- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... have experience in a clinical inpatient environment and hospital-based utilization or case management experience. Proficiency in...position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform… more
- Lincoln Financial Group (Salt Lake City, UT)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Humana (Salt Lake City, UT)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
- Humana (Salt Lake City, UT)
- …and ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, ... Durable Medical Equipment, and/or Skilled Nursing Facility Experience **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week)… more
- Humana (Salt Lake City, UT)
- …**Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP) certification ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality… more
- Intermountain Health (Salt Lake City, UT)
- …be verified. + Case management Certification. + Experience in Case management , Utilization review , and/or discharge planning. **Physical Requirements:** ... **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical...area(s) of responsibility. Completes documentation as required. + Performs utilization review activities to provide patient appropriate,… more
- HCA Healthcare (Salt Lake City, UT)
- …about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside with the patient. ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Mt....Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... discharge plans prepared and delegated by social work or nurse case management by coordinating with home...+ Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. +… more
- HCA Healthcare (Salt Lake City, UT)
- …Life Support Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. ... one another. Your acute care background as a registered nurse will give you the experience you need to...managing the length of stay. + Ensure appropriate resource management and develop a safe and appropriate discharge plan… more
- HCA Healthcare (Bountiful, UT)
- …Life Support Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. ... one another. Your acute care background as a registered nurse will give you the experience you need to...managing the length of stay. + Ensure appropriate resource management and develop a safe and appropriate discharge plan… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing...following** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Cardinal Health (Salt Lake City, UT)
- …for physician leaders and physician board regarding all areas of practice management and operations. This leader has primary responsibility to manage and drive ... will be needed in the following areas: practice operations, revenue cycle management , patient growth and practice marketing, value-based care, payor relations, EHR,… more
- Vyaire Medical (Salt Lake City, UT)
- …within and across functional groups. Communicate information related to quality management system efficiency. + Directly support the timely and quality sale, ... of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop,… more