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LPN for Utilization Review
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Utilization Review Specialist
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Utilization Review Nurse
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Bremen, IN, United States Neuropsychiatric Hospitals Full timeAbout Us:HEALING THE BODY AND MINDFounded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our...
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Utilization Review RN
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Austin, TX, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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RN - Utilization Review
3 days ago
Olympia, WA, United States Providence Full timeDescription The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate...
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Utilization Review RN
2 months ago
Fredericksburg, VA, United States Mary Washington Healthcare Full timeStart the day excited to make a difference…end the day knowing you did. Come join our team.Job Summary:The Utilization Review Nurse is responsible for following the healthcare system’s Utilization Program which integrates the function of utilization review and resource management to assure care is provided in the most appropriate setting utilizing...
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Utilization Review RN
3 weeks ago
Seattle, WA, United States Swedish Health Services Full timeDescription Remote - Utilization Review RN On call/Per diem The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining...
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Utilization Review RN
3 days ago
Seattle, WA, United States Swedish Health Services Full timeDescription Remote - Utilization Review RN On call/Per diem The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining...
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Physician Review/Utilization Review Physician
2 months ago
San Diego, CA, United States Vivo HealthStaff Full timeVivo HealthStaff is searching for a Physician for a health plan based in San Diego, CA. This is a full-time position with competitive benefits. The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner, which meets the...
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Utilization Review Coordinator
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Phoenix, AZ, United States Neuropsychiatric Hospitals Full timeAbout Us:HEALING THE BODY AND MINDFounded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our...
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Utilization Review RN
2 weeks ago
Everett, WA, United States Providence Full timeDescription Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Regional Medical Center Everett...
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Utilization Review RN
4 weeks ago
Everett, WA, United States Providence Full timeDescription Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Regional Medical Center Everett...
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Nurse Manager Utilization Review
2 days ago
Oswego, NY, United States Clinical Management Consultants Full timeAn award-winning acute care hospital located in central New York is currently searching for an experienced Nurse Manager Utilization Review to join their established healthcare system. This regional leading medical center is home to over 500 inpatient beds and provides a wide variety of awarded acute care services. This location offers exceptional emergency...
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RN-Utilization Review
4 weeks ago
Austin, TX, United States Ascension Full timeDetails Department: UR ReviewSchedule: FT - DaysLocation: Austin, TX - Remote after 4 weeks of training onsiteBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition...
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Utilization Review Coordinator
1 week ago
Crown Point, IN, United States Neuropsychiatric Hospitals Full timeAbout Us:HEALING THE BODY AND MINDFounded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our...
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Nurse Manager Utilization Review
2 days ago
Westwood, NJ, United States Clinical Management Consultants Full timeA leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team. This acute care facility was founded over one hundred years ago and today houses nearly 400 licensed beds and offers a wide variety of medical and surgical services. This...
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Nurse Director Utilization Review
2 days ago
Brockton, MA, United States Clinical Management Consultants Full timeA leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acute care hospital is a respected healthcare facility with a long-standing history of providing a range of quality medical services to the local community....
Utilization Review
1 month ago
Utilization Review Specialist Job Description
Unique opportunity to join Maryhaven, Central Ohio's largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team Maryhaven was founded on the principles of Diversity, Equity, and Inclusion in 1953, opening our doors to serve an overlooked segment of our population, women in need of substance abuse recovery services. We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. The Utilization Review Specialist coordinates the design, development, implementation, and monitoring of the organization's Benefits and utilization review functions. The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management. The Utilization Review Specialist participates in department development and unit performance improvement.
Utilization Review Specialist Benefits
- Knowledge and skills at a level normally acquired through the completion of a Bachelor's Degree in human service or behavioral health with two (2) years experience in the field of chemical dependency, or adolescent treatment or equivalent experience and training in behavioral health field.
- Knowledge of Electronic Health Records.
- Must have valid State of Ohio LPCC, LSW, LCDC II or III, RN, or CDCA licensure/certification.
Utilization Review Specialist Requirements
- Salary commensurate with experience.
- Medical, vision, and dental insurance effective on your first day
- Paid time off (PTO) starts accruing on your first day
- 11 paid holidays.
- 403(b) Retirement Savings Plan.
- Free Workforce Development and CEU's.
- Tuition reimbursement.
- A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers.
- Equal Employment Opportunity (EEO).
Compensation details: 0 Yearly Salary
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