- Altru Health (Grand Forks, ND)
- …initiating and participating in restructuring of current and new programs.Performs utilization review when required.Collaborates with Primary Care Provider (PCP) ... regarding the patient's progress and changing needs.Performs other duties as assigned or needed to meet the needs of the department/organization.Certification:Licensed Clinical Social Worker (LCSW) | North Dakota Board of Social Work Examiners | Prior to Start… more
- Altru Health (Grand Forks, ND)
- …Management to achieve cost savings by focusing on appropriate supply standardization, utilization , and process improvements to seek high quality and cost effective ... includes representing Altru in Cohort and Captis organizational meetings, review of contract opportunities, tracking of participation/compliance requirements, maintaining… more
- Saint Francis Health System (Tulsa, OK)
- …an on-site office location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office location via secure virtual ... toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources, suitable to patient age and… more
- CrowdStrike, Inc. (Austin, TX)
- …and a frictionless business motion; be a key stakeholder in the deal review process; actively engage in the largest commercial opportunities to deliver customer ... ongoing sales enablement activities and programs, including adoption and utilization of CrowdStrikes Sales Tools & Capabilities.Partner with CrowdStrike Territory… more
- Saint Francis Health System (Tulsa, OK)
- …toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources, suitable to patient age and ... decisions from many diversified alternatives that are subject to general review in final stages only.Working Relationship: Coordinates activities of others (does… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Manhattan Psychiatric Center, P25105 Occupational Category Health ... Code 10035 Minimum Qualifications Manhattan Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …necessity recommendations, as requested Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested ... Decision-Making Authority: Responsible for collaborating with the utilization review department as these issues relate to commercial payers, to meet established… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete assigned duties in providing care to… more
- Beth Israel Lahey Health (Needham, MA)
- …difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend and ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- State of Connecticut, Department of Administrative Services (Wallingford, CT)
- Utilization Review Nurse Coordinator Hybrid Recruitment # 240624-5613FP-001 Location Wallingford, CT Date Opened 6/27/2024 12:00:00 AM Salary $86,261 - ... has a full-time (1st shift) job opportunity for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) , in… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN - Utilization Review (Full-time/Billings) CARE MANAGEMENT ... tuition loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is to conduct initial, concurrent,… more
- Prime Healthcare (Bristol, PA)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech ... essentially works to coordinate the utilization review and appeals process as part of the denial...appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating… more
- Baptist Memorial (Memphis, TN)
- Summary Responsible for the Utilization Review Program across the system. In collaboration with system care coordination leadership ensures the strategic goals ... for Utilization Review are established and achieved. Establishes policies and procedures that incorporate best practices and standardization across the system.… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Utilization review ... tech essentially works to coordinate the utilization review and appeals process as part of the denial...all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization Review ... for services requiring clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as specified… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the primary liaison between the funding agents and all… more
