Utilization Review Jobs in USA

Location:Geisinger Community Medical Center (GCMC)Shift:Days (United States of America)Scheduled Weekly Hours:20Worker Type:RegularExemption Status:YesJob Summary:Functions as a pharmacist at the Retail Site Pharmacy and provides efficient accurate and safe medication services to patient/customers b...

Your Role:This is a full-time in-person roleHours: 8 hour shift - Monday to FridaySouth Jordan UT officeThe Purpose of Your RoleThe Verification of Benefits (VOB) Specialist verifies insurance eligibility and benefits for prospective clients prior to admission. Working closely with the Admissions te...

Where Youll WorkFounded in 1973 Dignity Health - Methodist Hospital is a 158-bed acute care nonprofit hospital located in Sacramento California serving over 80000 patients annually. The hospital also has a 171-bed skilled nursing facility providing both short and long-term medical and rehabilitative...

Hi were Oscar. Were hiring a UM Nurse Manager to join our Utilization Management team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we wo...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$54.670 - $70.540 - $79.000The stated pay scale reflects the range that Sharp reasona...

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...

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...

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...

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: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...

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...