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$174.07k - $374.92k
...care one person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for provisioning accurate...SuggestedHourly payFull timeLocal areaRemote work- ...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 $55 per hour
...Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare... ...: Experience in case management, utilization management, or discharge planning. Experience... ...Nurse, Out-Patient Case Manager Travel Pediatric ICU Registered Nurse - $840 per week...SuggestedFull timeContract workTemporary workLocal areaRemote work- Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical... .... Every day, you will meticulously review medical records, authorize services, and... ...emergency centers offering adult and pediatric care for the Greater Houston area. #J-1...Suggested
$38.16 - $59.15 per hour
...determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: RN Utilization Review Location: Naperville, IL Full Time: 40 hours/week Hours: Monday-Friday, 8:00a-4:30p, rotating every 6-8 weekend...SuggestedHourly payFull timePart timeFor contractorsMonday to Friday$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$15k
Sign on bonus may apply up to $15,000 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 officeRelocation packageShift workWeekend work- WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker’s treatment are effective, efficient, and in accordance with applicable legal requirements. This...SuggestedPermanent employmentFull timeWork at officeWork from home2 days per week
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue‑cycle management professionals specializing in the substance use disorder, mental...SuggestedWork at officeRemote workFlexible hours- ...levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics. Utilization Review Specialist Job description Perform duties to authorize and review utilization of mental health and substance abuse services...SuggestedHourly payFull timeWork at officeVisa sponsorshipMonday to FridayWeekend work
- ...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
- ...care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor... ...members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select...SuggestedImmediate startRemote work
$78.56k - $110.91k
...Location: Remote Facility: Ascension Saint Thomas Department: Utilization Management Schedule: Part Time | Weekends Salary: $78,561.60... ...0 per year What You Will Do: Admissions & Medical Necessity Review: Evaluating service requests and admissions for medical...SuggestedTemporary workPart timeLocal areaRemote workWeekend work- Job Posting Location: 1523 St Charles Avenue, New Orleans, LA, 70130, United States Job Category: UM, RN Employee Type: Full Time Exempt Required Degree: 4 Year Degree Manage Others: No Maximum Experience: 3 Years AbsoluteCareSuggestedFull time
$71.61k - $111k
...America) Salary Range: $71,612.39 - $110,999.20 Responsibilities Utilization management and quality screening for assigned patients. Delay... ...proper use of MCG and documentation requirements through case review and inter‑rater reliability studies. Collaborate with the...SuggestedRemote workShift work$18.5 - $26.04 per hour
General Summary Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. UR Specialist will develop and maintain a VOD Tracking and Receipt system. UR Specialist will maintain an expert level review of...Work experience placement$18 - $19 per hour
Utilization Review Coordinator PRIMARY PURPOSE To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Accesses, triages...Work at officeLocal areaFlexible hours- Utilization Review Coordinator Weekend Shifts Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120-bed...Work at officeLocal areaShift workWeekend work
- Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Qualifications Nursing school graduate. California Registered Nurse License upon hire. 3...Work at office
- Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Required Qualifications Nursing school graduate. California Registered Nurse License upon hire...Minimum wageWork at officeLocal areaShift work
$54 - $66 per hour
We are recruiting for a Utilization Review Nurse to join a large healthcare organization within the Sacramento region. The Utilization Review Nurse is responsible for overseeing the daily operations of the UM Pre-Authorization team, ensuring referral requests are processed...Contract workWork at office- Job Description Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external...Flexible hours
- ...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
- ...seeking a change from the hospital setting? 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
- ...Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. Job Summary The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and...Work experience placementWork at officeRemote workFlexible hoursWeekend work
$72.47k - $111.2k
...Health are actively hiring and accepting applications in the Jackson, MI area for the following position: Registered Nurse - Utilization Review . Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization...Daily paidFull timePart timeShift workDay shift- Position Overview At Houston Methodist, the Manager Centralized Utilization Review (UR) is responsible for leading the daily operations of the Utilization Review department to ensure efficient, high‑quality, and compliant utilization management practices across the organization...Contract work
- ...forward‑thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. The Utilization Review Specialist Senior responsibilities include: Functions as the primary liaison between the funding agents and all other...ReliefWeekend work
- Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...Remote 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...Permanent employmentFull timeFor contractors
