Utilization Review Jobs in USA

We are looking for a Clinical Coordinator for the BSN Nursing Program to join our team.The Clinical Coordinator oversees the daily operations of all aspects of clinical experiences in the Nursing Department. This includes but is not limited to clinical faculty students and clinical agencies. The Cli...

Only applicants who apply with a State of Texas application via the CAPPS online application system will be considered for this position. First time applicants will need to create an account in the CAPPS online application system at Please visit our job opportunities page at for more information...

Join our team of passionate pediatric healthcare professionals empowering Kidz to be kids through PPEC daily skilled nursing!The Site Program Coordinator is responsible for the day-to-day oversight of program services at the center including food and nutrition environment and childcare programming u...

Title: Resource Utilization Coor - Outcome ManagementDepartment Org: Outcome Management - 110040Employee Classification: B5 - Unclass Full Time AFSCME HSCBargaining Unit:AFSCME HSCPrimary Location: HSC HShift:1Start Time:7:00 am End Time:5:30 pmPosted Salary: $ 32.81 - $ 42.58Float: TrueRotate: True...

PURPOSE STATEMENT:Proactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facilitys professional clinical staff.Co...

PURPOSE STATEMENT:Proactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facilitys professional clinical staff.Co...

The State of Texas is an Equal Opportunity Employer and does not discriminate on the basis of race color national origin sex religion age or disability in employment or the provision of services. You may make copies of this application and enter different position titles but each copy must be signed...

Syracuse City Corporation is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race color religion gender national origin age disability veteran status or any other status protected under local state or federal laws.Job Title: Recreatio...

DescriptionThe Case Manager Social Services directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager Social Services specializes in the review of informatio...

DescriptionPay:$24.00 per hourSchedule:Full-Time Monday Friday 8-hour shiftBenefit package includes:Medical vision and prescription drug benefitsDental benefitsLife insuranceAccidental death and dismemberment insuranceShort-term and long-term disability benefits401(k) retirement planEmployee assist...

DescriptionPay: $24.00 per hourSchedule:Full-Time Monday Friday 8-hour shiftsBenefit package includes:Medical vision and prescription drug benefitsDental benefitsLife insuranceAccidental death and dismemberment insuranceShort-term and long-term disability benefits401(k) retirement planEmployee assi...

Job DescriptionBe a part of a world-class academic healthcare system Company as a RN Managerin the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.The Manager of...

Job DescriptionBe a part of a world-class academic healthcare system Company as a RN Managerin the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.The Manager of...

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Job Description SummaryDepartment - HealthJob DescriptionJob Type: ClassifiedJob Classification: 5558 - Public Health Program CoordinatorSalary Grade: 11Pay RangeHiring Range: $54891 - $65873 AnnuallyPay Range: $54891 - $76856 AnnuallyRange Explanation:Hiring Range is an estimate of where you can re...

Job Summary:This position is a per diem role providing department coverage and cross trained to cover Utilization Review and Discharge Planning as needed. It is eligible for the per diem differential in lieu of benefits. It is a remote hybrid position that does require occasional on-site shifts.The...

DescriptionWe are searching for a Care Coordinator someone utilizing a collaborative approach to assess plan implement monitor and evaluate the options and services required to meet an individuals health needs. Provides comprehensive on-going case management services to patients by coordinating and...

Job Description SummaryHospice RN Case mangerEntityMedical University Hospital Authority (MUHA)Worker TypeEmployeeWorker Sub-TypeRegularCost CenterCC001404 KER - Hospice (KMC)Pay Rate TypeHourlyPay GradeHealth-28Scheduled Weekly Hours40Work ShiftDay (United States of America)Job DescriptionResponsib...

Thank you for considering a career at Bon Secours Mercy Health!Scheduled Weekly Hours:40Work Shift:Days (United States of America)Bon SecoursAs a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body and spirit through excepti...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and eviden...