Utilization Review Nurse - Work From Home

Novare Network
 ...Job Description Novare is seeking a Utilization Review Nurse – Workers’ Compensation to join...  ...a remote position and any California Work Comp experience is a huge plus! The Utilization...  ...certificate in a healthcare field (LVN/LPN). ~ Certified Case Manager (CCM),... 
Dallas, TX
15 days ago

Utilization Review LVN/LPN

new
Collabera
 ...Job Description Care Review Clinician - LVN/LPN Medical Experience - General Med/Surg This is...  ...for the role ~ Candidate must have Utilization Management/ Prior Authorization experience...  ...measures. Completes assigned work plan objectives and projects on a timely... 
West Louisville, KY
1 hour ago

LPN Case Manager Clin Authrzn - Utilization Review

MEDSTAR HEALTH
 ...Qualifications Education/Training Valid LPN license in the State of Maryland. ~ Experience ~1 year utilization review experience; 3 years diverse clinical...  ...meetings, Pharmacy and Therapeutics Committee, work groups, etc. as assigned. Provides input, completes... 
Baltimore, MD
3 days ago

Utilization Review Nurse

Memorial Health
Overview Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to...  ...years of recent acute care and/or home health nursing or case management...  ...necessity of admission in level of care. Works with Social Services for patients... 
Springfield, IL
4 days ago

LPN Utilization Review Analyst

Northwood, Inc.
 ...Job Description   Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst (LPN) Reports To: Director of Health Benefit Operations Department...  ...clinical assessment skills. Work with minimal supervision. Communicate... 
Madison Heights, MI
7 days ago

RN-Utilization Review

Ascension
 ...We Are Hiring RN-Utilization Review - Case Management 002 - Full-Time, Day - Ascension Borgess Hospital - Kalamazoo, MI Schedule:...  ...20,000 associates. Across the state, Ascension Michigan is working together to help bring patients more resources and better care... 
Kalamazoo, MI
2 days ago

Utilization Review Nurse

Healthcare Support
 ...Are you an experienced Utilization Review Nurse looking a new opportunity with a prestigious healthcare...  ...receiving appropriate care. They are working to keep hospital stays short and ensure...  ...Requirements: ~ Active RN or LPN License in MD ~1+ years of UM/UR... 
Linthicum Heights, MD
7 days ago

Utilization Review Assistant

Compass Health Network
 ...FUNCTIONS – JOB SPECIFIC • Performs concurrent reviews for quality management • Ensures timely...  ...displaying identification badge during work hours • Other duties as assigned...  ...of experience in a psychiatric setting if LPN license is not obtained LICENSURE/CERTIFICATION... 
Windsor, MO
7 days ago

Utilization Review Specialist

Wilmington Treatment Center
 ...EXPERIENCE/SKILL REQUIREMENTS: ~ LPN Diploma with a current NC...  ...OR Bachelor’s Degree in Social Work, Behavioral Health, Mental...  ...facility and previous experience in utilization management preferred....  ...professional clinical staff. Conduct reviews, in accordance with... 
Wilmington, NC
7 days ago

Utilization Review Nurse

new
Physicians Health Plan of Northern Indiana, Inc.
 ...Position purpose: Utilizing approved criteria, member eligibility, and...  ...performs initial utilization reviews, including pre-admission certifications...  ...Equipment Medication, Home Care Specialty Reviews,...  .... # Must be able to work with a wide variety of people... 
Fort Wayne, IN
11 hours ago

Utilization Review Specialist- LPN or Social Worker (PRN)

Vermilion Behavioral Health
 ...organizations and the facility’s 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... 
Lafayette, LA
7 days ago

Registered Nurse - Utilization Review

Ascension
 ...We Are Hiring Registered Nurse - Utilization Review - Case Management 001 - Part-Time, Day - Chevy Chase Building - Austin,TX Schedule...  ...from an accredited school/college of nursing required. Work Experience: None required. Critical care experience... 
Austin, TX
4 days ago

RN Utilization Review

Franciscan Hospital for Children
 ...Responsible for carrying out patient care utilization review program, which facilitates the appropriate use of resources and quality of care...  ...: Five years of prior clinical experience working with children and adolescents with behavioral and psychiatric... 
Boston, MA
1 day ago

Utilization Review Tech

Prime Healthcare
Responsibilities The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry, mailing/faxing appeals... 
Ontario, CA
7 days ago

Utilization Review -- RN

Accident Fund Holdings, Inc
 ...prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and...  ...planning, case management, and utilization review, etc. Demonstrated clinical knowledge...  ...customer service and interpersonal skills. Working knowledge of current industry Microsoft... 
Glen Allen, VA
7 days ago

Utilization Review Coordinator

Sedgwick Claims Management Services, Inc
 ...Utilization Review Coordinator IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join...  ...in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are... 
Carson City, NV
1 day ago

Utilization Review Coordinator

Prime Healthcare
Responsibilities Coordinates and reviews all medical records, as assigned to caseload. Actively participates...  ...open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge... 
Ontario, CA
7 days ago

Utilization Review Coordinator

Recovery Centers of America
 ...Position Overview: Coordinates utilization functions and personnel to comply with hospital procedures and federal regulations. Acts as an...  ...a supervisor or manager. Specific Responsibilities: * Works on UR team and assists other members and managers * Provides... 
Danvers, MA
7 days ago

RN Utilization Review

A-Line Staffing Solutions
 ...guidelines to emergent/urgent and continued stay reviews. Perform review of emergent/urgent...  ...discharge planning Educate providers on utilization and medical management processes...  ...addressing changing daily priorities ~ Work collaboratively in team ~ Time... 
Linthicum Heights, MD
7 days ago

Utilization Review RN

Integrated Resources, Inc
 ...Tittle: Utilization Review RN Location: Watertown, MA Duration: 5+ Months   Job Description: Provide a range of utilization management...  ...to department documentation standards Ability to work independently, highly motivated, and self-directed with strong... 
Watertown, MA
7 days ago