- Marion County (Salem, OR)
- …the regularly scheduled work week and their eligible dependents. Temporary employees and part - time regular employees working less than 50% of the regularly ... as possible as this recruitment may close at any time without further notice.Marion County Adult Behavioral Health is...process for requests for Long-Term Psychiatric Care.Ensure accuracy of utilization data of those admitted to the Oregon State… more
- Marion County (Salem, OR)
- …the regularly scheduled work week and their eligible dependents. Temporary employees and part - time regular employees working less than 50% of the regularly ... as possible as this recruitment may close at any time without further notice.Marion County Health & Human Services...Model to supervisors and support supervisors to prioritize, assign, review , and give feedback to employees about their work;… more
- Kepro (Los Angeles, CA)
- …for health solutions in the public sector. Position Overview: As a Utilization Reviewer , you involves reviewing medical records against appropriate criteria ... to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Respect Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of ... activities supporting the delivery of safe, quality patient care. This is a PART - TIME position working a maximum of 24 hours per week. Requirements WHAT WE'RE… more
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They ... RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission vision… more
- Guthrie (Binghamton, NY)
- …- Utilization Management (Days) Full Time Position Summary: The Utilization Management (UM) Reviewer , in collaboration with other internal and external ... for prior authorization/certification for reimbursement of patient care services. The Utilization Reviewer : * Secures authorization as appropriate * Documents… more
- Kepro (Los Angeles, CA)
- …to being a vital partner for health solutions in the public sector. Acentra seeks a Utilization Clinical Reviewer to join our growing team. Job Summary As a ... and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated...Utilization Clinical Reviewer , you'll harness your expertise… more
- Cleveland Clinic (Stuart, FL)
- …three to five years of experience working in a hospital. * Has utilization review experience. * Demonstrates strong critical thinking and problem-solving skills. ... but also a home away from home. As a Utilization Management (UM) RN Reviewer , you will...Team Manager to perform UM activities which include admission review , concurrent review , retrospective chart review… more
- Universal Health Services (Conway, SC)
- Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review ... its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of...weekdays and weekends as required. We have bot full time and PRN positions available. This is a great… more
- Kepro (Richmond, VA)
- …for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer ( part - time ) to join our growing team. Job Summary: Our ... and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated...Behavioral Health Utilization Management Clinical Reviewer will use clinical expertise to review … more
- Prime Therapeutics (Columbus, OH)
- …, MRx - Oncology - REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical review of service requests that ... medical/clinical review guidelines and parameters to assure consistency in the MD review process so as to reflect appropriate utilization and compliance with… more
- Banner Health (AZ)
- …or other staff of non-company locations on concurrent and retrospective utilization review . Accurately and thoroughly completes documentation required for ... balance, and boosting employee engagement. As a Registered Nurse Reviewer , you will work a critical part ...Registered Nurse and your knowledge of Case Managment and Utilization Management to review clinical records to… 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 ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- Beth Israel Lahey Health (Burlington, MA)
- **Job Type:** Regular ** Time Type:** Part time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, ... necessity recommendations, as requested Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested… more
- Beth Israel Lahey Health (Burlington, MA)
- **Job Type:** Regular ** Time Type:** Part time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...be eligible: * Signing Bonus is determined on a full- time status of 40 hours. Hours less than 40… more
- Beth Israel Lahey Health (Burlington, MA)
- **Job Type:** Per Diem ** Time Type:** Part time ...States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Per ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...status patients by working with physicians to ensure appropriate utilization . 9) Is part of the department's… more
- Beth Israel Lahey Health (Needham, MA)
- **Job Type:** Per Diem ** Time Type:** Part time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH ... difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission… more
- Prime Healthcare (National City, CA)
- …Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. ... offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference....Utilization review tech is responsible for coordinating phone calls, data… more
- Riverside Community Care (Norwood, MA)
- We make a difference - in your community and your career Relief Clinician - Utilization Review (CBHC) * Independent Licensure - LMHC or LICSW Required* The ... Clinician - Utilization Review provides Utilization ...health services provided to our clients by conducting comprehensive Utilization Reviews as part of a multi-disciplinary… more
- Mirror (Newton, KS)
- … Management, the URC is responsible for the implementation, and maintenance of utilization review programs to facilitate the use of behavioral health resources ... and increasing timely requests and decreasing denials, increase client time in service and decrease loss of treatment. The...with team meetings to discuss any issues related to utilization review processes or delays. + Participates… more
