Utilization - 10,598+ job offers

Geisinger Behavioral Health Center Danville

Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with c

Job Summary: Collaborate closely with physicians, nurses, and other members of the care team to gather necessary clinical information and provide guidance on documentation. Support physician provision of patient care with accountability for designated patient case load. Facilitate precertification a

Utilization Specialist | Palms Behavioral Health | Harlingen, Texas About the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadl

Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with c

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meet

Job Details Support Services | Miamisburg| Part Time | Weekends Only 7 a.m. 5:30 p.m. Responsibilities & Requirements: Job Responsibilities: Registered professional nurse with education, knowledge and experience. Role focuses on review of inpatient and observation admissions to ensure correct as

, 40 hours per week Position: Utilization Review (UR) Nurse Company Overview: Telenett is a leading healthcare company based in Honolulu, HI. We provide innovative and high-quality healthcare services to our clients, including insurance companies, hospitals, and healthcare providers. Our mission is

, 40 hours per week Position: Utilization Review (UR) Nurse Company Overview: Telenett is a leading healthcare company based in Honolulu, HI. We provide innovative and high-quality healthcare services to our clients, including insurance companies, hospitals, and healthcare providers. Our mission is

Claratel Behavioral Health

About Claratel Behavioral Health Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As

Department: 11203 Wake Forest Baptist Medical Center - Utilization and Care Management Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Mon-Fri 8a-5p Pay Range $21.85 - $32.80 The Utilization Management Assistant provides essential administrative

Job Summary: The Utilization Management Specialist (UMS) works within the Utilization Management Program at Journey Mental Health Center (JMHC). The UMS works with the team to coordinate insurance needs, process prior authorization requests, and respond to utilization needs for consumers seeking men

Utilization Management (RN) – Infusion Therapy Team Location: Remote Department: Care Management & Coordination License Required: Active Pennsylvania (PA) RN License About The Role We are seeking an experienced Utilization Management (RN) to join our Infusion Therapy Team . In this fully remote

Bryan Health

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patients hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support a

Department 11203 Wake Forest Baptist Medical Center - Utilization and Care Management Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Mon-Fri 8a-5p Pay Range $21.85 - $32.80 The Utilization Management Assistant provides essential administrative and op

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance compa

JOB RELATIONSHIPS Position reports to the Director of Quality. Works closely with Case Management staff, physicians, Vice President of Medical Affairs, and the Business Office. DEFINITION OF POSITION The Utilization Review RN will ensure regulatory compliance with CMS Conditions of Participation wit

Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healt

Number of position 1 Contract Duration Permanent Salary $40-$63 per hour #### OPPORTUNITY: We are seeking an Utilization Review Nurse for a full time permanent role onsite in Las Vegas, NV. \ \ Candidates must be legally authorized to work in the U.S. and able to go W2\ \ #### PAY RATE: $40-$63 per

Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 – $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer guidelines. Analyzes medical records to ensure care meets established clinical and regulatory

Bryan Health

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patients hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support a