Utilization Review Jobs in USA

Job DescriptionUW Facilities manages the Universitys buildings infrastructure and land with more than 1100 employees in a variety of fields. The Asset Management group includes Capital & Space Management Real Estate Sustainability and other teams responsible for planning and workload management. The...

Wu Yee Childrens Services believes nothing is more essential than excellent child care and education for all our children right from the start.The Early Learning Apprentice and Substitute Coordinator is critical for managing the support of the Early Learning apprentices and substitutes. This positio...

CASPER PROGRAM COORDINATORTHE OPPORTUNITYJoin one of Wyomings most innovative nonprofits as our Casper Program Coordinator. The ideal candidate is passionate about supporting others and has strong administrative addition to working directly with our participants this role is responsible for executi...

We are seeking a highly skilled and experienced MDS Coordinator to join our team. As an MDS Coordinator you will play a crucial role in ensuring accurate and timely completion of the Minimum Data Set (MDS) assessments for our patients. This position requires a strong background in medical office ope...

Job Title: Registered Nurse (RN) Case ManagerLocation: Syracuse NY Contract Duration: 13 Weeks (Extendable) Shift: Day Shift 9:00 AM 5:30 PMCompensationPay Rate: $60$63 per hourPosition OverviewA hospital in Syracuse NY is seeking an experienced RN Case Manager to support patient care coordinatio...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R155582 RN Case Manager - Weekends (Open) How Youll Help Transform Healthcare:Full time and Part time options - Friday/Saturday/Sunday or Saturday/Sunday/Monday:...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R151590 RN Case Manager - Weekends - Full time (Open) How Youll Help Transform Healthcare:**Sign on bonus and relocation assistance available**The RN Case Manage...

Live the MissionPosition SummaryThe RN Care Manager is responsible for 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 patients. Works together with the patient and fami...

Job DescriptionUW Medicines Patient Financial Services Department has an outstanding opportunity for a Clinical Appeals and Disputes Nurse.WORK SCHEDULE100% FTE100% RemoteDaysPOSITION HIGHLIGHTSThe Clinical Appeals and Disputes Nurse ensures that payers are prepared to reimburse the UW Medicine for...

St. Lukes is proud of the skills experience and compassion of its employees. The employees of St. Lukes are our most valuable asset! Individually and together our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the...

Employment Status:Full timeShift:Day (United States of America)Facility:701 Randolph St - RadfordRequisition Number:R156571 LPN Care Coordinator- Homecare (Open) How Youll Help Transform Healthcare:The LPN Care Coordinator provides care management for specific patient populations utilizing...

AgencyAdult CorrectionDivisionCOO - Health ServicesJob Classification TitlePharmacist (NS)Position NumberGradeMH23About UsThe NC Department of Adult Correction is one of the largest state agencies with more than 14000 employees. It is responsible for safeguarding and preserving lives and property th...

Employment Status:Full timeShift:Night (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R153134 Clinical Coordinator - RN - Quality Response - Nights (Open) How Youll Help Transform Healthcare:The Clinical Coordinator uses advanced nursing processes in de...

In collaboration with the interdisciplinary team the Case Manager provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective quality outcomes. Serves as a consultant to members of the health care team in the managem...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R153133 Clinical Coordinator - RN - Quality Response (Open) How Youll Help Transform Healthcare:The Clinical Coordinator uses advanced nursing processes in decis...

SummaryWe are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield of South this role as a Behavioral Health Case Management Coordinator care management interventions focus on improving care coordination and reducing the fragmentation of the services the...

In collaboration with the interdisciplinary team the Case Manager provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective quality outcomes. Serves as a consultant to members of the health care team in the managem...

Job Overview Title: Registered Nurse Case Manager Department: Care Management / Utilization Management Type: Travel Contract (Providence Health & Services MSP) Schedule: Day Shift Monday Friday 08:00 AM 4:30 PM Weekend rotation required No block schedules Start Date: 02/02/202...

Physical Therapist Assistant Duties include Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with physical functioning disorders per regulatory and clinical practice requirements under the...

We are seeking a Community Behavioral Health Worker! Washington County OH Join our Team! Integrated Services for Behavioral Health (ISBH) is a community-minded forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and co...