- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital...Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... environment.* Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.*… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... families, and retirees at Walter Reed National Military Medical Center . Scheduled hours are from 0700AM - 3:30PM...required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW :… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center , ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 - $169,609.20… more
- MetroHealth (Cleveland, OH)
- …patient care by ensuring the appropriate level of care at the point of entry. The utilization review nurse will work on defined patient populations and is ... **Location:** **METROHEALTH MEDICAL CENTER ** **Biweekly Hours:** **72.00** **Shift:** **8a-430p** **The MetroHealth...skills. Preferred: Two years of experience with case management, utilization review . Physical Demands: May need to… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Buffalo Psychiatric Center , P25397 Occupational Category Health ... Minimum Qualifications Buffalo Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- LifePoint Health (Athens, TN)
- …**Organization:** **Starr Regional Medical Center * **Title:** * Intake Nurse and Utilization Specialist * **Location:** *Tennessee-Athens* **Requisition ... Centeris currently seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time.… more
- CVS Health (Harrisburg, PA)
- …in ER, Med/Surg, and/or Critical care setting + Managed Care experience + Utilization review experience + Experience working with MS office applications such ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization… more
- CVS Health (Charleston, WV)
- …include weekends and holidays and evening rotations._ This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule is Monday through ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...zone where the candidate resides. **.** Responsible for the review and evaluation of clinical information and documentation related… more
- CVS Health (Tallahassee, FL)
- …for candidates who reside in EST or CST + Managed Care experience + Utilization review experience **Education** + Minimum of Associates Degree in Nursing ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …primary point of contact for add on procedures performed at the KS Ambulatory surgery center (ASC). The Utilization Review Specialist (LVN) will support the ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… 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
- UTMB Health (Galveston, TX)
- Utilization Review Case Mgr. - Galv....and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage ... earning experience as a professional nurse in a health care setting. **JOB DESCRIPTION :**...criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and… more
- CVS Health (High Point, NC)
- …3 months. Following training, position is remote with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...**Fundamentals:** Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic ... Wage DOE: $35.34 - 44.18 Under the direction of department leadership, the Utilization Review / Management RN. This position is to conduct initial, concurrent,… 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 ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Trinity Health (Maywood, IL)
- …at the Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral...Career Development + Tuition Reimbursement + On Site Fitness Center + Educational Stipend + Referral rewards **Our Promise… more
- Trinity Health (Mason City, IA)
- …Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, insurance ... We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa. + Bachelor's Degree...of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The ... Utilization Review Specialist coordinates scheduling of all...and operating room procedures. Seeks the assistance of the Nurse Manager in identifying cases, which require pre admission… more