Skip to Job Postings, SearchClose

Utilization Review jobs in Providence, RI

Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Jobs 1 to 10 of 174
Upload your resume - Let employers find you
Utilization and Appeal Specialist
Beth Israel Deaconess Hospital-Milton - Milton, MA
Reviews and determines appropriate strategy in response to denials of reimbursement. Acts as liaison with Mass Pro, Centers for Medicare and Medicaid Services...
Sponsored
Clinical Nurse - Utilization Management (TO MG05)
Refers all first-level review failures to the SGH or other POC for further review and dispositio. 3 years of Utilization Management or Care Management is...
Sponsored by NurseJobsNationwide.com
Clinical Reimbursement Coordinator
Revenue Optimization & Resource Utilization:. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories....
Sponsored by Genesis HealthCare

Case Manager - Payor Liaison

Lifespan - 84 reviews - Providence, RI 02903 (Downtown area)
Utilization review experienced required. Under general direction of department manager, functions as affiliate-specific liaison for utilization review with...
Employees say: management is goodgood co workerssupport from management

Director Case Management Utilization Review

Clinical Management Consultants - Providence, RI
$92,439 - $131,821 a year
Director Case Management Utilization Review Job in Providence RI. Nurse Director Case Management, Nurse Director Care Management, Nurse Director Utilization...

Nurse Reviewer

Blue Cross Blue Shield of Rhode Island - 3,340 reviews - Providence, RI
Certification, Certified Professional Utilization Review certification. Review function, including pre-authorization, concurrent review, screening for....
Employees say: good companylearned so muchfast pacework as a team

RATE ANALYST (COMMUNITY BASED SERVICES)

The State of Rhode Island - Cranston, RI 02920
$43,228 - $49,062 a year
As required, may plan, supervise, and review the work of subordinates. To review and analyze provider annual cost reports to prior periods for determination of...

PRINCIPAL ECONOMIC AND POLICY ANALYST

The State of Rhode Island - Cranston, RI 02920
$79,562 - $90,239 a year
Considerable employment in a professional position performing review and analysis of policies and programs in a governmental, public affairs or business context...

Delegate Oversight Analyst

Blue Cross Blue Shield of Rhode Island - 3,340 reviews - Providence, RI
Knowledge of Utilization Review Accreditation Commission requirements and guidelines. Knowledge of CMS and RI state laws governing utilization review....
Employees say: good companylearned so muchfast pacework as a team

RN, Care Manager

Memorial Hospital of Rhode Island - 17 reviews - Pawtucket, RI
Recent knowledge of case management, utilization review, quality assurance and third party payer regulations is deserable, but will train....
Employees say: staff is niceeasy to workgood knowledgecentrally located

MDS Coordinator

Wingate Healthcare - 2,335 reviews - Providence, RI  +1 location
Medicare Utilization Review. Review of each Medicare resident's case on the day of admission to insure appropriateness of Medicare coverage....
Employees say: management is goodmeeting new peoplefast pacehard work
Easily apply

Registered Nurse - Certified Medicare OASIS Coder

Care Resource - East Providence, RI
Review OASIS, assessment documents and Medical coding at individual branch locations to ensure consistent application and follow through....
Easily apply

Social Service Clinician

Butler Hospital - 27 reviews - Providence, RI 02906 (Blackstone area)
Responsibilities to include performing psychosocial assessments, utilization review, discharge planning and other case management type duties on our inpatient...
Employees say: patient carelearning experiencemonthly meetingseasy to work
Registered Nurse - Certified Medicare OASIS Coder
Care Resource - East Providence, RI
Review OASIS, assessment documents and Medical coding at individual branch locations to ensure consistent application and follow through....
Easily apply
Sponsored
Center Nurse Executive (DON)
Completes performance reviews and determines compensation and promotions based on the accomplishment of established standards that promote adherence to...
Sponsored by Genesis HealthCare

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review jobs in Providence, RI
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Utilization Review jobs
Beth Israel Deaconess Hospital –Milton, community med/surg hospital, Milton, Mass. GI, ED, cardiology, surgery, ortho, urology specialties.