Search Results: 72,854 vacancies
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for assigned... ....
• While performing utilization review identifies areas for clinical documentation...
Suggested
Permanent employment
Shift work
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 health plan. Responsible for the administration...
Suggested
Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
Suggested
Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...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
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
Suggested
Holiday work
Full time
Local area
Remote job
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...
Suggested
Contract work
For contractors
...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...
Suggested
Contract work
Immediate start
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 Guidelines...
Suggested
Full time
...solutions to satisfy the complex needs of the sectors we serve.
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...
Suggested
Holiday work
Temporary work
Flexible hours
...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...
Suggested
Local area
...innovative and experienced leader to join our team as the RN Utilization Management Nurse. Compensation will be commensurate with experience.... ...UM) determinations in accordance with Article 49-Utilization Review. •Ensure UM is completed by following all regulatory guidelines...
Suggested
...– come join us!
We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The... ...collaboratively with the interdisciplinary treatment team to review all managed care medical record documentation for compliance as required...
Suggested
Holiday work
Full time
Monday to Friday
...getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating...
Suggested
Professional, Concurrent Review - RN
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont... ...Functions : Implements the operational functions of the MVP Utilization Management program.
Reviews inpatient medical records against...
Suggested
Permanent employment
Full time
Contract work
Local area
Remote job
Afternoon shift
...excellence across product lines.As a Product Portfolio Operations Manager in Operations Product & Strategy, you are a foundational member... ...Experience with and understanding Digital Products Familiarity with CCB and/or Utilities products Comfort with technical concepts...
Suggested
Shift work
...expected time frame and with the most efficient utilization of resources. Carries out activities related to utilization management, discharge planning, care coordination and... ...Experience in managed care performing utilization review and discharge planning preferred.
Training...
Full time
...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...
Full time
Remote job
Flexible hours
...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
...Hiring Manager: Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift Supervisor. The... ...authorized to give instructions or assignments.
A review of this position has excluded the marginal...
Hourly pay
Contract work
Shift work
Night shift
All shifts
...are actively scaling our company.About the Role & What You'll Be DoingJoining our team as a Client Relationship Account Manager for our Bill Review Clients means being at the forefront of Alaffia's commitment to excellence in client service and satisfaction. You will play...
Contract work
Remote job
Flexible hours
