Utilization Review Jobs

The mission of The University of Texas MD Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through e...

Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive...

Registered Nurse Concurrent Utilization Review Per Diem Job Category Nursing Schedule Per Diem Shift 2 - Mid Shift Demonstrates fiscal responsibility related to patient needs, resource utiliz...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patie...

Description Rex Holly Springs Hospital is proud to be a part of southern Wake County, offering residents and their families convenient access to exceptional healthcare. With its state-of-the-art facilities, includ...

Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive...

Utilization Management Dept.
Full Time
Day Shift
7-3:30
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. R...

Northwestern Medicine
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Full-time
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Palos Heights, Illinois, United States
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$36 - $59.65 / hour
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2w ago
The salary range for this position is $36.00 - $59.65 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented b...

Overview
NaphCare is hiring experienced PRN Utilization Management Registered Nurse just like you at the Corporate Headquarters located in Birmingham AL.
*This is a Remote position*
NaphCare is a family o...

Description Utilization Review RN (Perdiem/Day) Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admissi...

Job Description The Utilization Review Nurse acts as a patient and organizational advocate. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patient...

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 Job Summary: The Utilization Management Nurse identifies abstracts and relay information from the p...

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and preventio...

The Utilization Management Nurse supports the case management department by by providing a variety of utilization management functions including but not limited to daily screening of patient admission relative to specif...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources....

Job Description To maintain high-quality, medically necessary, evidence-based care, and efficient treatment of all patients, regardless of payment source, by ensuring the patients receive the right care, at the right...

Overview
Utilization Review - RN
Per Diem, Fully Remote
Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired o...

All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Paid Parental Leave Whole Person Well-being and Mental Health Resources Our Promise To You Identify oppo...

***California residents preferred JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an...

Newport News, Virginia This is not a remote position, this position is located on site at Riverside Regional Medical Center in the Emergency Department working 12 hour shifts. Full Time-Available Shift: 7...

$5,000 Sign On Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of...

Denver Health
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Full-time
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Denver, Colorado 80203, United States
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$75,100 - $116,400 / year
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2w ago
We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator - Hospital Care Management to join our team! We are here for life’s journey. Where is your life journey taking you? Being the hea...

Come work at the best place to give and receive care! Job Description: RN Utilization Review Who We Are: Elliot Health System’s Care Coordination Department, located in Manchester, NH, plays a vital role...

SRMC Has an Exciting Opportunity for Qualified Candidates!
Position: Full Time Wound, Ostomy, and Continence Nurse/Utilization Review/RN Case Manager
Department : Case Management
S...

Location: Steward Health Care Posted Date: 6/11/2024 Job Type: Full Time Department: 1301.40601 Centralized UR The Care Manager assumes primary responsibility for documentation of appropriate medical necessi...

Job Description Provides timely and thorough clinical information to insurance companies and other intermediaries to secure payer authorizations and avoid denials or reduction in level of care. Performs daily sur...

Summary About Us CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics.Cox...

General Summary of Position Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute ser...

Quality Reviewer- ( LPN) Licensed Practical Nurse
Brooklyn, NY
Pay: $70,000-$72,000 annually
About Us: With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider...
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Department: Jackson Health System - Central UR Address: 1611 NW 12 Ave., Miami, FL 33136 Shift details: Full Time, Days 8:00 AM - 4:30 PM, rotating weekends (Remote) Why Jackson: Jackson Health System is a n...