Utilization Review & Care Optimization Specialist
Sturdy Memorial Hospital
Sturdy Memorial Hospital is seeking a full-time Utilization Review Specialist in Attleboro, MA. This role requires expertise in utilization management, medical necessity determinations, and patient status identification. The specialist will collaborate with diverse teams to implement process improvements within the UM program and ensure compliance with regulatory requirements. The ideal candidate should have a strong background in acute care case management and demonstrate excellent analytical skills to monitor and report on utilization data. Knowledge of Medicare/Medicaid regulations is essential. #J-18808-Ljbffr Sturdy Memorial Hospital
- ...Memorial Hospital in Attleboro, Massachusetts, is seeking a Utilization Review Specialist to manage processes for patient status determination and... ...role involves collaboration with various departments to optimize care pathways, utilizing strong analytical skills and...Suggested
$93.73k - $146.08k
Scheduled Weekly Hours: 40 The Utilization Review (UR) Specialist has well-developed knowledge and skills in areas of utilization management (UM), medical... ...ED patients at portals of entry Minimum 3-5 years acute care case management experience, with demonstrated skills in...SuggestedFull timeNight shift$93.73k - $146.08k
Job Summary Scheduled Weekly Hours: 40. The Utilization Review (UR) Specialist has well-developed knowledge and skills in utilization management, medical... ...to facilitate safe and timely patient transitions of care. Interpret patient‑related information, evaluate appropriateness...SuggestedNight shift- ...recommendations to meet QM objectives Responsibilities: · Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit... ...of residence · Must have prior authorization utilization experience · Able to work in multiple IT...SuggestedContract work
$20 - $25 per hour
...dialysis centers Largest provider of renal care products and services in the nation,... ...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage... ...in an accurate and timely manner. Review treatment sheets for completeness, ensure...SuggestedHourly payWork experience placementImmediate start$35 - $50 per hour
Job Description & Requirements Remote - RN Utilization Review Start Date: 7/20/2026 Pay Rate: $35.00 - $50.00 Position Summary: RN Utilization Review Minimum Required Qualifications: RN Length of Assignment: 13 weeks Shift / Hours per Week: M-F 40 hours Systems:...Remote jobTemporary workShift work$35 - $50 per hour
AMN Healthcare is seeking a Remote RN for Utilization Review in Providence, Rhode Island. This position requires a valid RN license and experience... ...reimbursement programs. Join our industry-leading team and impact patient care positively. #J-18808-Ljbffr AMN HealthcareRemote jobHourly pay$21.33 - $22.27 per hour
...of Conduct. Incorporate new CARE values of compassion, accountability... ...policies and procedures. Reviews and researches pertinent... ...Anticipates equipment and supply utilization well enough to maintain... ...members that will help assure optimal care is being provided. Interpersonal...Immediate startShift workAfternoon shift$32 - $39 per hour
...Operations Description The Quality Care Improvement Specialist II develops, recommends, and implements... ...health management Collect, review, and validate medical records to ensure... ...including electronic health record (EHR) optimization, clinical documentation, billing practices...Hourly payWork at officeRemote workHome office$46.92k
...career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately... ...compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and...Full timeRelocationRelocation packageFlexible hoursWeekday work$75k - $100k
...of mental health issues in an outpatient care setting, both in-person at its clinics nationwide... ...use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...this email address as they will not be reviewed or responded to. To apply for a position,...Full timePart timeCurrently hiringHome officeRelocation packageWeekday work$75k - $100k
...of mental health issues in an outpatient care setting, both in-person at its clinics nationwide... ...use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...this email address as they will not be reviewed or responded to. To apply for a position,...Full timePart timeCurrently hiringHome officeRelocation packageWeekday work- ...Care New England in Pawtucket is seeking a responsible individual to coordinate and maintain surgical schedules for the practice. The role includes arranging patient pre-op testing and medical clearances while triaging phone calls effectively. The ideal candidate must...
- Sturdy Memorial Hospital in Attleboro seeks a part-time Phlebotomist to collect blood specimens using venipuncture and capillary techniques. The role involves instructing patients on specimen collection and accurately processing samples. The ideal candidate will have an...Part time
$82.37k - $124.61k
..., patient education, the coordination of care, administration of therapy, symptom management... ...therapy and symptom management. Reviews patient's clinical status and laboratory... ...providing telephone consultation to engender optimal Oncology practices and knowledge among health...Work at officeLocal area$18.5 - $19.75 per hour
...Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment... ...in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive...Full timePart timeWeekend work$23.2 - $23.66 per hour
...professional staff, assists in providing care to Emergency Department patients and their... ...Reports findings to registered nurse. Utilizes side rails, restraints and assistive... ...and other infection control measures. Reviews fire, disaster and infection control in manual...Shift workNight shiftWeekend work$9 - $15 per hour
...Furry Fellas Pet Service LLC is Hiring for an Experienced Pet Care Professional For Pet Sitting and Dog Walking You: You... ...well as your service areas -Pet Sitting Position can also be utilized for supplemental income Dog Walker / Pet Sitter Duties: -...Hourly payExtra incomePart timeMonday to FridayNight shiftWeekend workDay shiftAfternoon shiftWeekday work$19.85 - $30.05 per hour
...computer or system failures with IT to resolve downtime situations timely Ability to work under minimal supervision, while maintaining optimal quality and productivity of work. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards....Full timeWork at office- ..., Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit... ...Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or...
- ...Patient Care Associate The Patient Care Associate in a medical office setting provides direct patient support and clinical assistance... ...rooming patients, taking vitals, triage of patient phone calls, review charts, scheduling patients, responding to provider messages...Work at office
$20 - $23.1 per hour
...cosmetic dermatology Obtain valuable patient care that is transferrable to any specialty... ...and inventory for office needs by utilizing the appropriate request system while understanding... ...properly documented. Provides and reviews appropriate instructions to patients...Hourly payFull timeInternshipWork at officeLocal area- ...delivers efficient and effective nursing care while achieving positive clinical outcomes... ...re-hospitalization. Participates in review and revision of plan of care... ...the direction of the RN, participates in utilization management or interdisciplinary care management...Shift workWeekend work
- ...live our Values: integrity, patient-centered care, respect, accountability, and compassion. These... ...Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or...Shift work
$18 - $25.82 per hour
...patients and obtaining supplies and equipment. Optimize patient throughput by adjusting schedules,... ...customers and consistently adheres to our CARE values. Complies with department policies, procedures, and protocols - Reviews policies and procedures - Reviews Employee...Daily paidShift work- ...Standards: Administrative # Review facility policies and procedures as part... ...and setting policies concerning resident care and quality of life # Participate in... ...policies # Develop, maintain and utilize a listing of current community resources...
- BrightStar Care of Acton, Andover and Lowell is hiring an Infusion RN to provide high-quality in-home nursing care, including complex infusion therapy and patient assessments. As a member of a dedicated team, you will ensure safe, patient-centered care while collaborating...
- ...matters. At Elwyn, we take care of you while you care for... ...of a multidisciplinary team, utilizing your nursing skill and experience... ...team, on an ongoing basis, reviews the required outcomes to... ..., dentist, and other medical specialist, support clients with structuring...Immediate startFlexible hoursShift workNight shift
$50 per hour
...policies and procedures and conforms to all applicable patient care standards, licensure regulations and state laws Carries out appropriate... ...resulting in no technical or clinical denials subsequent to review of documentation by payers Update self on the patient's...Hourly payWeekly payFull timePart timeWork at officeLocal areaFlexible hoursShift workNight shiftWeekend workDay shift- Une entreprise de staffing réputée recherche un Spécialiste en Informations Médicales pour réaliser des revues de littérature pour l'équipe des opérations médicales. Ce rôle exige une expertise en recherche clinique et des compétences en communication exceptionnelles. Les...
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