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$31.94 - $43.92 per hour
...Create and manage discharge plans Coordinate with MDs, nurses, and social workers Lead care planning discussions Utilization Management Review medical necessity & admission status Ensure correct level of care (IP vs Observation) Communicate with insurance/...SuggestedRelocation packageShift workWeekend workAfternoon shiftLancesoft INC
Tallahassee, FL5 days ago$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- ...Manager of Utilization Review (RN) Manager of Utilization Review (RN) will lead our hospital's utilization management program. This key... ...rehabilitation, surgical specialty, women's health, imaging and pediatrics. The nursing team at St. Joseph's University Medical...SuggestedHourly payDaily paidFull timePart timeWorldwideShift work
- ...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
$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, MA12 days ago- ...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...SuggestedMonday to Friday
- ...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 Director joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this...SuggestedFull timeTemporary workPart timeWork at office
- ...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, UT26 days ago - ...successfully passing CHAP surveys and client audits; and operate with ethics at the center of our Core Values. We are looking for a Utilization Review Licensed Vocational Nurse to join our fast-growing team. Become part of a notable company and help us achieve our goals!...SuggestedWork at office
NEOGEN CARE
Los Angeles, CA11 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...SuggestedHourly payFull timeRemote workWork from homeHome office$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...SuggestedDaily paidShift workDay shiftRosecrance Inc.
Rockford, IL4 days ago- ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities...SuggestedTemporary workCurrently hiringFlexible hours
- ...Manager Centralized Utilization Review At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review department to ensure efficient, high-quality, and compliant utilization management...SuggestedPermanent employment
- ...At Bradford Health Services, we don’t just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing...SuggestedFull timePart timeReliefWeekend work
$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...SuggestedHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible 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...Work experience placement
- ...Employer", may be the place for you! POSITION SUMMARY The Pediatric Review Nurse, as a member of a professional multi-disciplinary team... ...by Alliant Health Solutions in the Medical Management and Utilization Review Contract (MMURS). The Pediatric Review Nurse reviews...Contract work
$32.95 per hour
...USD $32.95/Hr. Max USD $52.73/Hr. Overview Shift: 12pm - 12am or 8:00-4:30pm Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital...Shift work- ...Primary Stroke Center Level III Neonatal Intensive Care Pediatric Intensive Care The most advanced cancer heart and vascular orthopedic... ...ongoing pre-certification concurrent and retrospective reviews on the Tallahassee Memorial Behavioral Health Center (TMBHC) inpatient...Full timeSecond jobWork at office
$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- ...candidates to the culture of an organization as well as required skill sets Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,...Work at officeShift workWeekend work
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment... ...recertification prior to employment. Experience: Must have Pediatric experience. Minimum of 1.5 years of recent experience (...Hourly payFull timePrivate practiceMonday to FridayDay shift$77.96k - $120.37k
...Utilization Review Case Management Supervisor The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shift$41.6k - $47k
...Utilization Review Specialist HYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470 EMPLOYMENT TYPE- Full-Time Exempt About Umpqua Health At Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work- ...community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a non-licensed, full-time Clinic Utilization Review Specialist to join our Case Management team. At SRMC, our patients are our number one priority. We aim to provide...Full time
- ...brain injury neurological conditions trauma spinal cord injury amputation or orthopedic injury. How youll contribute: Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine...Full timeTemporary workFlexible hours
- ...partnering with a healthcare organization seeking experienced Nurse Reviewers for a long-term engagement with the possibility of full-time... ...similar criteria to determine medical necessity. Perform utilization management across DME, acute care, inpatient services, imaging...Full timeContract workWork at office
Astyra Corporation
Denver, CO10 days ago $75k - $95k
...Utilization Review Manager Reports to: CEO Job Category: Salaried Exempt Full-Time Starting Salary: $75000-$95000/year (DOE) Job Site: Remote (must reside in Colorado) Job Summary: The Utilization Review Manager is responsible for overseeing utilization...Hourly payFull timeRemote work- ...To monitor adherence to the hospital’s utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an array...Work experience placementWork at office
- ...Review service plan requests from case managers, daily a. Ensure plans are detailed and comprehensive i. Communicate with case managers, in writing and by telephone, to obtain information, provide technical assistance, and resolve service plan/ client issues...Full timeImmediate start
