Utilization Review Jobs in USA

Job DescriptionBe a part of a world-class academic healthcare system UChicago Medicine as a Quality Analyst at our Hyde Park Hospital. Here you will work with our Transplant Services team. UChicago Medicines organ transplant team supports patients throughout the entire transplant process. Through re...

Weekly outpatient therapy isnt always enough and a trip to the ER isnt the only answer. Patients and their families rely on CompassHealth Center whenincrisis every day wehelp people overcome depression anxiety suicidality obsessions/compulsions trauma chronic pain and other obstacles in order for o...

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...

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...

Current University of Arkansas System employees including student employees and graduate assistants need to log in to Workday via then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply...

Hours:Shift Start Time:7 AMShift End Time:5:30 PMAWS Hours Requirement:10/40 - 10 Hour ShiftAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$53.570 - $69.120 - $77.410The stated pay scale reflects the range that Sharp reas...

Department:37499 Wake Forest Baptist Medical Center - Inpatient Rehabilitation ProgramStatus: Part timeBenefits Eligible:NoHours Per Week:0Schedule Details/Additional Information:PRN - Serves as back-up to full-time teammate.8 hour day shiftPay Range$35.50 - $53.25The Admissions Coordinator is respo...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:2900 Lamb Cir - ChristiansburgRequisition Number:R157793 CLINICAL COORDINATOR RN - EM Follow Up - NRV (Open) How Youll Help Transform Healthcare:This position is working full time day time hours and occasionally...

Department InformationTHIS POSITION IS OPEN TO CURRENT RESIDENTS OF COLORADO ONLYMost State of Colorado employees are eligible for a great benefit package! Please see the Supplemental Information section below for details!About Quality Management Department (CMHIP)The Quality Management Department e...

Employment Type:Full timeShift:Description:This position is remote and will require travel within the PACE Centers geographic region and to home office in Livonia MI.Trinity Health is one of the largest continuing care organizations in the country providing a full range of services to support senior...

Why ThedaCare Living A Life Inspired!Our new vision at ThedaCare is bold ambitious and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health enriching the lives of all and creating value in everything we do. Each of...

Why ThedaCare Living A Life Inspired!Our new vision at ThedaCare is bold ambitious and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health enriching the lives of all and creating value in everything we do. Each of...

JOB TITLE: Facility Operations Analyst LOCATION: Fort Knox KY PAY RATE: $27.50/hour (NOOT) We are a national aerospace and defense staffing agency seeking highly qualified candidates for a position with a top-tier client. Job Details: Job Type: Contract (12 months with potential for extension)...

Atlantic Health Strategies is a recruitment firm posting this opportunity on behalf of Coastal Recovery.About Coastal RecoveryCoastal Recovery is a leading provider of integrated behavioral health and Substance Use Disorder (SUD) treatment services in South Carolina. The organization delivers eviden...

Atlantic Health Strategies is a recruitment firm posting this opportunity on behalf of Asteroid Health.About Asteroid HealthAsteroid Health is a behavioral health organization providing evidence-based mental health services across multiple levels of care including Psychiatric Day Treatment Intensive...

Job SummaryA Stop the Bleed (STB) Coordinator assists with implementation and execution of the Stop the Bleed Program Statewide strategic goals for R Adams Cowley Shock Trauma Center within the Center for Injury Prevention and Policy (CIPP).  This includes program coordination teaching and partnersh...

What Youll Do:Provide Hands-On Care: Assist individuals with daily activities like personal care meal prep transportation housekeeping and laundry all while fostering independence.Create a Safe & Welcoming Environment: Maintain a clean safe space that ensures comfort and support while helping indivi...

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLEFamily Independence Administration (FIA) provides temporary help to individuals and families with social service and economic needs to assist them in reaching self-sufficiency via essential and diverse programs...

Job DescriptionUW Medical Centerhas an outstanding opportunity for anexperienced Utilization Review Nurseto join our team.WORK SCHEDULEFully remote / work from homeMust be available to work day shifts during Pacific Standard TimeSat Sun and one day during the week (8 hour shifts)POSITION HIGHLIGHTSE...

Job DescriptionThe Utilization Review RN is responsible for assuring the receipt of high quality cost efficient medical outcomes through utilization review and management. This position includes monitoring patient charts and utilization of health care services. Collaborates and communicates with phy...