- Christus Health (Irving, TX)
- …success in CHRISTUS RN Care Manager I position.Case management and Utilization Review experience preferred. Licenses, Registrations, or Certifications RN ... effectively to meet patient need, manage length of stay and promote efficient utilization of resources to include the facilitation of patient care across the… more
- Monster (Salt Lake City, UT)
- Physician , Family Medicine Job Summary As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through ... of Utah Health is seeking a mission-driven primary care physician (MD or DO) to be an integral part...to: Ambulatory Office Visits with History & Physical Exam review , Telehealth Visits, Supporting Care Coordination, and Medication Management.… more
- Christus Health (Houston, TX)
- …and advises DON when unable to do so. Assists DON in the proper utilization of personnel assigned to the care of retired residents.Assists DON in the interviewing ... the care of women religious and nursing management through literature review and attendance at seminars/workshops.Utilizes good stewardship in the use of… more
- Kaiser (Hillsboro, OR)
- Job Summary: Full -time associate as a Behavioral Health Associate (BHA) or Mental Health Associate (MHA). The BHA or MHA provide expert integrated care to pediatric ... with the ability to successfully pivot from a patient facing to a physician facing role throughout the day. Associates must thrive on being adaptable, flexible,… more
- Kaiser (Hillsboro, OR)
- …necessity for durable medical equipment, and out-patient education in effective utilization of prescribed respiratory medical interventions. Meets ATS standards 90% ... pulmonary function testing equipment.Measured by quality control monitoring, pulmonary physician interpretation of test results.Durable Medical Equipment Evaluations:Perform respiratory… more
- Christus Health (Tyler, TX)
- …therapy department.Participates in medical chart peer review , case record review and utilization review as deemed necessary.Assumes responsibility ... sets goals, plans programs and treats patients according to the physician 's orders; maintains required records and notes; assists with directing technicians… more
- Monster (Allentown, PA)
- … review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications.The appeals process may include collaboration with ... Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for...the Claim Editing Manager, Physician , Specialty Coder, AR specialist or Auditor/Educator.Demonstrate the ability… more
- Health eCareers (Memphis, TN)
- …physicians, other patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation and services rendered ... accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of… more
- Sutter Health (Sacramento, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of...excellence in the patient experience. **Job Shift:** Days **Schedule:** Full Time **Days of the Week:** Monday - Friday… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case...Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The… more
- Beth Israel Lahey Health (Boston, MA)
- …a difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining ... **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of...billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... see comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...$177,314.88 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH SERVICES Opening… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …- is accepting applications for a full -time Utilization Review ... Utilization Review Nurse Coordinator Office/On-site Recruitment...review of cases and case referral to a physician consultant for final disposition; + Performs related duties… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.Thisis a full -time role. *Purpose of this position: ... *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which...actions to UR Committees, as appropriate * Partners with Physician Advisor to engage in second level review… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The ** Utilization Review (UR) Specialist** is a Registered Nurse responsible ... of recent acute hospital experience or a minimum of two years of previous utilization review experience. + Must have a valid, active unencumbered Registered… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr CMC- Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2505026 The ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… more
- Dayton Children's Hospital (Dayton, OH)
- …concurrent and retrospective denials. The Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do ... Facility:Dayton Children's - Main CampusDepartment: Utilization Review TeamSchedule:Part timeHours:8Job Details:Under the supervision of the Manager of … more
- Beth Israel Lahey Health (Plymouth, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management ... **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of...causes of denials for discussion with the internal team, physician advisor and the Utilization Review… more
