- University of Utah Health (South Salt Lake, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... more
- Intermountain Health (Salt Lake City, UT)
- …acuities for the department while also ensuring cost-effectiveness of staff utilization . + Complies with regulatory standards, practices within scope of licensure, ... more
- Fresenius Medical Center (Magna, UT)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... more
- Molina Healthcare (Salt Lake City, UT)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... more
- Molina Healthcare (Salt Lake City, UT)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... more
- Molina Healthcare (Salt Lake City, UT)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... more
- Molina Healthcare (Salt Lake City, UT)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... more
- University of Utah Health (Salt Lake City, UT)
- …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... more
- Molina Healthcare (Salt Lake City, UT)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... more
- Molina Healthcare (Salt Lake City, UT)
- …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... more
- Molina Healthcare (Salt Lake City, UT)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... more
- Highmark Health (Salt Lake City, UT)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- University of Utah Health (Salt Lake City, UT)
- …visits. **Licenses Required** + **One of the following** + **Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days ... more
- Molina Healthcare (Salt Lake City, UT)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... more
- Molina Healthcare (Salt Lake City, UT)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... more
- Molina Healthcare (Salt Lake City, UT)
- …on business need (up to 25%) **Job Qualifications** * Active and unrestricted Registered Nurse (RN) license or independent behavioral health license (LCSW, LPC, ... more
- Evolent (Salt Lake City, UT)
- …+ Performs other duties as assigned. **Qualifications: Required and Preferred:** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of ... more
- CommonSpirit Health Mountain Region (Layton, UT)
- …to help you flourish and leaders who care about your success. As a Registered Nurse , RN Care Coordinator you'll advocate for patients while collaborating closely ... more