Clinical Utilization Review Nurse

About the RoleAcentra Health is seeking a highly skilled BCBA Utilization Reviewer to join our team. As a key member of our organization, you will play a critical role in ensuring the delivery of high-quality healthcare services to our clients.Key ResponsibilitiesMedical Record Review: Utilize your clinical expertise to review medical records for Applied...

Job SummaryAcadia Healthcare is seeking a highly skilled Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will serve as a liaison between managed care organizations and our facility's professional clinical staff.Key ResponsibilitiesConduct reviews in accordance with certification requirements of insurance plans or other...

About the RoleAcentra Health is seeking a highly skilled BCBA Utilization Reviewer to join our team. As a key member of our clinical review team, you will play a critical role in ensuring the quality and accuracy of our review processes.Key ResponsibilitiesUtilize clinical expertise to review medical records for Applied Behavioral Analysis against...

Join a dedicated team focused on health and wellnessHumana Healthy Horizons in Indiana is looking for skilled Utilization Management (UM) Nurses who apply their clinical expertise to enhance the coordination, documentation, and communication of long-term support services and benefit administration decisions. The role of the Utilization Management Nurse...

Job SummaryThe purpose of this position is to utilize clinical expertise to review medical records for Applied Behavioral Analysis against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness.Key ResponsibilitiesUtilize clinical expertise for the review of medical...

Clinical Audit SupervisorAs a key member of the Carelon Payment Integrity division, you will play a vital role in ensuring the integrity of healthcare payments.Position Overview:This role operates on a hybrid model, allowing for both remote and in-office work. Ideal candidates should reside within a reasonable distance from Elevance Health locations.Carelon...

Join a dedicated team focused on health and wellnessHumana Healthy Horizons in Indiana is on the lookout for Utilization Management (UM) Nurses who leverage their clinical expertise to enhance the coordination, documentation, and communication of long-term support services and benefit administration evaluations. The role of the Utilization Management Nurse...

If you are dedicated to fostering a brighter future for individuals and communities, consider joining Western Governors University (WGU) as a vital member of our educational team. WGU is on a mission to enhance access to higher education through innovative online, competency-based degree programs. We pride ourselves on being an inclusive workplace for a...

If you are dedicated to shaping the future of healthcare education and fostering student success, consider a role with Western Governors University. WGU is on a mission to enhance access to higher education through innovative online, competency-based degree programs. We pride ourselves on being an inclusive workplace for a diverse group of professionals who...

About the RoleWe are seeking a highly skilled Clinical Consultant to join our team at Oracle. As a Clinical Consultant, you will play a critical role in driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value.Key ResponsibilitiesManage ongoing...

Job SummaryWe are seeking a highly skilled Clinical Nurse Educator to join our team at Ascension Health. As a Clinical Nurse Educator, you will be responsible for assessing, planning, implementing, and evaluating educational activities related to nursing clinical areas across the continuum of care.Key ResponsibilitiesCollaborate with leaders and staff to...

Job SummaryWe are seeking a highly skilled Nursing Clinical Educator to join our team at Ascension St. Vincent. As a strategic consultant for nursing clinical performance initiatives, you will create, implement, and evaluate multi-faceted competency-based programs, delivery mechanisms, and clinical performance.Key ResponsibilitiesCollaborate with leaders and...

Join a dedicated healthcare team focused on improving livesHumana Healthy Horizons in Indiana is in search of Utilization Management (UM) Nurses who apply their clinical expertise to enhance the coordination, documentation, and communication of long-term support services and benefit administration decisions. The role of the Utilization Management Nurse...

Job Title: Registered Nurse - Cardiovascular Intensive Care Unit (CVICU)Job Summary: We are seeking a highly skilled and experienced Registered Nurse to join our team as a CVICU Travel Nurse. As a CVICU Travel Nurse, you will provide direct nursing care to critically ill patients with cardiovascular conditions, working closely with a multidisciplinary team...

Job SummaryWe are seeking a dedicated and experienced CVICU Registered Nurse to join our team at Travel Nurse Source. As a critical care traveler, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality care to patients in need.ResponsibilitiesProvide direct patient care in the CVICU setting, utilizing your...

Job SummaryWe are seeking a highly skilled Clinical Staff Pharmacist to join our team at Franciscan Health. As a Clinical Staff Pharmacist, you will play a critical role in providing compassionate, comprehensive care to our patients and the communities we serve.Key ResponsibilitiesInventory Management: Assist in maintaining adequate stock levels of...

About the RoleWe are seeking a highly skilled Clinical Consultant to join our team at J&J Family of Companies. As a Clinical Consultant, you will play a critical role in demonstrating the value and impact of our Impella product portfolio to physicians and hospital staff.Key ResponsibilitiesImprove patient outcomes through education and medical staff...

Job SummaryWe are seeking a highly skilled Medical Management Nurse I to join our team at Elevance Health. As a Medical Management Nurse I, you will play a critical role in promoting quality member outcomes, optimizing member benefits, and promoting effective use of resources.Key ResponsibilitiesCollaborate with healthcare providers and members to ensure...

What We Seek:At HNTB, you have the opportunity to forge a career that is significant to you while contributing to the development of essential community infrastructure. With over a century of experience, we have been providing innovative solutions for some of the most intricate infrastructure initiatives nationwide. As we continue to grow, it is an exciting...

Company OverviewAbout Adtalem Global EducationAdtalem Global Education is dedicated to empowering and equipping a diverse range of healthcare professionals who contribute to the health of individuals, families, communities, and nations. Our accredited institution includes the College of Nursing and the College of Health Professions. Our College of Nursing...