Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule: PRN The position will be hybrid remote…
Job Family: Clinical Appeals Nurse Travel Required: None Clearance Required: None What You Will Do: The Remote Utilization Management Nurse - is accountable for performing …
Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule: Full Time (40hrs/week) The position wi…
Job Description: Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built…
Details Department: Case Management Schedule: Full Time Days M-F 8AM - 4PM No Weekends or Holidays Hospital: Ascension Providence Location: Currently remote but could change S…
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Jo…
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need…
Details Department: Utilization Management Schedule: Full time, Mon-Fri 8am-5pm Hospital: Ascension St Vincent Location: Remote Must have minimum of 3-5 years in UR experie…
Details Department: Utilization Management Schedule: Full time, Mon-Fri 8am-5pm Hospital: Ascension St Vincent Location: Remote Must have minimum of 3-5 years in UR experie…
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…
Who you are: As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/…
Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs! The UR Specialist is responsible for working with healthcare providers to help ensure ap…
Job Description: Additional Information About the Role Join a stable work from home team. This is a great opportunity for a local remote position. Must have 2 years working i…
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities Review electronic medical records of emergency department admissio…
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…
The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation. Communicates with the physi…
Overview Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of th…
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…