Utilization Review Clinician

Job SummaryAs a Clinical Utilization Review Specialist at Centene Corporation, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our members. This position requires a strong clinical background and expertise in reviewing treatment plans related to mental health and substance abuse.Key...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Providence St. Peter Hospital. As a key member of our Utilization Management program, you will play a critical role in ensuring that our patients receive the most appropriate care while also meeting regulatory and reimbursement requirements.Key ResponsibilitiesDevelop and...

Description 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...

Job Summary:The Utilization Review (UR) Nurse plays a critical role in ensuring the efficient and effective management of patient care. As a Clinical Utilization Review Specialist, you will utilize your strong clinical background and knowledge of Utilization Management (UM) principles to develop and maintain processes for determining patient admission...

Description 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...

Job Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring our members receive the best possible care.Job Summary:We are seeking a highly skilled Clinical Utilization Specialist to join our Medical Management/Health Services...

Job Title: Director Review SpecialistJoin the State of Washington as a Director Review Specialist and play a key role in enhancing how state government serves its citizens.About the Role:This is an exempt position that serves as a Subject Matter Expert in the Director's Review Program for the Office of the State HR. The successful candidate will obtain and...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to coordinate, document, and...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesReview services to ensure medical necessity and apply...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key Responsibilities:Review services to ensure medical necessity and apply...

Job Title: Utilization Management NurseCambia Health Solutions is seeking a skilled Utilization Management Nurse to join our Clinical Services team. As a Utilization Management Nurse, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective healthcare services.Key Responsibilities:Conduct utilization...

Location:Vista OncologyPay Range:$20.48 - $34.12Position SummaryIn compliance with state requirements, maintains the ordering and stocking of medications and supplies as needed in the clinic. Under supervision of appropriate licensed healthcare professional as defined by State regulations, prepares and mixes medications. Coordinates with drug sales...

Wellspring Nurse Source is seeking a travel nurse for a challenging opportunity in the Emergency Department. Job Details Specialty: ED - Emergency DepartmentDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelWellspring Nurse Source is committed to providing a supportive environment for our clinicians. We...

Join Our Team as a Medical Director in Post-Acute CareWe are seeking a highly skilled and experienced Medical Director to lead our post-acute care team in Olympia, Washington. As a Medical Director, you will be responsible for providing medical direction and oversight to our clinicians, ensuring high-quality patient care and outcomes.Responsibilities:Provide...

Medical Director Post Acute Care OpportunityWe are seeking a highly skilled and experienced Internal Medicine Physician to join our team as a Medical Director for Post Acute Care. As a key member of our leadership team, you will be responsible for providing primary care to adults in skilled nursing facilities.This is a part-time position, requiring 2-3 days...

Medical Director Post Acute Care (FP, IM, Geriatrics) Seeking a BE/BC Family Medicine, Internal Medicine or Geriatrician to provide primary care to adults in skilled nursing facilities. Part-time position 2 to 3 days per week Schedule: Monday Friday. Flexible schedule. Set your own schedule and the opportunity to build a position that matches your ideal...

Job Title: Medical Director - Post-Acute CareTeamHealth is seeking a skilled and compassionate Medical Director to lead our post-acute care team in the Olympia area. As a Medical Director, you will be responsible for providing high-quality patient care, leading a team of clinicians, and collaborating with facility leaders to ensure seamless care...

Wellspring Nurse Source is seeking a skilled Cath Lab Technologist for a travel job in a medical setting.Job DetailsSpecialty: Cath Lab TechnologistDiscipline: Allied Health ProfessionalEmployment Type: TravelThe selected candidate will work 40 hours per week for 13 weeks, with a 10-hour shift schedule. This is a great opportunity for a Cath Lab Technologist...

Della Infotech is seeking a skilled Registered Nurse to join our team as a Case Manager. The ideal candidate will have experience in utilization review and be able to work effectively in a fast-paced environment. The position will involve floating between various units, requiring strong communication and problem-solving skills. The successful candidate will...

Wellspring Nurse Source is seeking a travel nurse for a Progressive Care Unit position.Job DetailsSpecialty: PCU - Progressive Care UnitDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsThe pay package is based on 12 hour shifts and 36.0 hours per week with a tax-free stipend amount to be determined.About Wellspring Nurse...