- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... in this remote position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews… more
- Lincoln Financial Group (Salt Lake City, UT)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- CVS Health (Salt Lake City, UT)
- …RN with behavioral health background. Preferred Qualifications + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- Intermountain Health (Provo, UT)
- …needs in area(s) of responsibility. Completes documentation as required. + Performs utilization review activities to provide patient appropriate, timely, and ... **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical...+ Case management Certification. + Experience in Case management, Utilization review , and/or discharge planning. **Physical Requirements:**… more
- HCA Healthcare (West Valley City, UT)
- …Center have the opportunity to make a real impact. As an Operating Room Registered Nurse you can be a part of change. **Benefits** Utah Surgical Center, offers a ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Bountiful, UT)
- …satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as an OR Registered Nurse PRN you want with your current employer? We...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... **Licenses Required** + **One of the following** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under… more
- HCA Healthcare (Bountiful, UT)
- …passionate about delivering patient-centered care?** Submit your application for OR Registered Nurse position and spend more time at the bedside with the patient. ... Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Marriott (Salt Lake City, UT)
- …workers' compensation losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as required ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and...that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates… more
- Evolent Health (Salt Lake City, UT)
- …with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. + ... Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health Care ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives from insurance… more
- HCA Healthcare (Salt Lake City, UT)
- …Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. For 150 years, St. ... one another. Your acute care background as a registered nurse will give you the experience you need to...supporting a balance of optimal care and appropriate resource utilization . + Direct activities to identify and provide for… more
- University of Utah Health (Salt Lake City, UT)
- …thorough on-site or telephonic assessment of potential patients including chart review , clinical assessment and interaction with physicians, nurses and therapists ... process inclusive of completion of the pre-admission assessment tool and appropriate review by the rehab physician with signature. + Educates patients, family… more
- Vyaire Medical (Salt Lake City, UT)
- …of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop, ... Minimum 5 years clinical experience as a respiratory therapist or critical care nurse required + Ability to meet requirements in vendor credentialing services, eg… more