Utilization Review Jobs in USA

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...

Are you a registered nurse ready to take your career in an exciting new directionone where your expertise truly makes a difference Join Pennsylvanias premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here yo...

Are you a registered nurse ready to take your career in an exciting new directionone where your expertise truly makes a difference Join Pennsylvanias premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here yo...

Are you a registered nurse ready to take your career in an exciting new directionone where your expertise truly makes a difference Join Pennsylvanias premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here yo...

Are you a registered nurse ready to take your career in an exciting new directionone where your expertise truly makes a difference Join Pennsylvanias premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here yo...

The New York City Department of Sanitation (DSNY) keeps New York City healthy safe and clean by collecting recycling and disposing of waste cleaning City streets and vacant lots and clearing snow and ice. DSNY is the nations largest municipal sanitation agency with nearly 10000 employees 59 district...

DCASs mission is to make city government work for all New Yorkers. From managing New York Citys most iconic courthouses and municipal buildings to purchasing over $1 billion annually in goods and services for more than 80 City agencies what we do ensures that all agencies can deliver on their miss...

DescriptionInova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time Position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials m...

DescriptionJoin Our Campus Community!Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission vision and values. If your expertise and experience align with the goals of our institution we...