- Raytheon (Miami, FL)
- …include coordinating program and department staffing needs, optimizing resource utilization , and supporting recruitment and retention efforts.Provide Materials and ... oversight to programs' product life cycle (design reviews, gate reviews, Material Review Board, Change Control Board, Process Change Board, and engineering peer… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Greater Binghamton Health Center, P26033 Occupational Category ... Street City Buffalo State NY Zip Code 13904 Duties Description As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P25595 Occupational ... New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete...insurance, long and short-term disability, and life insurance + Dental and vision plans offered, 401(k) ABOUT THE ARORA… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to join our...financial package with a comprehensive insurance package including health, dental , vision, and life coverage. + Accrued Paid Time… more
- Prime Healthcare (Garden Grove, CA)
- …Responsibilities The Utilization review ... tech essentially works to coordinate the utilization review and appeals process as part of the denial...to, paid time off, a 401K retirement plan, medical, dental , and vision coverage, tuition reimbursement, and many more… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We ... and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible...Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for… more
- Adecco US, Inc. (Houston, TX)
- Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person / on site. Please read below and ... Friday, 8am to 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse:** . ** Review Medical Records:** Thoroughly evaluate… more
- Great River Health (West Burlington, IA)
- …browser Qualifications + 4-6 years clinical experience Required + Previous experience in Utilization Review Preferred + Knowledge of the structure and content of ... maintaining compliance with the CMS Conditions of Participation for Utilization Management.What you will do + Review ...Competitive base pay + Matching retirement programs + Health, Dental and Vision plans + Health Savings and Flexible… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The UR Supervisor ... clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and...organization. + Competitive salary. + Healthcare benefits including medical, dental & vision + 401K Plan + Flexible PTO… more
- Elevance Health (Woodbridge, VA)
- RN Utilization Review Nurse (Washington DC Medicaid) JR149756 **Location** : This role requires associates to be in-office 4 days per week, Monday - Thursday, ... or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education… more
- Baptist Memorial (Jackson, MS)
- Overview Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as ... prescribed by utilization review standards. The UR Nurse works...opportunities + Generous retirement plan + Health insurance, including dental and vision + Sick leave + Service awards… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....the hospital. Benefits Full-time employees are eligible for medical, dental , vision, company paid disability, 401(k) and a generous… more
- Trinity Health (Mason City, IA)
- …Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case screening, insurance ... members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review ...or greater + Effective Day 1 Benefit Package (Medical, Dental , Vision, and more) for positions 16 hours per… more
- Seafield Center, Inc. (Westhampton Beach, NY)
- Title: Utilization Review Counselor ID:5712 Department: Utilization Review Location:Westhampton Beach Description Full-Time Opportunity Available + ... Employees: + Generous Paid Time Off Policy + Medical, Dental , and Vision Insurance + Flexible Spending Account +...Program (401k) + 8 Paid Holidays MAIN FUNCTION: + Review appropriateness and clinical necessity of admissions, continued stays,… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...Comprehensive package of benefits to include: + Medical + Dental + Vision + Life, Pet, Identity Theft Insurance… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records ... of candidates. Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral/psychiatric healthcare… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Physical Therapy Utilization Review Advisor **For client coverage; prefer someone in ... updated with relevant industry regulations, guidelines, and best practices related to utilization review and maintains compliance with applicable laws and… more
- Prime Healthcare (Lynwood, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/204105/case-manager%2c-rn utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...to, paid time off, a 401K retirement plan, medical, dental , and vision coverage, tuition reimbursement, and many more… more
