Utilization Review Specialist Jobs in USA

DescriptionPRN Position for Inpatient and Outpatient (PHP/IOP) Utilization.Your experience mattersMesa Springs is part ofLifepoint 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...

DescriptionCoding Quality Education Review Specialist*Join Our Team and Earn a $5000 Sign-On Bonus!*Schedule: Monday-Friday 40hrs per week. 8am-5pm in your time zone. On occasion schedule adjustment may be necessary for department meetings to accommodate all time zones.Job Location Type: RemoteYour...

The RN Utilization Specialist reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.The RN Utilization Specialist (RN...

GRADE 12 LOCATION OF POSITION MDH Maryland Board of Nursing4140 Patterson AvenueBaltimore MD 21215Main Purpose of Job This full-time contractual position will be responsible for ensuring that all license and certificate holders comply with criminal history records check requirements. This...

Job Title: Registered Nurse - Utilization Review Location (On-site Remote or Hybrid): Everett WA (onsite) Contract Duration: 13 weeks Working hours:Day 5x8-Hour (08:00 - 16:30) Total hours: 40 Start date: ASAP Shift:5x8 Days Monday-Friday Years of Experience Required: 1 year First-timers a...

Primary Location: Peace - LouisvilleAddress: 2020 Newburg Rd. Louisville KY 40205 Shift: Varied (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice location...

This is a casual (non benefited) position supporting our Case Management UR department at Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital. This role would be working remotely and would require some weekend coverage. **The Case Manager RN UR/Bed Planner Part Time reflects the missi...

Sign on bonus may apply up to $15000 Position Summary: Reviews patient admissions for appropriateness efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts determining whether care provided is within established parameters....

DescriptionYour experience mattersCopper Springs 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 others. As a Utilization Review Specialis...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

Program Review SpecialistCare with Purpose Make a Difference That MattersAt Grafton Integrated Health Network were guided by a shared purpose: creating safe supportive environments where individuals can heal and grow. As a Program Review Specialist you will coordinates and ensures compliant impleme...

About GoodLeap:GoodLeap is a technology company delivering best-in-class financing and software products for sustainable solutions from solar panels and batteries to energy-efficient HVAC heat pumps roofing windows and more. Over 1 million homeowners have benefited from our simple fast and frictionl...

Fusion HCR is hiring! Direct Hire Utilization Review Nurse this is an onsite position working with our client in Acute Care. OverviewSeeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity appropriate level of care and compliance with payer guidelines...

United Wholesale Mortgage (UWM) is Americas #1 mortgage lender and were looking to fill an immediate need for Mortgage Operations Specialists.MUST KNOWThis is an 8-hour shift Monday FridayRequires 100% full-time on-site attendance in Pontiac MIWHAT YOU WILL BE DOINGEntering dataSplitting and labeli...

United Wholesale Mortgage (UWM) is Americas #1 mortgage lender and were looking to fill an immediate need for Mortgage Operations Specialists.MUST KNOWThis is an 8-hour shift Monday FridayRequires 100% full-time on-site attendance in Pontiac MIWHAT YOU WILL BE DOINGEntering dataSplitting and labeli...

Primary Responsibilities include but are not limited to:1. Acts as the responsibility centers point of contact for the Corrective Action Program (CAP) issues and implementation. This includes:Maintains a thorough working knowledge of the CAP process.Monitor the timely processing of condition reports...