utilization review tech

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Full Time MO - St Louis, St. Louis, MO, US Location: St. Louis, MO Elevate your career with an organization that truly cares. Camber is proud to announce a Work Wellbeing Score of 83, reflecting our deep...

Utilization Review Coordinator Manages the administrative components of utilization review for all levels of care and all payers. Serves as the organization's central point of accountability for authorization tracking, assuring that prior authorizations, continued stay reviews, requests for information, reconsiderations, and retrospective reviews are...

Please, no agencies or recruiters, only W2 applicants.Vega Consulting is staffing a Utilization Review Specialist for our direct Healthcare client. This is a 6-month contract, hybrid role. Candidates license for Maryland, VA or Wash DC. (RN or LPN).The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and...

Your experience matters At Columbus Springs-East, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community...

MACON COMMUNITY HOSPITAL Position Description Department Name: Care Management Employee Name: Job Title: Utilization Review Nurse Effective Date: Reports to (Title): Care Management Director Supervises: (Positions) N/A I have reviewed these job requirements and verify that I can perform all essential functions of this position. I understand that...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Full Time MO - St Louis, St. Louis, MO, US Location: St. Louis, MO Elevate your career with an organization that truly cares. Camber is proud to announce a Work Wellbeing Score of 83, reflecting our deep...

Job Summary and Responsibilities The Utilization Review Nurse is responsible for ensuring the medical necessity, appropriateness, and efficiency of inpatient hospital services. This role involves conducting concurrent and retrospective reviews of patient charts, applying standardized clinical criteria to validate admission status, and coordinating with...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

This is a full time, day shift position, the schedule is 8am-4:30pm. This role requires alternating weekends and holiday shifts. The hyrbird schedule is for up to two days remote and three days in office. Job Summary: The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical...

PRN Utilization Review Admin Good Hope Hospital - Erwin, NC 28339 Description Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of culturally sensitive mental health and substance abuse services. Comprehensive Benefits Package Medical,...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

POSITION SUMMARY/RESPONSIBILITIESAssists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources,...

JOB DESCRIPTION: Under the direction of the VP of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and performance management of Utilization Review services performed across the Tenet enterprise. Leads Tenet Hospital case management operations to develop and...

Job DescriptionSolomon Page is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jamaica Plain, Massachusetts. Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 10/15/2026Duration: 11 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelOur client is looking to add a...

OverviewJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Dallas Regional Medical Center is a 202-bed acute...

PT Utilization Review Coordinator This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis...

Utilization Review Liaison Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through...

Job Description /n GLC On-The-Go is seeking a travel nurse RN Case Management for a travel nursing job in Fort Myers, Florida. Job Description & Requirements/n /n - Specialty: Case Management /n - Discipline: RN /n - Start Date: 10/26/2026 /n - Duration: 13 weeks /n - 40 hours per week /n - Shift: 8 hours /n - Employment Type: Travel /n /n Registered...