’s. Job Description Provides leadership and oversight of the Utilization Review department, ensuring appropriate utilization of healthcare... resources. Effectively manages all utilization review functions, including clinical reviews, concurrent authorization...
school of nursing and a current state Registered Nurse license. Minimum 3 years RN Utilization Manager working for a Health... Plan. At least 3 years of experience in utilization review, referrals, authorizations, denials and appeals. Current BCLS...
. Minimum 3 years RN Utilization Manager working for a Health Plan. At least 3 years of experience in utilization review... more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary...
, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off benefits At Baylor... Job Summary You will review patient cases for medical necessity and establish service suitability. You'll educate the healthcare...
Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift... package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental...
in utilization chart review and discharge planning. Managed care experience preferred. Knowledge of InterQual Criteria...Job Description: Responsibilities This opportunity is Full Time Day shift Case Manager position Wellington...
in utilization chart review and discharge planning. Managed care experience preferred. Knowledge of InterQual Criteria...Job Description: Responsibilities This opportunity is Full Time Day shift Case Manager position Wellington...
Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added...; OR an equivalent combination of education and experience AND (2) two years’ experience Utilization Review. Certificate Preferred...
Department: 11215 Behavioral Health Contract Management Group: Charlotte - Utilization Management Status: Part time... School of Nursing required. Bachelor's degree in nursing preferred. applicable state RN licensure required. Related...
differ depending on assigned hours and position status (e.g., part-time). Position Overview Performs chart review..., to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization...
differ depending on assigned hours and position status (e.g., part-time). Position Overview Performs chart review..., to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization...
differ depending on assigned hours and position status (e.g., part-time). Minimum Pay: $38.63 Position Overview... to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective...
solutions. Schedule: Full-Time 40 hours per week What You'll Do The Utilization Review Coordinator provides utilization... must be in the nurse’s state of residence. Freeman Perks and Programs For eligible full time and part time employees Freeman...
solutions. Schedule: Part-Time 30 hours per week What You'll Do The Utilization Review Coordinator provides utilization... must be in the nurse’s state of residence. Freeman Perks and Programs For eligible full time and part time employees Freeman...
. AS THE UTILIZATION REVIEW - REGISTERED NURSE, you'll be responsible for the comprehensive, interdisciplinary coordination... preferred Case management / utilization review experience preferred Literate in software and information systems...
Job Description: Description US:NV:Carson City Case Management Part Time Day Shift About Carson Tahoe Health... through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
queue experience Utilization review/management experience Explore opportunities at Optum Behavioral Care. We’re... Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone. At OptumHealth...
queue experience Utilization review/management experience Explore opportunities at Optum Behavioral Care. We’re... Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone. At OptumHealth...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services...-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject...