Utilization Review Jobs in USA

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 st...

PRN Registered NurseWe are seeking a skilled and compassionate RN to join our team in delivering high-quality care to patients. This role involves providing direct patient care in a clinic and home health environment. The RN will be responsible for managing clinical cases demonstrating sound clinica...

PRN Registered NurseWe are seeking a skilled and compassionate RN to join our team in delivering high-quality care to patients. This role involves providing direct patient care in a clinic and home health environment. The RN will be responsible for managing clinical cases demonstrating sound clinica...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

DescriptionDischarge CoordinatorJob Type: Full Time DaysYour experience mattersAt Centra Behavioral Health Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll supp...

DescriptionSchedule:Full Time DaysYour experience mattersCentra Behavioral Health Hospital 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 you can provide exceptional care to...

DescriptionDischarge Coordinator for Outpatient PHP/IOPJob Type: PRN Non ExemptSchedule:MUST HAVE ADULT GROUP THERAPY EXPERIENCEYour experience mattersValley Springs Behavioral Health Hospital is operated jointly with Lifepoint Behavioral Health and Baystate Health. We are driven by a profound commi...

WHO ARE WETSTC is an award-winning Woman Owned HUBZone certified Small Business providing services to federal intelligence law enforcement civilian and defense agencies. Built upon our Total Service - Total Commitment cornerstone TSTC takes pride in our commitment to delivering excellence. Total Ser...

Where Youll WorkSt. Elizabeth Community Hospital provides state-of-the-art health care to the North State communities. This award-winning facility is a member of the Dignity Health system of health care providers and is a not-for-profit medical center. Located in picturesque Tehama County St. Elizab...

DescriptionChampion patient care as a dedicated reflux program coordinator.Join Our Team at Cuyuna Regional Medical CenterAt Cuyuna Regional Medical Center (CRMC) were more than just a healthcare organization - were a community dedicated to making a meaningful impact. For more than 60 years weve bee...

George Fox Universitys Master of Social Work program is in search of a highly skilled and motivated administrative team player to fill the role of Program Coordinator.About the Job:The Program Coordinator for the Master of Social Work (MSW) Program develops and maintains strong professional relation...

DescriptionJob Summary:The Program Coordinator is responsible for ensuring compliance with regulations agency state and federal policies; and the quality services provided. This will be accomplished by monitoring reviewing auditing documenting and analyzing data. The Program Coordinators role suppor...

Job Description SummaryThe Program Coordinator II is responsible for providing supportive duties to the National Crime Victims Research and Treatment Center by coordinating the program evaluation activities for the EQUIPTT Center a SAMHSA-funded Center that is part of the National Child Traumatic St...

DescriptionPosition Title: Program Coordinator-Wilkinson Honors Program Department: Academic Affairs Title of Immediate Supervisor/Leader to Whom This Position Reports: Wilkinson Honors Program Director*Expected Daily Work Hours: 8:00 am 5:00 pm *Expected Weekly Work Schedule: Monday Friday * Coll...

DescriptionCHAPEL SUPPORT SERVICES FORPROTESTANT PROGRAM COORDINATOREIELSON AIR FORCE BASE ALASKAABOUT US:Laredo Technical Services Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right opportunities to the right people. With our experience in pla...

Senior Program Coordinator Advocacy for Incarcerated Muslims (AIM) Work Location:Based in Santa Clara CA. Exemplary candidates in Anaheim may be considered. Will require occasional travel throughout CA.Term: Full-timePosition Status:Non-ExemptPay Range:Anaheim: $29-$32 per hourSanta Clara: $32-$38 p...

Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be...

Job TitleProgram Coordinator II (Social Support Services)AgencyPrairie View A&M UniversityDepartmentOffice of Student AffairsProposed Minimum SalaryCommensurateJob LocationPrairie View TexasJob TypeStaffJob DescriptionThe Social Support Services Coordinator provides management and oversight for prog...

DescriptionThe Graduate Program Student Coordinator and Recruiter reports to the Director of Admission. This position holds a pivotal role in the daily operations of our graduate academic programs. Functioning as the crucial link connecting diverse graduate academic programs with our online director...