Utilization Review Jobs in USA

Amherst has taken a leadership role among highly selective liberal arts colleges and universities in successfully diversifying the racial socio-economic and geographic profile of its student body. The College is similarly committed to enriching its educational experience and its culture through the...

Established in 1873 Arts and Sciences is Boston Universitys largest and most academically diverse unit encompassing over 8400 undergraduates 2000 graduate students 800 faculty members and 300 staff across 50 departments programs centers and institutes. Our faculty are award-winning researchers innov...

Benefits:Company Paid Life LTD and AD&D Insurance10 Paid HolidaysFlexible Spending Account (FSA)Summers Off401(k)401(k) matchingBonus based on performanceDental insuranceFlexible scheduleHealth insuranceOpportunity for advancementPaid time offParental leaveTraining & developmentVision insuranceSocia...

Where Youll WorkPenrose - St. Francis Health Services is a full-service 712-bed acute care provider in Colorado Springs comprising Penrose Hospital St. Francis Hospital and St. Francis Hospital - Interquest. Penrose Hospital serves as the anchor hospital of Penrose-St. Francis Health Services with 3...

Where Youll WorkDignity Health Mercy San Juan Medical Center is a 384-bed not-for-profit Level 2 Trauma Center located in Carmichael California. We have served north Sacramento County as well as south Placer County for over 50 years. Our facility is one of the areas largest medical centers and also...

Established in 1873 Arts and Sciences is Boston Universitys largest and most academically diverse unit encompassing over 8400 undergraduates 2000 graduate students 800 faculty members and 300 staff across 50 departments programs centers and institutes. Our faculty are award-winning researchers innov...

Part-timeDescriptionDo you love working with Teens and want to make a real difference in their lives Were looking for enthusiastic compassionate and dependable individuals to join our team in a part-time role supporting children in a safe welcoming and dynamic environment. From leading fun activitie...

ESSENTIAL FUNCTIONS:Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients provider benefits for their needs.Conducts and oversees concurrent and retrospective reviews for all patients.Act as a liaison between Medicaid reviewers and the staff...

DescriptionFacility Name: Maria Parham HealthSchedule: 5x8 Day shift (8am 5pm)Your experience mattersLifepoint Rehabilitation is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so...

Where Youll WorkAt CHI Health CUMC-Bergan Mercy our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body mind and spirit of every person in a more comfortable less stressful hospital environment. Our full range of medical services...

About the DepartmentCoordinates the care for groups of patients as it relates to disease management resource utilization access discharge planning quality service and efficiently across the continuum. This is an interventional role maintaining a patient centered focus.Scope of workUnder general dire...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality safe and efficient delivery of health care and human services programs. We have multiple lines of business including population health utilization review managed care organization quality rev...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

Where Youll WorkWelcome to Continuing Care Hospital a 25-bed long-term acute care hospital located inside CHI Saint Joseph Hospital. Continuing Care Hospital is recognized as a 12-time winner of the Kentucky Hospital Association Quality award and a 2024 Best Place to Work in Kentucky.CHI Saint Josep...

DescriptionRegistered Nurse (RN) House SupervisorJob Type: Full TimeWage scale: $46.93 $65.70 per hourYour experience mattersAt Lourdes Health we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employe...

DescriptionFacility Name: TGH Behavioral Health HospitalSchedule: Part TimeYour experience mattersTampa General Behavioral Health Hospital is operated jointly with Lifepoint Health and Tampa General Hospital. We are driven by a profound commitment to prioritize your well-being so you can provide exc...

DescriptionFacility Name: TGH Behavioral Health HospitalSchedule: Part TimeYour experience mattersTampa General Behavioral Health Hospital is operated jointly with Lifepoint Health and Tampa General Hospital. We are driven by a profound commitment to prioritize your well-being so you can provide exc...

DescriptionTitle: Office CoordinatorJob Type: Full-TimeYour experience matters!AtTriangle Springs Hospital we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.As aOffice Coordina...

Location:Avera Sacred Heart HospitalWorker Type:RegularWork Shift:Primarily days with night weekend and holiday on-call involvement (United States of America)Position HighlightsYou Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you...

SPECIAL SITUATIONS ANALYSTPOSITION SPECIFICATIONShine Associates LLC has been retained to search identify and recruit a Special Situations Analyst on behalf of our client (Company). This candidate will be located in the Boston MA office.CONFIDENTIALITYShine Associates LLC has been exclusively retain...