Job Title & Specialty Area: Utilization RN II Department: Utilization Management Location: Children's Health Dallas Shift: Monday through Friday Job Type: Remote, but there will be a monthly onsite attendance requirement *Why Children's Health?** At Children's Health, our mission is to Make Life
Job Title & Specialty Area: Utilization RN II Department: Utilization Management Location: Children's Health Dallas Shift: Monday through Friday Job Type: Remote, but there will be a monthly onsite attendance requirement Why Children's Health? At Children's Health, our mission is to Make Life Better
## **Summary** The VA North Texas Health Care System (VANTHCS) in Dallas, TX is seeking to hire two RN's to fill the role of Utilization Management. There is one position for Nights shift and one position for Days shift. *Work Schedule for Nights Position (1 position available):** 7:30pm to 8:00am.
Position Summary JOB DESCRIPTION The Quality Control Supervisor compiles and communicates information obtained from quality audits performed by the Quality Department to Quality Managers and manufacturing teams. supply chain. The Quality Assurance Supervisor reports directly to the Sr. Quality Manag
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide every
*Job Title: Utilization Manager (Remote – Full-Time)** **Pay:** $25.00 – $30.00 per hour (based on experience) **Schedule:** Full-Time (40 hours/week) **Location:** Remote *About the Role** We are seeking a highly organized, analytical, and detail-oriented Utilization Manager to support our growing
Whitley Penn, a leading CPA and Consulting firm, is looking for an Audit Resource Manager to join our team. The Audit Resource Manager is responsible for overseeing audit staffing, resource planning, and capacity management across the Audit & Assurance practice. This role partners closely with audit
BASIC FUNCTION: Incumbent is responsible for providing professional nursing care to, and performing case management duties for, patients of the Seneca Nation Health System (SNHS) in accordance with established standards and practices, within the bounds of training and professional licensure. GENERAL
When you’re the best, we’re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building bo
When you’re the best, we’re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building bo
Job Description<br /><br />Summary:<br /><br />The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety
Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective
Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. If you would like to know a bit more about this opportunity, or are considering applying, then ple
Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective
Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective
Overview The Director of Project Management leads all project management activities within a defined geographic region, ensuring consistent, high-quality delivery across all customer segments served from that location. This role is accountable for end-to-end project execution, regional performance,
Description Are you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding. Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital reso
Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective
Are you in search of a company that resonates with your proactive spirit and entrepreneurial mindset? Your search ends here with Premier Truck Rental! Company Overview At Premier Truck Rental (PTR), we provide customized commercial fleet rentals nationwide, helping businesses get the right trucks an
The Utilization Management Technician provides support to the Utilization Management Department. Performance requires accuracy, attention to detail, initiative, and pro-active approach to duties and responsibilities. The UM Technician works with other support workforce members, and clinical and medi
About Company: We're officially a Great Place To Work® ! We've always believed that supporting our team is just as important as supporting our patients. Now, we're proud to share that we've earned Great Place To Work® Certification - based entirely on feedback from our own employees. Read more here:
*Description** Summary The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospecti
JOB DESCRIPTION: Under the direction of the VP of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and performance management of Utilization Review services performed across the Tenet enterprise. Leads Tenet
Flexible Independent Contractor (1099) Opportunity ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management and clinical medical review solutions. We’re a leader
*Job Title:** Utilization Review Nurse *Location:** Richardson, TX *Contract Duration:** 7 months *Description:** RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This position is respo
*Key Responsibilities** *Fleet Utilization Monitoring and Optimization Support** Monitor and analyze utilization of heavy equipment across job sites and divisions. Identify underutilized, idle, or overutilized equipment and report findings to fleet leadership. Track equipment availability and active
Job Summary We are seeking a highly skilled and experienced Clinical Denials Specialist with a strong background in nursing (RN) and a deep understanding of medical necessity reviews and utilization management. In this role, you will work closely with internal case management teams, insurance provid
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and pre