- 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)
- …Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details: * Signing Bonuses ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
- Humana (Columbus, OH)
- …and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Humana (Dublin, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… 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 ... Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062. 40 - $107,348.80 * Completes Utilization Management and Quality… 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
- 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... needs, manage the length of stay, and promote efficient utilization of resources; specific functions within this role include:...c. Ensures that staff have MCG training modules to review as needed. + Growth + Uses MCG Guidelines… more
- Ascension Health (Detroit, MI)
- …specific experience required. **Additional Preferences** + Preferred one year experience in utilization review with focus on inpatient authorization. **Why Join ... **Details** + **Department:** Rehab Support Services + **Schedule: FULL Time ( 40 hours per week);** Monday - Friday 8 AM - 4:30 PM. + **Hospital:** St. John Hospital… 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
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Head Nurse ( 40 Hour) Office/On-Site Recruitment # 240422-4356FL-001 Location Bridgeport, CT Date Opened 4/29/2024 12:00:00 AM Salary $88,967 - $117,695/year ... + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a difference...POSITION SPECIFICS: + Schedule: Both positions are f ull-time ( 40 Hour), Monday - Friday, Every other weekend and… more
- Northern Light Health (Waterville, ME)
- …periods of kneeling. + Need to travel to perform responsible duties Position Registered Nurse II- BLR *Work 32 hours, get paid for 40 hours*Location Req ID null ... Hospice Waterville Work Type: Full Time Hours Per Week: 40 .00 Work Schedule: 8:00 AM to 8:30 PM Summary:...Schedule: 8:00 AM to 8:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack Meridian Health may include: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for… more
- State of Connecticut, Department of Administrative Services (Waterbury, CT)
- Head Nurse ( 40 Hour) Office/On-site Recruitment # 240503-4356FL-001 Location Waterbury, CT Date Opened 5/7/2024 12:00:00 AM Salary $88,967* - $117,695/year ... 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
- 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