Utilization Management Nurse

Job Description: We are seeking a skilled Healthcare Utilization Specialist to join our team at Saint Francis Health System. In this role, you will play a critical part in reviewing patients' medical records and determining the most appropriate level of care. You will also communicate with providers to resolve reimbursement issues and participate in...

Job Function: The primary role of the Utilities Manager is to manage the Utilities operational and maintenance activities, and provide guidance and support to ensure a safe reliable operation. Requires daily interaction with operational and maintenance personnel, along with raw water and waste water operations. Instill safety, environmental and reliability...

Ethereal Consulting is looking for our next Account Manager Trainee to join our rapidly expanding Customer Service and Sales Team in the Fort Wayne area! We are seeking a goal-oriented, determined, and self-starting individual who can add to our team and the overall growth of the company. Being trained in a variety of different departments across multiple...

Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function....

Job OverviewMEDNATIONAL is seeking an experienced Utilization Management (UM) Nurse to join our team. This role involves assessing healthcare services to ensure optimal patient outcomes and compliance with regulatory standards.Key Responsibilities:Service Assessment and Compliance: Evaluate healthcare services to guarantee optimal patient outcomes and...

Job DescriptionJob DescriptionPosition Overview:The Utilization Management (UM) Nurse assesses healthcare services to ensure optimal outcomes, cost-effectiveness, and compliance with state and federal regulations. This role involves analyzing clinical service requests, conducting prior authorization reviews, and collaborating with multidisciplinary teams to...

Job Summary: Saint Francis Health System is seeking a skilled Nursing Case Manager to join our Utilization Review team. As a Nursing Case Manager, you will be responsible for coordinating patient care and communicating with healthcare providers to ensure seamless transitions between levels of care. This is a dynamic role that requires strong organizational...

Job Title: Utilization ManagerLocation: NY, NY,Job Type: Full-Time. Onsite.Salary: Up to $90,000k yearly dependent on experience About our client:Our client, a nonprofit, provides a spectrum of treatments for opioids and other substance abuse disorders. Job Summary: In concert with the agency's mission and goal of sustaining high quality care/service...

At Lewis Tree Service, we provide the stability of a long-standing, employee-owned company with the progressive nature of a growing, improvement-minded future. We're one of the largest utility vegetation management companies in North America, dedicated to providing exceptional services to our customers.Why You'll Love Working for Us:We empower our employees...

Job Description About CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

Job DescriptionAbout CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

OverviewAt MJHS, we are dedicated to providing exceptional healthcare services to our patients and members. Our team of professionals works collaboratively to ensure that our health plans meet the needs of our diverse population.In this role as a Managed Care Nurse - Utilization Review Specialist, you will play a critical part in reviewing cases and...

Position Overview The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Care Manager will...

Job DescriptionAbout CarolinaEast Medical CenterCarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

Job Description: Seeking Utilization Management RN! Full-time, days Baptist Health Floyd, Case Mangement Southern Indiana/Louisville, Kentucky area The Utilization Management Nurse completes utilization review on all assigned patients. He/she conducts review of admissions, length of stay, discharge, and services ordered and provided on a concurrent and...

Help establish a best in class utility at a rapidly expanding and highly skilled Financial Crimes ConsultancyClient DetailsClient is a rapidly expanding, small, but highly motivated and intelligent, Financial Crimes ConsultancyDescriptionOversee the design, development, and ongoing implementation of a CDD utility, ensuring that it promotes compliance with...

Job Description:Seeking Utilization Management RN!Full-time, days Baptist Health Floyd, Case MangementSouthern Indiana/Louisville, Kentucky area The Utilization Management Nurse completes utilization review on all assigned patients. He/she conducts review of admissions, length of stay, discharge, and services ordered and provided on a concurrent and...

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve...and for each other. Come join us! It's the way you want to be treated. Position Summary: Performs medical record review for severity of illness and intensity of...

About the RoleWe are seeking an experienced Operations Director - Utility Services to join our team at First Quality. This is a critical role that requires a strong background in managing utility operations and maintenance activities.

Job OverviewWe are seeking an experienced Registered Nurse I to join our Outpatient Renal Dialysis team at Saint Francis Health System in Tulsa, Oklahoma.Responsibilities:Utilize the nursing process to care for patients with end-stage renal disease.Assess, organize, and complete patient care with consideration for patient age, cultural, and psychosocial...