- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P25595 Occupational ... more
- Intermountain Health (Murray, UT)
- …+ Occasional travel to provider locations within Select Health region. ** Utilization Review and Care Management:** + ** Review and Analysis:** ... more
- Health Advocates Network (Medford, OR)
- Health Advocates Network is urgently hiring Discharge Planning and Utilization Review Registered Nurses (RNs) in the Medford, OR area. Must have 2 years of ... more
- Sedgwick (Memphis, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Physical Therapy Utilization Review Advisor **PRIMARY PURPOSE** **:** Counsels providers ... more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Talent Utilization Coordinator will serve as the lead for managing staffing and utilization across ... more
- CVS Health (Olympia, WA)
- …cardiology **Preferred Qualifications** -1+ years' experience in either Precertification or Utilization Review -1+ years' experience Managed Care -Strong ... 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 ... more
- McLaren Health Care (Detroit, MI)
- … records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three years of recent ... more
- Humana (Columbus, OH)
- …problem-solving skills, facilitation skills **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change, ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …external facility or providers as needed to gather clinical information to support the medical necessity review process and plan of care. + Support a positive ... more
- Katmai (Usaf Academy, CO)
- …need for inpatient/outpatient precertification. **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification requests for medical necessity, referring ... more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... more
- Molina Healthcare (Columbus, OH)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... more
- The Estee Lauder Companies (Miami, FL)
- Estee Lauder Companies Travel Retail Americas is looking for their next Corporate Account Manager **Description** The key objectives of this role is to manage and ... more
- Excellus BlueCross BlueShield (Rochester, NY)
- …II (in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of ... more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Business Operations ** Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Guidehouse is seeking ... more
- Molina Healthcare (Albany, NY)
- …community and accessing and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or risk management a plus. * ... more
- Houston Methodist (The Woodlands, TX)
- …the liaison to other medical staff committees that interface with the utilization review /management committee. Assist with the evaluation of the hospital's ... more
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