General Summary of Position Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services, procedures and facilities. Responsible for cl…
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!…
Overview Oversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Follow up (SCIC), Transfer…
​PURPOSE STATEMENT: ​Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ​ESSENTIAL FUNCTIONS: ​Act as lia…
Hampton, Virginia Overview Responsible for the judicious management of health system resources through advocacy for both the patient and the organization. Provides concurrent me…
Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disabil…
Job Category: Revenue Cycle Management Degree Level: Bachelor's Degree Job Description: Utilization Review Specialist Your experience matters: At Tampa General Rehab, we …
Job Description: Responsibilities Job description The Director of Admissions is accountable for the oversight of the Admissions Department and supports the purpose of the ent…
Job Description: Responsibilities Job description The Director of Admissions is accountable for the oversight of the Admissions Department and supports the purpose of the ent…
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national…
Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a diligent and detail-oriented Post Review Nurse to perform timely utilization management r…
Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role in managing and performing various processes related to medical re…
Sentara Health is hiring a Full-Time Day shift Utilization Review RN Case Management for the Revenue Cycle Center in Norfolk, VA. The position is located in Norfolk, VA and c…
Position Title Case Manager (Utilization Review), Registered Nurse (RN) or MSW Job Description Purpose & Scope: The Case Manager is responsible for the collaborative proces…
​ Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience …
To supervise the Care Management staff in the provision and maintenance of discharge planning and utilization management services with specific focus on the clinical aspects of ser…