- UNC Health (Chapel Hill, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...StaffDescription Become part of an inclusive organization with over 40 ,000 diverse employees, whose mission is to improve the… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-site Recruitment # 240514-5612FP-001 Location New Haven, CT Date Opened 5/16/2024 12:00:00 AM Salary ... and Addiction Services ( DMHAS (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) !… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator ( 40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM ... we serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined)… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...on the basis of age for any individual age 40 or older. c. Experience is evaluated on the basis ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -...of a verifiable 40 - hour week, unless specified otherwise. Prorated part-time experience… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Signing Bonus is determined on a full-time status of 40 hours. Hours less than 40 hours...**Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the… 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
- Ascension Health (Minooka, IL)
- …Provide health care services regarding admissions, case management, discharge planning, and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Humana (Richmond, VA)
- …of action. The Utilization Management Nurse 2/Home Health Utilization Management: + Review cases using clinical knowledge, communication skills, and ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...+ This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40 ** **Position Summary:** Responsible… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Beth Israel Lahey Health (Burlington, MA)
- … **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …communication with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** ** Utilization Management** **Location: ... **Responsibilities** The Utilization Review LVN nurse ...is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics… more
- Dignity Health (Bakersfield, CA)
- …is remote with a clear and current CA LVN license.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... to reach determination. - Preps case thoroughly concisely and clearly for physician review . Researches EMR criteria medical policy and past history of member to… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Head Nurse ( 40 Hour) Office/On-site Recruitment # 240521-4356FL-001 Location Middletown, CT Date Opened 5/23/2024 12:00:00 AM Salary $88,967 - $117,695/year Job ... WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/Registered- Nurse /RN-Licensure-by-Endorsement)… more
- Universal Health Services (Conway, SC)
- …Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management ... UHS and its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of Four 8-hour Daylight… more
- UNC Health Care (Chapel Hill, NC)
- …communities we serve. RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals Nurse . This person is based at the Hedrick ... **Description** Become part of an inclusive organization with over 40 ,000 diverse employees, whose mission is to improve the health and well-being of the unique… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …performance and facilitates educational training for medical staff on issues related to utilization management. 1. Implements utilization review policies and ... coaching, mentoring, training and development. Educates and trains staff on utilization review processes and guidelines. 3. Promotes collaborative practice… more
- Humana (Columbus, OH)
- …+ Supervises utilization management personnel and oversee all utilization management functions, including inpatient admissions, concurrent review , prior ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to support… more
