Utilization Review Specialist Jobs in USA

Department:11215 Behavioral Health Contract Management Group: Charlotte - Utilization ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Monday - Wednesday 8 hour day time shiftPay Range$35.50 - $53.25Major Responsibilities Identifies clinical fi...

Position InformationUnder direction reviews and evaluates cases and program practices for compliance applies continuous quality improvement principles to identify trends and assess system performance in relation to federal state and local regulations and standards; and performs related duties as req...

Use your problem-solving skills and our guidelines to determine if a company is able to become and/or receive additional approvals with us as a client. Daily interactions with a mix of internal and external clients. Looking for a team player with strong work ethic positive attitude coach-able sense...

Overview Allied Universal North Americas leading security and facility services company offers rewarding careers that provide you a sense of purpose. While working in a dynamic welcoming and collaborative workplace you will be part of a team that contributes to a culture that positively impacts the...

Use your problem-solving skills and our guidelines to determine if a company is able to become and/or receive additional approvals with us as a client. Daily interactions with a mix of internal and external clients. Looking for a team player with strong work ethic positive attitude coach-able sense...

Job Title:RN - Utilization Review Location:Syracuse NY Type:Contract 14 Weeks Shift & Schedule:Day Shift MondayFridayPosition Overview: Navitas Healthcare LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse NY.ResponsibilitiesPerform utilization review and utiliz...

Job Title: RN - Utilization Review Location: Syracuse NY Type: Contract 14 Weeks Shift & Schedule: Day Shift Full-Time MondayFridayPosition Overview: Navitas Healthcare LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse NY.ResponsibilitiesConduct utilization re...

Job Title:RN - Utilization Review (Travel) Location:Syracuse NY Type:Contract 14 Weeks Shift & Schedule:Day Shift MondayFridayPosition Overview: Navitas Healthcare LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse NY.ResponsibilitiesPerform utilization review a...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

Job Title: Part-Time Curriculum Alignment & Review Specialist Wage/Hour Status: Non-ExemptDept. /School: Academics Pay Grade: TBDReports to: Chief of Staff Date Revised: May 28 2026Position SummaryTexans Can Academies is seeking a knowledgeable collaborative and student-centered Part-Time Curricul...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

Come work at the best place to give and receive care!Job Description:This Role is On-SiteWho We Are:Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services De...

Thank you for your interest in a career at Regions. At Regions we believe associates deserve more than just a job. We believe in offering performance-driven individuals a place where they can build a career --- a place to expect more opportunities. If you are focused on results dedicated to quality...

Doc Review Specialist I US Joining Fortrea as a Document Review Specialist I today and you will have a rewarding career a chance to work in an energetic & team-oriented workplace and exposure within a world-leading team.The Document Review Specialist I role is responsible for reviewing Investigator...

DescriptionJob Title: Utilization Review Assistant (Non-Clinical) Mailroom OperationsThis position is On-Site: MO - Jefferson City - 3425 West Truman BlvdHours: Training would be M-F 7:30am 4:00pm CST. Following training would be 8-hour shift between 6am -5pm CSTHourly rate: $17-$18 (Based on Expe...

Job Title: Remote Utilization Review RNLocation: Santa Rosa CA Assignment Duration: 13 Weeks Schedule: Day Shift 5x8 Hours (8:00 AM 4:30 PM)Compensation:Pay Rate: $40$45/hr based on experiencePosition Overview:We are seeking an experienced Remote Utilization Review Registered Nurse (RN) to support...

DescriptionAlign yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporations Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Companys Wor...

Job OverviewThird-Party Administrator (TPA)We are seeking an experienced and compassionate Registered Nurse to join our team in a dynamic dual-role position combining Case Management and Utilization Review responsibilities within a Third-Party Administrator (TPA) environment.This role is ideal for a...

Utilizing InterQual and other appropriate criteria responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospitals utilization management and quality assurance plan. Will determine the medical necessity for admission an...

Utilizing InterQual and other appropriate criteria responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospitals utilization management and quality assurance plan. Will determine the medical necessity for admission an...