- Independent Health (Buffalo, NY)
- …perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review ... more
- Trinity Health (Des Moines, IA)
- …**Description:** **_Are you an experienced Director of Care Management & Utilization Review looking for an interim assignment? Join Trinity Health 's ... more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review - RN Per Diem, Fully Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. ... more
- Community Health Systems (Naples, FL)
- …Role ** Comprehensive Benefits **Job Summary** Under the direction of the UR Director /Manager the UR Nurse reviews all admissions for medical necessity, correct ... 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... more
- Prime Healthcare (Ontario, CA)
- …Clinical Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according ... more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses ... more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years ... more
- Katmai (Usaf Academy, CO)
- …Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. + Review clinical ... more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... more
- Sharp HealthCare (San Diego, CA)
- …or clinical experience in area of specialty. + 2 Years clinical experience in Utilization Review , Discharge Planning and/or Case Management in a hospital and/or ... more
- Banner Health (Mesa, AZ)
- …the health care transformation, planning the future of Banner Health. As an Associate Director RN for Cardiovasular ICU unit at Banner Desert Medical Center you will ... more
- Banner Health (Mesa, AZ)
- …service skills, and flexibility. Congruence of perceptions in the nurse -patient relationship and therapeutic communications are essential characteristics. Your pay ... more
- ManpowerGroup (Durham, NC)
- …and refers organization determinations that require a clinical review to a nurse or Medical Director . + Conducts reviews of authorizations entered to ensure ... more
- Actalent (San Antonio, TX)
- …Strong computer and documentation skills + Experience in Prior Authorization, Utilization Review , Discharge Planning, Interqual, Medical Management, and Managed ... more
- Actalent (Dallas, TX)
- …Title: Utilization Management NurseJob Description We are seeking a dedicated Utilization Management Nurse to review handwritten and computer-generated ... more
- Actalent (Houston, TX)
- …Description We are seeking a dedicated and detail-oriented Utilization Management Nurse to oversee and review both handwritten and computer-generated medical ... more
- Brockton Hospital (Brockton, MA)
- …delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare ... more
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