Utilization Review Specialist jobs

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Utilization Review Specialist
Gosnold on Cape Cod - Falmouth, MA
pre-certification, concurrent review and clinical appeals with managed care organizations. Prior experience in healthcare utilization management and addiction...
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Sponsored by Gosnold on Cape Cod - 14 days ago
Utilization Review Specialist
Lakeview Hospital 59 reviews - Stillwater, MN
Utilization Review Specialist - Includes an awesome... We have an exciting new opportunity for a Utilization Review Specialist in our Case Management Department...
Sponsored by Lakeview Hospital - 2 days ago

Community Care Manager, Nurse, RN, 7:30am-4pm (Days, Utiliza...

St. Mary Medical Center 56 reviews - Langhorne, PA 19047
This position requires a high degree of independence, sound judgment, collaboration with primary care physicians and specialists, excellent assessment skills...
St. Mary Medical Center- PA - 2 days ago - save job - block - email - more...

Utilization Review Nurse

Newport Academy - Bethlehem, CT - +1 location
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
1 day ago - save job - block - email - more...

Utilization Review Nurse-California

Cigna 662 reviews - Harrisburg, PA
The Utilization Review Nurse (RN) conducting retrospective clinical claim reviews and clinical appeals reviews reports to the Health Services Senior Specialist...
13 hours ago - save job - block - email - more...

Space Management Specialist

Washington Headquarters Services 4 reviews - Arlington, VA
As a Space Management Specialist you will be responsible for the following duties:. Develop procedures, techniques, and methods to resolve space problems in... $63,091 - $116,901 a year
usajobs.gov - 2 hours ago - save job - block - email - more...

Utilization Review Specialist

Lakeview Hospital 59 reviews - Stillwater, MN
Utilization Review Specialist - Includes an awesome part-time work schedule!. Join our growing organization on our exciting mission of keeping patients...
2 days ago - save job - block - email - more...

Utilization Review Specialist

Alexian Brothers Medical Center 71 reviews - Elk Grove Village, IL
Reporting to the Manager of Transition Resource Management, The Utilization Review Specialist conducts concurrent medical record review for medical necessity...
Alexian Brothers Health System - 8 days ago - save job - block - email - more...

Utilization Review Specialist

Qualis Health 4 reviews - Seattle, WA 98133
Our utilization management best practices assure that patients receive the right care, in the right setting, at the right time....
Washington Occupational Therapy Association - 3 days ago - save job - block - email - more...

Clinical RN Documentation Specialist Lead - Phoenix, AZ

UnitedHealth Group 1,435 reviews - Phoenix, AZ - +3 locations
RN Clinical Documentation Specialist (CDS) Service Area Lead is responsible for providing CDI program oversight and day to day CDI implementation of processes...
9 days ago - save job - block - email - more...

Dental Hygienist - UM Review Specialist (Onsite - Plainfield...

Health Care Excel, Inc. - Plainfield, IN
This is an onsite position in our Plainfield, IN (Indianapolis Area) location.The Dental Hygienist is responsible for conducting the review of...
14 days ago - save job - block - email - more...

340B, Contract Pharmacy Account and Operations Specialist

Talyst, Inc. - Kirkland, WA
Educate and guide internal customers on maximizing Talyst Contract Pharmacy utilization. Assisting in the diagnosing and resolving Tier 1 and Tier 2 support...
16 hours ago - save job - block - email - more...
Registered Nurse - RN - Case Manager
Maxim Healthcare Services 479 reviews - Akron, OH
system. • Perform chart review/audits monthly or as... Participate in Quality Assurance and Utilization review activities, as directed. • Empower patients in...
Sponsored by Maxim Healthcare Services - 13 days ago
Utilization Review Precertification Specialist
Park Royal Hospital - Fort Myers, FL
Patient Precertification Specialist. Responsibilities... for services 3. Conduct concurrent medical record reviews as required based on Centers for Medicare and...
Easily apply
Sponsored by Park Royal Hospital - 30+ days ago
FT ACT Vocational Specialist
Central Minnesota Mental Health Center 3 reviews - Saint Cloud, MN
community resource utilization and integration skills... current mandated reporter guidelines and always review suspicions and concerns with supervisor. Complete...
Sponsored by Central Minnesota Mental Health Center - 7 days ago

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