General Summary of Position Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clin…
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…
Everything we do is underscored by a why — and that why is one another. Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $73,819.20 - $110,718.40 …
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…
We are anticipating a number of RN positions to become available for our Utilization Review department ranging from 0.6FTE-1.0FTE. All of which are 8 hour shift length: Inpatient …
Details Department: Utilization Review Schedule: PRN rotating shifts Hospital: Ascension Sacred Heart Pensacola Location: Pensacola, Florida This is a remote position but n…
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…
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…
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…
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…
About Us: Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical n…
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with in 1979, the V…
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical r…
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal…