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...health first
Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support... ...interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward...
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...Most Loved Workplace®
Forbes Best-in-State Employer
RN Utilization Review
PRIMARY PURPOSE OF THE ROLE: To utilize evidence-based tools... ...alternative treatment.
Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties...
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Work experience placement
Remote job
...organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance... ...develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal...
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For contractors
...(24 hours/week) to cover Weekends (Sat/Sun/Mon) Utilization Management
UTILIZATION MANAGEMENT NURSE REVIEWER
MAIN FUNCTION:
The Utilization Management... ...to the prescribed process.
# Confers with the Physician Risk Advisor (PRA) on any concerns with current...
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Immediate start
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...help us put health first
Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to... ...to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward...
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Full time
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...POSITION SUMMARY
Performs utilization management of medications prescribed and covered under... ...as part of the drug utilization review process, and educates injured workers.... ...medication and discuss with prescribing physician to facilitate intervention or change in...
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Full time
Contract work
...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management... ...decisions to members and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology...
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Local area
Remote job
Work from home
Relocation bonus
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...Shift, 8-4:30 PURPOSE OF POSITION: The primary purpose of the Utilization Review RN Care Manager is to utilize medical necessity criteria to... .... Collaborates with Care Coordination staff members, Physicians, and Financial team staff members to review services requested...
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Full time
Flexible hours
Day shift
...35
Job Summary :
Responsible for reviewing medical records, preparing clinical appeals... ...denials for hospitalized patients. Utilization Review Manager will be responsible for... ...assess discharge needs.
Communicate with physicians to ascertain their plans for a timely...
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...the hospital averages 31,000 Emergency Department visits annually. East Liverpool's medical staff is comprised of more than 160 physicians with an additional 21 resident physicians completing their training in Family Medicine and Internal Medicine. The hospital provides...
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Full time
Work experience placement
Relocation bonus
...advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UR Director leads physician weekly staffing meetings and coordinates with physician’s...
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Part time
Local area
...business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non...
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...Windsor Laurelwood Center for Behavioral Medicine
Utilization Review Supervisor
Job Summary
The Utilization Review Supervisor... ...and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S....
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Temporary work
Part time
Local area
...Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
+ Completes pre-... ...days, and/or any payor-related problems.
+ Facilitates physician reviews promptly when a case is denied.
+ Maintains and...
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Relief
Immediate start
...we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling an Associate Utilization Review Specialist who will:
Be responsible for all core functions in one or more of the following clinical teams:
Prior-authorization...
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Full time
Local area
Remote job
Shift work
...Windsor Laurelwood Center for Behavioral Medicine
Utilization Review Clinician
We are looking for a Utilization Review Clinician... ...-effective manner. Additionally, you work closely with the Physicians and the Social Services department to ensure quality of documentation...
Relief
Local area
...we must empower them.
Providence Health Plan is calling a Utilization Review RN who will:
Provide administration of medical management... ...of clinical nursing experience
~ Experience working with physicians in collaboration and management of patient care
Preferred...
Full time
Local area
Remote job
Shift work
...Windsor Laurelwood Center for Behavioral Medicine
Director of Utilization Review
We are looking for looking for a dynamic Director of... ...and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S....
Local area
..., free from harassment and discrimination, where all team members feel welcomed, valued, and respected.
Summary:
The General Utility position is a basic labor job that can be located in several different functional areas of the plant. In this position the employee...
For contractors
Afternoon shift
$18 - $19 per hour
Company:
US0019 Sysco Cincinnati, LLC
Zip Code:
45241
Minimum Years of Experience:
0-1 Years
Employment Type:
Full Time
Travel Percentage:
0
Compensation Range:
$14.62 - $21.97
The compensation range provided is in compliance with state...
Hourly pay
Full time
Local area
Worldwide
Night shift
