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$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$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- 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
- ...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
- ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is... ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant...SuggestedFull timeLocal area
$250k
...system situated north of Philadelphia, Pennsylvania, in search of a Family Medicine physician to join our team in a non-clinical utilization review role. Opportunity Highlights ~ Work schedule is Monday to Friday during daytime hours, with the possibility of partial...SuggestedRemote workMonday to FridayEnterprise Medical Services
Philadelphia, PA6 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
- ...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
$72.23 - $99.98 per hour
...RN Case Manager assists patients in the utilization of appropriate health care services.... ...required to know and understand will be reviewed and evaluated during job specific/department... ...s services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-...SuggestedDaily paidMinimum wageLocal areaShift work- ...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
$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 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- ...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...SuggestedContract work
$35 - $50 per hour
...Job Title : Nurse Chart Reviewer Location : West Hills/Canoga Park 91305 (This role is HYBRID not remote) Overview: The Retro... ...(LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims...SuggestedContract workTemporary 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...SuggestedShift 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
$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$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$48k - $50k
...Job Description Job Description UTILIZATION REVIEW SPECIALIST LEAD 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, we’re more than a healthcare organization...Full timeLocal areaImmediate startRemote workMonday to Friday- ...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
$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$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 shift- ...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
- ...Job Description Job Description A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team! Utilization Review Registered Nurse Opportunity: Full-time, permanent position Schedule: Monday-Friday,...Permanent employmentFull timeMonday to Friday
- ...Description Join our dedicated team at Injury Management Organization, Inc. as a Full-Time Registered Nurse specializing in Utilization Review! Located in Plano, TX, this hybrid position offers an exciting opportunity for RNs with a background in Workers' Compensation...Full timeFlexible hours
$900 per month
Case Manager Utilization Review Case Management Position type: Full Time Pay/Salary: Open Shift: 1st Hammond-Henry Hospital, located in Geneseo, Illinios, is a critical access hospital with Family Medicine and Urgent Care Clinics proudly serving our communities...Full timeTemporary workShift work$21 - $26 per hour
...ensuring clients receive timely and medically necessary care. Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP,...Hourly payFull time$211.2k - $277.2k
...Job Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members....Full timeLocal areaRemote workWork from homeHome officeWeekend work$72.42k - $83.92k
...The Utilization Review Nurse assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; analysis; and outcomes reporting. Utilizes standards of care, evidence based practices, Medicare and Medicaid...Temporary workWork at officeImmediate startRotating shift$2,200 - $2,400 per week
...resources. Conducts appropriate concurrent and retrospective reviews on referred care to patients to determine the appropriateness... .... EXPERIENCE REQUIREMENTS ~1 year case management or utilization review CERTIFICATION REQUIREMENTS ACLS BLS...
