testing. The proportion of e...

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice this role you will report to the Director of Nursing/Director of Patient Care Servi...

Job DescriptionJoin Ingalls Memorial Hospital as an Admitting Representative at our Harvey IL Location. .In this position you will be assisting patients with their registration department is known for their dedication to customer service. We ensure that each patient has a positive experience with u...

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...

SummaryPerforms medical reviews using established criteria sets and/or performs utilization management of professional inpatient or outpatient facility benefits or services and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical...

This is a Hybrid position (3 days per week in-office 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that are listed in this posting.JOB SUMMARYThe Clinical Program Advisor/Program Management Advisor provides insigh...

Full-timeDescriptionSchedule: Monday - Friday 5:30am-1:30pmCommunity Medical Services (CMS) is hiring a Texas Grant Utilization Reviewer. Under the supervision of the Regional Operations Director the Texas Grant Utilization Reviewer is responsible for monitoring Texas Grant Funded Client Tracker to...