Utilization Review jobs in Providence, RI

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Utilization Review RN
Community Nurse Home Care - Fairhaven, MA 02719
Identify utilization trends through examination of relevant agency documentation. Complete/Assist in quarterly clinical record review as per the Medicare Home...
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Registered Nurse (RN) - Case Management-Utilization Review
$78,000 a year
Candidates must have a minimum of 1 year experience in Case Management - Utilization Review and 2 years experience in an acute setting overall....
Travel Nurse (RN) - Utilization Review (Case Management)
Cirrus Medical Staffing - 29 reviews - Providence, RI 02903
This is a 13 week travel RN (Nurse)- Case Management (Utilization Review) assignment in Providence, RI. Don't miss this exciting travel Registered Nurse job...
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Clinical Appeals, RN - Telecommute

UnitedHealth Group - 11,440 reviews - Taunton, MA 02780
Experience in Appeals and / or Utilization Management. Responsible for performing prior authorization review of services that require notification, using...

Grievance and Appeals Clinical Specialist

Neighborhood Health Plan of Rhode Island - 15 reviews - Smithfield, RI
Chart review experience. Research, review and facilitate documentation of Medicare/Medicaid benefits, policies and procedures as it relates to the department’s...

Computational Immunologist

EpiVax, Inc. - Providence, RI 02903 (Downtown area)
$62,000 - $80,000 a year
Maintains large-scale databases and prepares data for utilization by scientists; Communicates/presents data summaries, graphics, and statistical analysis...
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Per Diem Fitness Assistant

Wingate Healthcare - 30 reviews - Providence, RI 02906 (Blackstone area)
$20 - $25 an hour
Monitors and tracks resident utilization and program registrations/participation by establishing a tracking procedure....
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Prior Authorization, RN - Telecommute

UnitedHealth Group - 11,440 reviews - Taunton, MA 02780
Utilization Management experience. Perform / support clinical appeals (e.g., notes, previous reviews, obtain rationales) RN....

Administrative Coordinator - Community Outreach Coordinator

Lifespan - 141 reviews - Providence, RI 02903 (Downtown area)
Schedules staff priorities, assigns work to and reviews performance of subordinate clerical workers. Ability to develop utilization of and operate microcomputer...

Pediatric Case Manager

HomeCare Advantage - Cranston, RI
Utilization review/ discharge planning and previous case management experience is a plus. Establish and review care plans, goals, in collaboration with the...
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Project Manager, Communications

Brown University - 136 reviews - Providence, RI
O versees the review and approval processes for multiple campus constituents with tact and diplomacy. Tracks utilization of the program through assessment of...

Case Manager (NE) - SJH

CharterCARE Health Partners - 23 reviews - North Providence, RI
Utilizes professional nursing skills to assess patient and family needs for clinical appropriateness for the setting and establishes plans for effective...

Superintendant

A. Autiello Construction Co Inc - Cranston, RI 02920
Review and ensure utilization of shop drawings and submittals. Manage distribution and utilization of plan revisions, RFIs and ASIs with onsite tradesmen....
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Computational Immunologist
EpiVax, Inc. - Providence, RI 02903
$62,000 - $80,000 a year
Maintains large-scale databases and prepares data for utilization by scientists; Communicates/presents data summaries, graphics, and statistical analysis...
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Utilization Review Nurse
SALMON VNA and Hospice - Milford, MA 01757
Position is 32-40 hours working M-F. Responsibilities: * Review OASIS and ICD-10 coding Requirements: * Monday-Friday commitment * Current RN license *...
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