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- ...or bachelor’s Degree Licensure: Licensed RN or LPN is preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical experience in a psychiatric facility. Additional Skills: Highly proficient in Microsoft...SuggestedWork at officeLocal areaImmediate startFlexible hours
Perimeter Healthcare
Jackson, TN7 days ago - ...Unrestricted MINNESOTA or TEXAS medical License Required Medical Review Institute of America, LLC (MRIoA), a national Independent... ...the appropriateness of treatments, known as Peer Review or Utilization Review. Key Benefits: Stay informed on the latest...SuggestedRemote jobFor contractorsVisa sponsorshipFlexible hours
Medical Review Institute of America, LLC
West Valley, UT4 days ago - ...License Required ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA)is a nationally recognized... ...Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. Were a...SuggestedRemote jobContract workFor contractorsFlexible hours
Medical Review Institute of America, LLC
West Valley, UT29 days ago $20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...care. Join us in making a lasting impact! Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle...SuggestedFull timePart timeRemote workGuidelight Health
Boston, MA20 days ago- ...Fusion HCR Hiring Direct Hire Utilization Review Nurse Fusion HCR is hiring! Direct hire Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient...Suggested
- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...SuggestedTemporary workFlexible hours
- ...Job Description Job Description Description: The Utilization Review (UR) Specialist is responsible for managing the authorization process between HCANA facilities and third-party payers. This role ensures that all services provided—from detox to residential and intensive...SuggestedWork at officeRemote workFlexible hoursWeekend work
- ...Job Description Job Description Executive Director, Utilization Review and Care Management Location: Birmingham, Alabama Job Description The Executive Director, Utilization Review & Care Management is responsible for the strategic direction of the Utilization...Suggested
Triton Health Systems
Birmingham, AL6 days ago - ...Job Description Job Description TITLE: Utilization Review Assistant FLSA CODE: Non-Exempt PROGRAM: George Rosenfeld Center for Recovery (GRCR) OUR MISSION: Since 1967, Odyssey House has been providing innovative services and programs to a broad population...SuggestedTemporary workFlexible hours
$60k
...best practices, and join a care network that promotes the best long-term outcomes for patients. POSITION SUMMARY: The Utilization Review (UR) Specialist will independently facilitate clinical reviews, as necessary, on admission and for continued stay care. The UR...SuggestedPrice workTemporary workFlexible hours$41 - $64 per hour
...Job Description Job Description Utilization Review Nurse (RN) Location: Las Vegas, NV Job Type: Full-Time Pay: $41 – $64/hr (DOE) We are seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate...SuggestedFull timeLancesoft INC
Las Vegas, NV4 days ago- ...Job Description Job Description 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...SuggestedWork at officeShift workWeekend work
- ...Position Summary: Assists in the coordination of the appropriate utilization of services and resources of patient care and continuum at... ...: Assists in the coordination of all aspects of concurrent review process for individual cases. Coordinates clinical documentation...SuggestedPermanent employmentFull timeFor contractors
$32.8 per hour
...Utilization Review (Ur) Coordinator Since 1938 we have grown to over 70 programs, providing assistance to individuals and families throughout the Diocese of Paterson and beyond - we provide help and create hope for thousands of people each day. Our ability to deliver...SuggestedHourly payFull timeMonday to FridayFlexible hours- ...Pediatric Review Nurse Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions... ...by Alliant Health Solutions in the Medical Management and Utilization Review Contract (MMURS). The Pediatric Review Nurse reviews...SuggestedContract work
- ...Utilization Review Rn 1st time ok/ 2 yr exp required for utilization review rn every other weekend required or more depending on unit needs no call or floating required must have experience with milliman care guidelines and acute hospital experience!! The emergency...Weekend work
- ...Registered Nurse Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Position Overview: This is a fully remote...Remote work
- ...weeks) No major holidays Requirements ~2 years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity ~ Must live within one hour of the BJC Commons (4249...Full timeLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work
- ...competitive compensation and benefits package, along with a 401k match and tuition reimbursement program. Summary: The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and...Monday to Friday
$50.84k
...Work hours prescribed and any additional hours deemed necessary for the responsibilities assigned. # Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services. # Provide financial case management support in...Daily paidShift workDay shiftRosecrance Inc.
Rockford, IL12 days ago- Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...Work experience placement
- ...(once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific... ...be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease...Temporary workWork at officeRemote workWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL3 days ago $35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...Hourly payFull timeRemote workWork from homeHome office- ...PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork...Full timeReliefWork at officeLocal areaMonday to FridayNight shift
$30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...impactful care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none! ED Utilization Review/Case Manager The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital...Temporary workWork at office
- ...Utilization Review Specialist Collin Springs-Changes Plano 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...Temporary workPart timeRelief
- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary...Remote jobWork at office
- ...Utilization Review Specialist Collin Springs-Changes Plano 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...Temporary workPart timeRelief
- ...Responsibilities Three Trails Hospital in Independence, MO is actively hiring a Director of Utilization Review/Management to oversee utilization review, case documentation, payer relationships, and regulatory requirements. The name Three Trails was selected...Full timeLocal area
