- Beth Israel Lahey Health (Burlington, MA)
- …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management ... necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue...intensity of medical care provided. . **Job Description:** The Utilization Analyst works with physicians, the payers… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit (FC-PMOU) Print ... (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5143934) Apply Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...OPTION II: Two (2) years of experience as a registered nurse, of which one year must be in ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …as lead dental reviewer and as an advisor to all areas regarding dental review issues (senior level). This position utilizes dental expertise and knowledge to assist ... Level I + Interprets issues and applies coverage policy to effectively review claims for dental necessity, legitimacy of charges and interpretation of procedures.… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of … more
- Carle Health (Champaign, IL)
- …patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, ... years experience - External Applicants Only** Hybrid Option The Registered Nurse (RN) who serves in the role of...years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum… more
- Army National Guard Units (Concord, NH)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a BUDGET ANALYST TITLE 32 PERMANENT, Position Description Number D2232000 and is part of the ... thereof HRO, G1 and Wellness Division. Serves as the primary analyst regarding resource management. Performs program analysis, including planning, programming,… more
- MyFlorida (Orlando, FL)
- SENIOR HUMAN SERVICES PROG ANALYST - 64003893 Date: Oct 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Department of Health Working Title: SENIOR HUMAN SERVICES PROG ANALYST - 64003893 Pay Plan: Career Service Position Number:...caseload of at least 250 clients + Interview clients, review records, and confer with medical providers and case… more
- Montrose Memorial Hospital (Montrose, CO)
- …service is billed to the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial Management Program and is ... responsible for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business, and regulatory knowledge… more
- University of Rochester (Rochester, NY)
- …Attend registry vendor sponsored training workshops/meetings to maximize trauma registry utilization and performance. Registry Admin Duties + Oversee the conversion, ... for the Pediatric Trauma Program including Pediatric Multidisciplinary Trauma Peer Review and Trauma Systems and Operations Committee meetings + Attends weekly… more
- Vancouver Public Schools (Vancouver, WA)
- Job Details Job ID: 5300706 Job Description HIRING ROSTER for Registered Behavior Technicians This posting will be used to establish a hiring roster to fill ... hours may vary by building, 9 months per year Registered Behavior Technician (RBT) We appreciate your interest in...person is applying. All district employees are encouraged to review their personnel file periodically to ensure that their… more
- Select Medical (Madison, IN)
- …participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.) + Utilize time ... Board Certified Behavior Analyst . **We are now hiring a full time Registered Behavior Technician (RBT).** A Behavior Technician works 1:1 with children with an… more
- The County of Los Angeles (Los Angeles, CA)
- …as needed to coordinate a plan of care, implement inpatient treatments, review mental assessments, and/or to discuss disease prevention and patient education needs. ... LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a...certification to their application or email it to exam analyst ###@dhs.lacounty.govwithin fifteen (15) calendar days of filing online.… more
- The County of Los Angeles (Los Angeles, CA)
- …PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. TYPE OF RECRUITMENT Open ... management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other...LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a… more
- The County of Los Angeles (Los Angeles, CA)
- …PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. TYPE OF RECRUITMENT: OPEN ... LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a...of filing, oremail the copies of degrees to exam analyst , Sylvia Jaimez at ###@dhs.lacounty.gov within fifteen (15) calendar… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or ...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. + ... of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the...: A valid, current license to practice as a registered nurse issued by the appropriate State of California… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. ... acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information,… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... by assisting in the establishment of criteria for cost effectiveness/control utilization use, process indicators, and monitoring parameters; conducts evaluations to… more
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