Average salary: $149,508 /yearly
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- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and...SuggestedFull timeWork experience placement
- Blue Cross Blue Shield of Massachusetts is seeking a Manager, Clinical Review to direct the utilization review team for Commercial plans in Hingham, MA. You will lead clinical staff, drive a comprehensive UM strategy, and ensure care is medically necessary, high quality...Suggested
- ...Responsibilities include monitoring hospital performance, guiding policies, and representing the corporation in professional discussions. Applicants with expertise in Quality Assurance and Utilization Review are encouraged to apply. #J-18808-Ljbffr NYC Health + HospitalsSuggested
- Contra Costa Health Plan seeks two Utilization Review Manager positions in Martinez, CA. Lead the Case Management Department’s utilization management, ensuring compliant, timely care coordination across plan lines. Strong regulatory knowledge and people leadership are...Suggested
$48 per hour
Gateway Regional Medical Center is looking for a Utilization Review Specialist RN to join our Case Management team in Granite City, Illinois. This full-time role is ideal for nurses eager to transition into a more analytical and administrative position, focused on service...SuggestedFull time- ...identify individual needs and a specific care management plan to address objectives and goals as... ..., timely and efficient services. Utilizes clinical and social work experts as... ...facilitation reference for care team members Reviews and provides input into policies and...SuggestedWork at office
- Registered Nurse Manager - Utilization Review & Case Management This job involves managing the daily operations of the Utilization Management Program in a Medical Center or Service Area, ensuring cost-effective and quality patient care through proper resource utilization...Suggested
- ...prominent academic medical center in New York seeks a full-time Utilization Review & Quality Assurance Senior Coordinator / Utilization Review... ...utilize clinical knowledge for patient care assessments and manage patient discharge planning. A Bachelor of Science in Nursing...SuggestedFull time
- ...Filled***** Why Join Contra Costa County Health Services? The Contra Costa Health Department is seeking to fill two (2) Utilization Review Manager positions in Contra Costa Health Plan, in the Case Management Department located in Martinez, CA. Contra Costa Health Plan...SuggestedFull timeWork at officeLocal areaShift work
- ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved... ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred....SuggestedFull timeLocal area
- Calvarycenter in Phoenix, Arizona seeks a Utilization Review Manager to oversee utilization management and promote patient satisfaction. This role involves regulatory compliance, case documentation, and payer relationships, ensuring optimal reimbursement. Ideal candidates...Suggested
- Job Title: Utilization Review Manager Location: Chicago; Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to: Chief Clinical Officer Direct Reports: none, subject to change in future About Us God Restoring Order (GRO) Community...SuggestedFull timeWork at office
- Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary’s proven...SuggestedFull timeLocal areaShift work
- Universal Health Services is seeking a Utilization Review Manager (URM) in Phoenix, Arizona. The URM oversees utilization management, including utilization review and case documentation, to ensure the success of the facility and patient satisfaction. Qualified candidates...Suggested
$25 - $35 per hour
Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore, MI...SuggestedHourly payFull timeMonday to FridayDay shift- Harbor Oaks Hospital in New Baltimore, MI is seeking a Utilization Review Manager to oversee admission decisions and authorization processes for inpatient care. The role focuses on maximizing payer benefits while ensuring regulatory compliance. Ideal candidates will have...Hourly payFull timeDay shift
- ...Job Title: Utilization Review Case Manager Status: Full-Time, Non-Exempt, Hourly Schedule: 8:00am-4:30pm PST Join AMFM Healthcare as a Utilization Review Case Manager! The Utilization Review (UR) Case Manager serves as a key member of the interdisciplinary...Hourly payFull timeWork at officeLocal areaImmediate startFlexible hours
A Better Life Recovery LLC
San Juan Capistrano, CA2 days ago $70k - $80k
...Utilization Review Coordinator Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives through... ...Review Coordinator Reports to: Director of Revenue Cycle Management Department/Location: Remote, but only considering candidates...Full timePart timeRemote workGuidelight Health
United States15 hours ago- Nbutexas is seeking a Director of Utilization Review in Costa Mesa, CA. In this key role, you will lead utilization management and social services teams, ensuring regulatory compliance and driving clinical excellence. The ideal candidate will possess a valid California...
- ...Job Description Job Description UR Manager Full Time St. Louis, MO, US Join Us to Build Healing and Hope Together... ...for thousands of children and teens. Job Summary The Utilization Review department carries with it the responsibility of managing...Full timeTemporary workWork at office
KVC Health Systems
Saint Louis, MO18 days ago - ...Overview This position is responsible for performing utilization management and concurrent review activities to ensure appropriate level of care determinations for patients receiving inpatient, observation, emergency, and outpatient services. The role includes conducting...Work at officeFlexible hoursWeekend workWeekday work
Stony Brook Medicine
Stony Brook, NY3 days ago - ...Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City,... ...coordinating timely insurance reviews, maintaining utilization management records, and serving as a liaison between insurance...Work at officeLocal areaImmediate startShift work
Universal Health Services
Mountain City, TN4 days ago $18 - $20 per hour
...Utilization Review Coordinator Primary Purpose: To assign utilization review requests; to verify and enter data in appropriate system(s... ...Enters demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary...Work at officeLocal areaRemote workFlexible hoursSedgwick
United States2 days ago- ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
Universal Hospital Services
New York, NY15 hours ago - ...To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will manage utilization review requests, verify and enter data into systems, and respond to inquiries while working remotely. Key responsibilities Access, triage, and...Full timeWork at officeRemote work
Virtual Vocations Inc
United States15 hours ago - ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization... ...related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills...Daily paidTemporary workReliefLocal area
Coastalharbor
New York, NY1 day ago - ...Job Summary The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations...Work experience placementWork at officeLocal area
Community Health Systems
Franklin, TN1 day ago $77.96k - $120.37k
...The Case Management Supervisor is responsible for directing the operations of their designated... ...May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses... ...technical aptitude with the ability to utilize Microsoft Office including Excel...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shiftCorVel
Folsom, CA3 days ago$19.96 - $24.96 per hour
...Utilization Review Coordinator The Utilization Review Coordinator provides a broad range of clerical and technical support for Utilization Management and Home Safety Modifications. Performance Responsibilities and Standards Provides a wide range of administrative...Temporary workWork at officeImmediate startShift workNascentia Health
Syracuse, NY3 days ago$46k
...Job Address: 4770 Larimer PkwyJohnstown, CO 80534 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate...Flexible hoursNew Vista Behavioral Health
Sierra Vista, AZ3 days ago
