Utilization Review Coordinator

Job SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care plansCollaborate with healthcare...

Per Diem Case Manager OpportunityWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the most appropriate and cost-effective care.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care...

Job SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. In this role, you will play a critical part in ensuring that patients receive the highest quality care while also managing the insurance authorization process.Key ResponsibilitiesConduct thorough assessments of patient needs and develop comprehensive care...

Job SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Christus Health. As a key member of our utilization management program, you will play a critical role in ensuring the medical necessity of hospitalizations and the appropriate level of care for patients.Key ResponsibilitiesUtilize approved screening criteria to...

DescriptionPOSITIONSUMMARY:  Registered Nurse uses approvedscreening criteria (MCG®/CMS Inpatient List) to determine themedical necessity of a requested hospitalization and theappropriate level of care for that patient. Actively involved inthe continued management of patient status/LOC. Providesconsultative role as utilization management nurse to clinical...

DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Job SummaryThis position is a key role in the preparation and presentation of evidence and analyses in cases before the New Mexico Public Regulation Commission.Key ResponsibilitiesPresentation of written and oral testimony as evidence, as well as cross-examination as an expert witness in a quasi-judicial setting.Preparation of responses to interrogatories...

DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Job SummaryThe Utilization Review Nurse is a key member of our team, responsible for ensuring the highest quality patient care while optimizing resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders.Key ResponsibilitiesConduct thorough reviews of...

Job SummaryThe State of New Mexico is seeking a highly skilled Public Utilities Economist to join our team in the Economics Bureau. As a key member of our team, you will play a crucial role in the preparation and presentation of evidence and analyses in cases before the New Mexico Public Regulation Commission.Key Responsibilities* Presentation of written and...

Job Summary:The Utilization Coordinator is a key member of the Diverse Lynx team, responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning. This role requires strong clinical knowledge and excellent communication skills to ensure seamless coordination of care.Key...

Job Summary:The Utilization Coordinator at Diverse Lynx is responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning. This role requires strong clinical knowledge and excellent communication skills to ensure seamless transitions for patients.Key Responsibilities: Coordinate...

Lead Clinical Team with Vision and ExpertiseAs a RN Utilization Review Lead at ICONMA, you will be responsible for leading a high-performing team with a strong focus on motivation and responsibility. Your decisions will be guided by good judgment, ensuring the well-being of the entire team.Key Responsibilities:Team Leadership: Foster a culture of open...

Job SummaryBecome a part of our caring community and help us put health first. As a Utilization Management Nurse, you will utilize your clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.Key ResponsibilitiesReview cases using clinical knowledge, communication...

Job SummaryWe are seeking a skilled Nurse Coordinator to join our team at the University of New Mexico - Hospitals. As a key member of our healthcare team, you will play a vital role in ensuring the delivery of high-quality patient care.Key ResponsibilitiesCoordinate patient care activities, including developing and implementing individualized care...

Leads respective teams with high motivation and responsibility for the welfare of the entire team making decisions based on good judgement rather than popularity. Promotes, supports, encourages, and fosters maximum communication across case management with the purpose of making one accessible and available to all team members ensuring that effective...

Job Summary:The Utilization Coordinator at Diverse Lynx is responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning. This role requires coordination of complex discharge planning needs and referrals to appropriate support services.Key Responsibilities:Coordinate admissions and...

Job SummaryTalent Software Services is seeking a skilled Healthcare Utilization Specialist to join our team. As a key member of our healthcare operations team, you will be responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning.Key ResponsibilitiesCoordinate admissions and...

Job Title: Registered Nurse/Case ManagerJob Summary:The Utilization Coordinator at Diverse Lynx plays a vital role in ensuring seamless patient care transitions. This position is responsible for coordinating admissions, conducting concurrent and retrospective utilization reviews, and facilitating discharge planning. Additionally, the Utilization Coordinator...

About the RoleWe are seeking a highly skilled and motivated Consulting Utility Forester to join our team at Eocene Environmental Group of the West, Inc. As a key member of our team, you will play a critical role in ensuring the safe and efficient delivery of power to our customers.Key ResponsibilitiesCommunity Outreach and Engagement: Develop and maintain...