- Eisai, Inc (Louisville, KY)
- …As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, ... with Customers in a compliant manner. Essential Functions Educate on utilization of promoted Oncology therapeutic products for specific indications; deliver… more
- Eisai, Inc (San Francisco, CA)
- …As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, ... with Customers in a compliant manner. Essential Functions Educate on utilization of promoted Oncology therapeutic products for specific indications; deliver… more
- Hartford HealthCare (Torrington, CT)
- …is *your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP… more
- Stanford Health Care (Palo Alto, CA)
- …Skills and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work , care coordination and discharge ... opportunity for a manager that provides mentorship, coaching, and managing those within the Social Work Team. Join us in promoting a culture of teamwork, patient… more
- Mohawk Valley Health System (Utica, NY)
- …Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. Preferred: ... RN - Utilization Review Nurse - Full Time...in related healthcare field (such as respiratory therapy or social work ) may be considered. Licensure/Certification Requirements… more
- Dignity Health (Merced, CA)
- …to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient ... exceed 10% of salary for this position. **Manager of Care Coordination (Case Management) Social Work ** **Position Summary:** As our Manager of Care Coordination … more
- Dignity Health (Long Beach, CA)
- …to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient ... Off (PTO). **Responsibilities** **Position Summary:** As our Manager of Care Coordination Social Work for St. Mary Medical Center, you'll report to our Director… more
- Northeastern Vermont Regional Hospital (St. Johnsbury, VT)
- …support to achieve metrics for conditions of participation, including utilization review , medical social work , discharge planning, crisis mental health, ... Kingdom of Vermont! **Qualifications:** Candidates need a Bachelor's Degree in Human Services, Social Work , or a related field. Master's in Social Work … more
- HCA Healthcare (Ogden, UT)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long-...personal growth, we encourage you to apply for our Social Worker opening. We promptly review all… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… 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
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... Utilization Review experience.** ** * ** *Your...RN and Case Manager RN, in conjunction with a Social Worker. *About our Health System* SOVAH Danville is… more
- Idaho Division of Human Resources (Boise, ID)
- Utilization Review Analyst - MED Posting Begin Date: 2024/11/01 Posting End Date: 2024/11/24 Category: Accounting and Finance Sub Category: Medical Billing & ... Coding Work Type: Full Time Remote: Flexible Hybrid Location: Boise,...Department of Health and Welfare is hiring a Medicaid Utilization Review Analyst in Boise . Do… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …TITLE: Utilization Review Clinician REPORTS TO (TITLE): Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary ... party payers. + Recordkeeping: Maintains appropriate records of the Utilization Review Department. + Training: Provide staff...LPT, LVN or LPC + Preferred; Master's degree in Social Work , Behavioral Science, or related field.… more
- Centene Corporation (Madison, WI)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... competitive benefits including a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE/ WORK FROM HOME, WORK SCHEDULE WILL BE MONDAY-FRIDAY 8AM -… more
- Providence (Mission Hills, CA)
- **Description** Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records ... strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The … more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Providence (Anchorage, AK)
- …includes planning, coordinating, and directly supervising the activities of the case management, utilization review , social services and navigation teams for ... Managers upon hire + 2 years of Case Management experience including utilization review , care management, care coordination, discharge planning, or population… more
