Search Results: 52,925 vacancies
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~38 hours per week
~...
Suggested
Weekly pay
Holiday work
Shift work
...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree... ...Proficient in the use of technology including excel, project management tools, flow charting software, powerpoint and other analytical...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...assigned staff to ensure that all case management processes are in order; including coordinating... .... The role integrates and coordinates utilization management, care coordination, discharge... ...that staff have MCG training modules to review as needed.
Growth
Uses MCG...
Suggested
Holiday work
...abnormal cardiac rhythms. Initiates and maintains intravenous therapy. Position summary: The vein and vascular RN is responsible for managing the care of the adult patients scheduled or vein and vascular surgical procedures in an outpatient surgical setting. The...
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Contract work
Immediate start
Shift work
...assigns appropriate level of care. The Reviewer is responsible for obtaining the order for... ...and Appeal team.
11. Notifies the managed care companies of patients requiring transfer... ..., one year of which has been served in Utilization Review/Quality Assurance; or,
2....
Suggested
Holiday work
Immediate start
Shift work
...Responsibilities
Utilization Review Manager Opportunity
Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at...
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Local area
...Job Description
Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the...
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Remote job
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Overview:
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited...
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Contract work
For contractors
Exciting Opportunity for experienced RN Utilization Management Leaders! As a Full Time Director of Utilization Management at VillageCare, you will... ...at VillageCare, you can expect to oversee the utilization review process, collaborate with interdisciplinary teams to...
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Holiday work
Full time
Remote job
Monday to Friday
...experiences that have shown to be recognize us as a financial leader.
We are looking for a talented AVP of Financial Due Diligence Review Manager that has a strong background in assessing and managing third-party relationships to ensure a banks financial position, risk...
Suggested
Interim role
Bank staff
...Hackensack, NJ
Job Category
Engineering
Description
Boswell Engineering is seeking an experienced Project Manager in the electric utility industry.
Responsibilities:
Project managers will be assigned projects that range from replacing a breaker at a substation...
Suggested
Holiday work
Temporary work
Flexible hours
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~38 hours per week
~...
Suggested
Weekly pay
Holiday work
Shift work
...FTI Consulting's Acuity team which includes supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this position will utilize various platforms including Relativity, Nuix Discovery and Reveal/Brainspace...
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Full time
Remote job
Flexible hours
...Job Description
Job Description POSITION OVERVIEW:
The Utilization Manager is responsible for the day to day functions of collaborative... ...pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect to MCO...
Suggested
...Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer.
The duties for this position will include, but are not... ...and/or review of consultant drawings and specifications (utilizing Blue-Beam), site inspection and reports, ad hoc technical investigations...
Permanent employment
Full time
For contractors
...direction of the Senior Director of Clinical Review, the Clinical Review Nurse is... ...coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews,... ...quality of care concerns to Quality Management.
* Maintains confidentiality of all information...
Flexible hours
...Overview
Conducts daily reviews of case files, letters, and database records against required criteria. Ensures compliance with VNS... ...all aspects of grievances and appeals for Medicare and Medicaid managed care organizations. Serves as subject matter resource to team...
Work experience placement
Immediate start
...Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent Manager of Utilization Review/Case Management for a facility in New York.
Description:
Assists the Director in overseeing the Utilization Management program within...
Permanent employment
...We Are:
Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and sustainable... ...to design and implement the next generation of work and asset management solutions: your bread and butter are the utility processes underlying...
Local area
Flexible hours
