- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-site Recruitment # 241023-5612FP-001 Location Middletown, CT Date Opened 11/5/2024 12:00:00 AM Salary ... Families (DCF (https://portal.ct.gov/dcf) ), seeks qualified individuals for a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) position.… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...on the basis of age for any individual age 40 or older. c. Experience is evaluated on the basis ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,161.60 -...of a verifiable 40 - hour week, unless specified otherwise. Prorated part-time experience… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …of communication with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** ** Utilization Management-Sign on ... **Responsibilities** The Utilization Review LVN nurse ...is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- Humana (Boise, ID)
- …interpretation and independent determination of the appropriate courses of action. The Post-Acute Utilization Management Nurse 2: + Review cases using ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...+ This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York State Psychiatric Institute, P25685 Occupational Category ... Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6 PM Flextime...New York State Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- Covenant Health (Nashua, NH)
- …health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices. + ... and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning… more
- Ascension Health (Milwaukee, WI)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Providence (Anchorage, AK)
- …planning, coordinating, and directly supervising the activities of the case management, utilization review , social services and navigation teams for assigned ... must empower them. **Hours: Full-time, 1.0 FTE, Day Shift, 40 Hours Per Week** **Apply today! Applicants that meet...hire + 2 years of Case Management experience including utilization review , care management, care coordination, discharge… more
- ERP International (Nellis AFB, NV)
- …the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the appropriate ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); Comprehensive Accreditation… more
- UNC Health Care (Raleigh, NC)
- **Description** **Full time exempt, 40 hours per week Utilization Manager - Medical necessity review for Surgical admissions** Become part of an inclusive ... organization with over 40 ,000 diverse employees, whose mission is to improve the...through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II (After Hours Evening) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... and serve as a leader of positive change. The ** Utilization Management Care Coordinator** is a member of the...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... as a leader of positive change. The **Care Coordinator, Utilization Management** is a member of the healthcare team...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Northern Light Health (Waterville, ME)
- …periods of kneeling. + Need to travel to perform responsible duties Position Registered Nurse II- BLR *Work 32 hours, get paid for 40 hours*Location Req ID null ... Hospice Waterville Work Type: Full Time Hours Per Week: 40 .00 Work Schedule: 8:00 AM to 8:30 PM Summary:...Schedule: 8:00 AM to 8:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing.… more
- Ascension Health (Nashville, TN)
- …initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully insured clients to ... + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours week. + **Hospital:** Ascension Saint Thomas + **Location:** Onsite -… more
- Humana (Salem, OR)
- …our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and procedures;… more
- Sanford Health (MN)
- …MN, MN **Address:** **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 40 .00 **Salary Range:** 27.50 - 38.50 **Department Details** Opportunity to work ... level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure… more