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- ...Description: Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse) , you’ll play an important role in helping us offer customized, self-funded insurance options to our clients...SuggestedFull timeTemporary workWork at officeFlexible hours
- 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...SuggestedWork experience placement
- ...Utilization Review Specialist Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care...SuggestedTemporary workCurrently hiringFlexible hours
- ...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
- ...Utilization Management Specialist Schedule/Shift: Monday - Friday 8:00a- 5:00p on site at our S Main Street Location. Key Functions 1. Perform both internal and external record reviews as part of daily department operations. Cooperates with Admissions to complete...SuggestedFull timeWork at officeMonday to FridayShift work
- ...Manager of Utilization Review The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical regulatory standards, and enhancing the overall utilization review process to optimize patient care and...SuggestedWork experience placementNight shift
$17.44 per hour
...Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance the well-...SuggestedHourly payFull timeWork at officeFlexible hoursWeekend work- ...'s nursing professionalism, teamwork, and superiority in patient care. Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,...SuggestedWork at officeShift workWeekend work
- ...Utilization Review Specialist At Cottonwood Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those...SuggestedTemporary workFlexible hours
- ...Utilization Review Coordinator Fully Remote Franklin, TN 37067 Overview Level: Experienced Position Type: Full Time Education Level: 4 Year Degree Category: Health Care Description Who We Are: Join a passionate and caring team who work collaboratively...SuggestedFull timeContract workLocal areaRemote workFlexible hours
$40.72 - $63.12 per hour
...Job Description Job Description Job Title: Utilization Review Nurse (RN) Location: Las Vegas, Nevada Job Type: Full-Time Salary: $40.72 – $63.12 per hour Position Summary: We are seeking an experienced Utilization Review Nurse (RN) to join a healthcare...SuggestedHourly payFull timeWork at officeShift workWeekend work- ...Utilization Review Specialist At Highland Springs, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Utilization Review Specialist joining...SuggestedFull timeTemporary workPart timeFlexible hours
- ...Utilization Management And Quality Screening Responsible for utilization management, quality screening and delay management for assigned... ...on departmental standards. While performing utilization review identifies areas for clinical documentation improvement and contacts...Suggested
$52.26 - $81.13 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedMinimum wageFull timeLocal areaShift 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
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...Minimum wageFull timeWork at officeLocal areaShift work$45.9 - $71.4 per hour
...Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...Remote job- ...Utilization Review Coordinator New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator for our team in Columbus, OH! The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate and highly...Flexible hours
- Weekend Requirements UR RN 4 weekend shifts (days) in a six-week period but can be more 16 week assignment Bestica HealthcareShift workWeekend work
- ...vertical line business that are here to support those who are seeking recovery. The Role Itself Position Summary: The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes...Work at officeFlexible hoursShift work
- ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscapeanalyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple...
- Job Opportunity Start date: ASAP Shift: 5x8 Days Monday-Friday Years of Experience Required: 1 year First-timers accepted: Yes Weekends Required: No Certs Required: BLS, WA RN License Will the position be full-time, part-time, or contract? Bestica HealthcareFull timeContract workPart timeImmediate startMonday to FridayShift workWeekend work
- ...Job Description Job Description POSITION POSTING: Utilization Review DEPARTMENTS: Nursing STATUS Part-Time: 24 hours per week HOURS : Day shift. Hours may be adjusted in response to workload demands; Low census may be utilized in accordance with hospital...Part timeDay shift
- ...leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor – Utilization Review to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a...Local areaImmediate startShift work
- ...Heart Association required ~2 years Clinical Nursing Experience required ~1 year Preceptor or Educator Experience preferred ~ Utilization Management experience required. Responsibilities: Provides nursing consultation and clinical expertise to individual...
- ...Assistant Director, Utilization Review The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as well as for the collection...Work at officeLocal area
$60k - $72k
...Job Description Job Description Description: Utilization Review Manager Reports to: CEO Job Category: Salaried | Exempt | Full-Time Starting Salary: $60,000-$72,000/year (DOE) Job Site: Remote (must reside in Colorado) Job Summary: The Utilization...Hourly payFull timeRemote work$40 - $63 per hour
...Job Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer...Full timeWork at officeShift workWeekend work- ...placed in the appropriate level of care while monitoring the utilization of healthcare resources and discharge planning to achieve the... ...party payer regulatory requirements. # Performs initial status review and level of care placement on all patients in an inpatient...Shift work
- ...PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday Description With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion...Full timeReliefWork at officeLocal areaMonday to FridayNight shift
