Search Results: 72,511 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
...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
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
Description
Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review... ...with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization...
Suggested
Remote job
Part time
Local area
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
...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
...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...
Suggested
Full time
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
...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
Are you a problem solver with a passion for improving healthcare services? VillageCare is seeking a Full Time Utilization Management DME Manager to join our team. In this fully remote role, you will have the opportunity to make a significant impact on patient care by managing...
Suggested
Full time
Second job
Remote job
...Job Description
Job Description Job Title: Utility
Summary:
The Utility associate is responsible for various services to... ...responsibilities as directed by the business or as assigned by management . This is a non-exempt position and typically reports to the...
Suggested
Local area
...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
...infrastructure, energy, construction, program management and environmental markets. NV5 is an ENR... ...who will work on New York City utility infrastructure design projects at our office... ...plates, NYCTA Subway records, etc.
* Reviewing and assisting with development of catch...
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...
The Manager, Utility-scale Developer - East Region at RWE Clean Energy is responsible for initiating, developing, and acquiring utility-scale solar, wind and energy storage projects in the US and Canada. The East Development group focuses on ISO-NE, NYISO, PJM-East and...
Holiday work
Temporary work
Work experience placement
Offshore
Flexible hours
...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...
...services specializing in the installation of utility and industrial process infrastructure... ...expertise and manpower.
PROJECT ENGINEERING MANAGER - UTILITIES
PPG is an EPC contractor... ...ESSENTIAL DUTIES: Lead the coordination and review of our engineering subcontractors...
Contract work
For contractors
For subcontractor
Join our team at VillageCare as a Full Time Utilization Management, Non-Clinical Supervisor in this exciting remote position! As a key player in our organization, you will have the opportunity to demonstrate your problem-solving skills while ensuring the delivery of high...
Full time
Remote job
