Average salary: $119,274 /yearly
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$2,900 - $3,000 per week
...Registered Nurse (RN) | Utilization Review Location: California Agency: job.com Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 9 hours Start Date: ASAP About the Position Registered Nurse (RN) | Utilization...SuggestedWeekly payFull timeContract workImmediate startMonday to FridayShift workjob.com
California11 days ago$2,900 - $3,000 per week
...Registered Nurse (RN) | Utilization Review Location: California Agency: job.com Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 9 hours Start Date: ASAP About the Position TravelNurseSource is working...SuggestedWeekly payFull timeContract workImmediate startMonday to FridayShift workTravelNurseSource
California11 days ago$100 per hour
...Registered Nurse (RN) | Utilization Review Location: Sundance, WY Agency: GQR Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: ASAP About the...SuggestedWeekly payFull timeContract workImmediate startShift workDay shiftTravelNurseSource
Sundance, WY12 days ago- ...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 within established parameters. Job...SuggestedWork at officeShift workWeekend work
- ...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
- ...stlouischildrenskvc.org. Join us and be a part of this journey of healing and hope for thousands of children and teens. Job Summary The Utilization Review department carries with it the responsibility of managing those aspects of a patient stay that relates to the initial,...SuggestedFull timeTemporary workWork at office
$74.16 - $107.75 per hour
Description The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting inpatient, partial hospital, and intensive outpatient programs. Performs clinical reviews with third party payors in order to...SuggestedWork at office- ...knowledge of local and national coverage determinations Recent work experience in a hospital or insurance company providing utilization review services Knowledge of Medicare, Medicaid, and Managed Care requirements Progressive knowledge of community resources, health...SuggestedPermanent employmentWork experience placementLocal area
- ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,... ...in acute clinical care Experience with medical record review/utilization review/utilization management Additional Information Are you...SuggestedContract workPrivate practiceMonday to Friday
- 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...SuggestedWork at office
- ...with behavioral health providers to offer a full suite of administrative solutions, including comprehensive medical billing, utilization review services, and credentialing support. Our mission is to simplify the complexities of revenue cycle management, helping providers...Suggested
- 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...SuggestedMinimum wageWork at officeLocal areaShift work
- ...compact)) Employment Type: 4-month contract with possibility of extension Overview We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex inpatient caseload across multiple care settings, including acute, subacute,...SuggestedDaily paidContract workRemote workShift workWeekend 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...SuggestedContract workWork at office- How You'll Contribute Facilitates clinical reviews for all patient admissions and continued stays. Analyzes patient records to determine... ...'s degree (required). Master's degree is preferred. Previous utilization review experience in a psychiatric healthcare facility...SuggestedFull timeTemporary workPart timeReliefFlexible hours
- We are seeking a DC licensed RN to perform utilization management reviews, ensuring healthcare services are medically necessary and meet quality standards. The role involves reviewing treatment plans, consulting with providers, documenting decisions, and supporting care...
- RN-Utilization Review Nurse Inpatient Hybrid Must reside within the New York Tri-State Area - NY, NJ, or CT. VillageCare is looking for a self‑motivated and passionate RN as Utilization Review Nurse for a Full‑time position. This is an exciting and dynamic position...Full time
- Utilization Review Manager page is loaded## Utilization Review Managerlocations: The Aviary Recovery Centertime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR125088Utilization Review Manager | The Aviary Recovery Center | Eolia, Missouri**About the Job...Work at office
$74.16 - $107.75 per hour
Description The Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity... ...management roles for coverage purposes utilization review/payor authorization and patient placement‑ensuring continuity...Work at office- 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 admissions for medical necessity, appropriate level of care...
- ...network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately... ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,...Private practiceImmediate start
- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Work at officeRemote workFlexible hours
- ...and duration of treatment required for complex and/or escalated reviews, and providing guidance to team members and collaborating with... ...the correct and consistent application, interpretation, and utilization of member health care benefits, cost of care options, and coverage...Temporary workLocal area
$117.51k
...Manager, Utilization Management Claims Review Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $117,509.00 (Min.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is...Full time- ...Utilization Review Coordinator The Carolina Center for Behavioral Health is currently hiring utilization review coordinators to join our team of dedicated professionals. The Carolina Center is a 156-bed private behavioral health system located on 13 acres in the Greenville...ReliefCurrently hiringLocal area
- ...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
- ...ensuring our patients receive the optimal level of care that will be most beneficial to their health and recovery. Website: The Utilization Review Clinician is responsible for the managing, reviewing and monitoring the utilization of resources related to the patient and...Work at officeLocal area
$2,544 per week
We are looking for a Travel Utilization Review RN for a great Travel nursing job in Everett, WA. This Utilization Review Travel nursing job pays for 40 hours a week for 13 weeks. Specialty: Utilization Review RN Travel Utilization Review (UR) Registered Nurse : Everett...Shift work$55.56 - $85.96 per hour
A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...Hourly pay- ...insurance Note: Eligibility for benefits may vary by location and is determined by employment status Summary The Group Director, Utilization Review will perform the functions necessary to support and advance Tenet’s Case Management strategy with a specific focus on...Full timeFlexible hoursShift work
