- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is… more
- Actalent (Porterville, CA)
- …on diagnoses, prognoses, resources, and/or preferences + Manages and maintains concurrent review findings, discharge plans , and actions taken on member medical ... Remote Concurrent Review Nurse Job Description We are seeking a...the member. Responsibilities + Reviews member's transfer or discharge plans to ensure a timely discharge between levels of… more
- Regions Bank (Atlanta, GA)
- …with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers ... section of the system. **Job Description:** At Regions, the Credit Risk Review Examiner continuously monitors and examines activities. This position assesses and… more
- Medical Mutual of Ohio (OH)
- …a resource to the provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or ... members through our high-quality health, life, disability, dental, vision and indemnity plans . We offer fully insured and self-funded group coverage, including stop… more
- HCA Healthcare (Tampa, FL)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- BAYADA Home Health Care (Austin, TX)
- …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support ... **$500/Quarter** based on department metrics + BAYADA offers a **comprehensive benefits plan ** that includes the following: Paid holidays, vacation and sick leave,… more
- Behavioral Center of Michigan (Warren, MI)
- …hospitalization. Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review . Ensures appropriate and cost-effective ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and community wellness programs, ... in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider...Culture of Safety by adhering to policy, procedures and plans that are in place to prevent workplace injury,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- HCA Healthcare (Gainesville, FL)
- …UT, VA). Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting opportunity for ... life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more