- Raytheon (Marlborough, MA)
- …demands. We strive to minimize cycle times and provide best value through the utilization of dynamic and agile processes.RHS has an opening for a Program Execution ... Lead II, located on-site in Marlborough, MA.What You Will DoSupport on-going manufacturing activities.Coordinate interaction between engineering, manufacturing, and our suppliersManage cost and schedule and provide status reporting. Act as liaison between… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... provider-to-patient ratios and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to join our team of talented professionals who… more
- Rochester Regional Health (Rochester, NY)
- …& Loan Assistance + Employee Referral Program + Free Parking Job Title: Utilization Review RN Department: Utilization Review Location: Rochester General Hospital ... Week: Full Time/40 hours Schedule: Days (8am-4:30pm or 8:30am-5pm) SUMMARY: The Utilization Review Specialist actively participates in the utilization management… more
- Tufts Medicine (Burlington, MA)
- …payment processing. In addition, this role focuses on performing the following Utilization duties: Ensures the delivery of clinical services is appropriate and ... Overview** The position provides day to day support and oversight to Utilization Review departments and UM vendor management. Responsible for compliance with CMS… more
- Centene Corporation (Olympia, WA)
- …Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates ... operations within utilization management. + Manages prior authorization, concurrent review, and...applicable guidelines, policies, and procedures + Reviews and analyzes utilization management activities, operations, costs, and forecasted data to… more
- Tenet Healthcare (Detroit, MI)
- Group Utilization Review Director - 2506000536 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and ... employers in Southeast Michigan. Summary Description SUMMARY: The Group Director, Utilization Review will perform the functions necessary to support and advance… more
- Monroe Plan for Medical Care (Albany, NY)
- Utilization Reviewer RN Summary Title: Utilization Reviewer RN ID:UM41-ALBANY Location:Albany Job Type:Full-time Date Posted:04/17/2025 Openings:1 Department: ... Utilization Management Description Looking for meaningful work with an...for an experienced and qualified, full time RN for Utilization Management. We offer competitive pay, flexible schedules and… more
- Humana (Louisville, KY)
- …community and help us put health first** The Associate Director, Utilization Management utilizes clinical nursing skills to support the coordination, documentation ... medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of how… more
- Truman Medical Centers (Kansas City, MO)
- …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Management RN Hourly (PRN) - Care Continuity - UH ... **Work Schedule** 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** ** Utilization Management Nurse (UM RN)** _Optimize Care. Improve Outcomes. Elevate the… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $75918.00 - $110112.00 Salary Job Posting Date(s) ... Start Date 04/09/2025 Description and Qualifications The Organ Utilization Coordinator (OUC) is accountable for overseeing all activities related to the allocation… more
- Ochsner Health (New Orleans, LA)
- …at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves as the physician leader in matters relating to patient ... and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management, sustain quality goals, and act as a consultant to… more
- Centene Corporation (Phoenix, AZ)
- …this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with… 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 of… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
- Beth Israel Lahey Health (Burlington, MA)
- …in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based ... of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for… more
- University of Washington (Seattle, WA)
- …outstanding opportunity open for a** **_One-Year_** **_Temporary_** **Space Utilization Analyst** **on their** **_Central Operations_** **team!** **_This recruitment ... w/ a priority Application Deadline of Feburary 24th, 2025._** The Space Utilization Analyst plays a pivotal role in maximizing the efficiency and effectiveness… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + ... Req #:41907-31045 + FTE:1 + Posted:Today **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Director of Utilization Review is responsible for overseeing all utilization review activities to ensure that clients receive ... level of care for each client. This individual leads a team of utilization review specialists and works closely with clinical, admissions, and billing departments to… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization ... attainment of financial goals. Reporting to the Sr. Director/AVP/VP Utilization Management, the role of the Director for ...Utilization Management, the role of the Director for Utilization Management is critical to the success of our… more
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