- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day ( United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization ... documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively ... development, and provide education to the team on utilization review -related issues. Responsibilities + Review prior authorization...30,000 consultants and more than 4,500 clients across the US , Canada, Asia and Europe, Actalent serves many of… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... with the interdisciplinary team, the UMN handles tasks related to utilization review across various specialties, medical treatments, and services. The role involves… more
- Beth Israel Lahey Health (Plymouth, MA)
- **Job Type:** Regular **Time Type:** Part time **Work Shift:** Day ( United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, ... using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to… more
- Beth Israel Lahey Health (Cambridge, MA)
- **Job Type:** Per Diem **Time Type:** Part time **Work Shift:** Day ( United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, ... **Primary Responsibilities** (including but not limited to): 1. Performs utilization review and discharge planning to inpatient admissions to MAH. 2. Applies… more
- Fallon Health (Worcester, MA)
- …appeal to the Plan Medical Director, Center for Medicare/Medicaid Services, contracted reviewer , and the Plan contracted external review agency in accordance ... **Overview** **About us :** Fallon Health is a company that cares....expectations. Under the direction of the Director, the Appeal Nurse represents, manages and oversees second level appeal cases… more
- UNC Health Care (Kinston, NC)
- …the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, ... movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as… more
- The County of Los Angeles (Los Angeles, CA)
- …that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized ... citizenship or the right to work in the United States . Career PathFinder: Resources to help...number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review … more
- The County of Los Angeles (Los Angeles, CA)
- …that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized ... citizenship or the right to work in the United States . Career PathFinder: Resources to help...number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review … more
- Sacramento County (Sacramento, CA)
- …who, as of the final filing date for an examination is declared by the United States Veterans Administration or military service department to be 10% or more ... office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within… more