Utilization Review Jobs in USA

OverviewThe Care Coordinator is a member of the multidisciplinary team that actively facilitates those functions that move a patient through an acute episode of care and links to internal and external resources and the payor community. The Care Coordinator assumes responsibility and leads the proces...

OverviewThe Care Coordinator is a member of the multidisciplinary team that actively facilitates those functions that move a patient through an acute episode of care and links to internal and external resources and the payor community. The Care Coordinator assumes responsibility and leads the proces...

Thank you for considering a career at Bon Secours!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 exceptional patient...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 24-Hours DaysResponsibilitiesESSENTIAL FUNCTIONSTo provide assessment crisis evaluations as identified suicide assessment an...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 24-Hours Days$40.00 - $52.78ResponsibilitiesESSENTIAL FUNCTIONSTo provide assessment crisis evaluations as identified suicid...

MinUSD $16.50/Hr.MaxUSD $24.82/Hr.OverviewA Insurance Pre-Authorization Specialist reviews all DMH and Memorial Care scheduled inpatient and outpatient procedures and outpatient diagnostic services to validate the scheduled procedure or diagnostic service has the appropriate payor authorization or m...

This role is eligible to participate in Zeniths hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership.This is an Internal Posting open only to current Nurse/Sr Nurse Consultant...

OverviewAt Houston Methodist the Director Case Management & Social Services RN position is responsible for strategy function and operations of the Case Management & Social Work department. This position is an integrated interprofessional role which supports caregivers to provide the highest quality...

Position Summary:The Strategic Planning Analyst (who has 340B experience) will support a team in identifying analyzing and executing contract optimization opportunities. This role involves data analysis strategic thinking and presenting findings to senior leadership and other stakeholders. The Analy...

Duties: The RN Inpatient Care Manager coordinates the care and services of selected member populations to facilitate a safe and timely transition to the next appropriate level of care. Clinically assesses plans implements coordinates monitors and evaluates options and services to meet an individu...

The Program Coordinator will join a team of professionals working in a fast paced team environment. The Program Coordinator facilitates and manages various processes (client specific) within the contingent worker lifecycle from on boarding through off boarding. The Program Coordinator also provides...

The Program Coordinator will join a team of professionals working in a fast paced team environment. The Program Coordinator facilitates and manages various processes (client specific) within the contingent worker lifecycle from on boarding through off boarding. The Program Coordinator also provides...

Project managers are the people in charge of a specific project or projects within a company. As the project manager your job is to plan budget oversee and document all aspects of the specific project you are working on. Project managers might work by themselves or be in charge of a team to get the...

The Readmissions Navigator is a new and exciting nursing role to provide the best care for patients in the right setting while helping prevent readmissions. The navigator will utilize hospital resources efficiently to expedite testing that must be done urgently and set up any remaining care with out...

Site: Brigham and Womens Faulkner Hospital Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community servi...

DescriptionPosition at JBS USABenefits Program CoordinatorPurpose and Scope/General Summary: We are seeking a Benefits Program Coordinator based at our Corporate Office in Greeley CO. The Coordinator works with company health partners and vendors to provide quality benefits to eligible membership. H...

DescriptionPosition at Nuvance Health Med Practice CTCancer Survivorship Program Coordinator -Danbury CTFull-time Monday - Friday 8:30 - 5:00 pmOccasional weekend hours may be necessary for attendance at fundraisers and promotional events. Infrequent travel to other locations including Sharon CT; Ne...

The University of Nevada Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the following when completing your application:Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete you...

Career Area:StrategyJob Description:Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar yourejoining a global team who cares not just about the work we do but also about each other. We are the makers problem solvers and future world builders who are creating stronger more susta...

ABOUT THE POSITIONThe Riverside University Health System - Behavior Health (BH) Department seeks a Program Coordinator Ifor theFriday Night Live (FNL) Program in Moreno Valley.FNL programs are school and community-based peer prevention clubs designed to positively engage young people in preventing a...