- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance...a related field required; advanced degree or licensure (eg, RN , LCSW, LPC, LMHC, or CADC) preferred. + Excellent… more
- Baylor Scott & White Health (Temple, TX)
- Baylor Scott & White Medical Center Temple Registered Nurse ( RN ) Labor and Delivery Full Time - Night Shift 7p-7a **Overview** Baylor Scott & White Temple is ... Shared Governance, department committees and councils. Everyone's voice matters! **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who… more
- Waystar (Atlanta, GA)
- …end user adoption of best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer...Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure) + 8+ years of clinical experience in… more
- AnMed Health (Anderson, SC)
- …This position is responsible for performing the daily operations of the Utilization Management program at AnMed within the Care Coordination model. These duties ... continued stay/concurrent review, retrospective review, bed status management, resource utilization management, regulatory compliance, and related denial management issues.… more
- Baylor Scott & White Health (Temple, TX)
- …Trauma Hospital -Certified Chest Pain and Stroke Center. Average 220 visits per day. Our Registered Nurse ( RN ) staff are proficient in Stroke and STEMI ... 1 **Note:** Benefits may vary based upon position type and/or level **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who uses the BSWH… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts ... review, and education related to NICU and special populations utilization management. * Serve as a clinical resource on...detail and data integrity **Required Qualifications** * Active, unrestricted RN license in Louisiana or a compact license. *… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more
- Baylor Scott & White Health (Grapevine, TX)
- …We believe that all people should feel welcomed, valued, and supported. **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who uses the ... Program **Requirement: 1+ years of recent ICU experience** - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) Basic Life Support (BLS): BLS… more
- Elevance Health (CA)
- **Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables associates to ... granted as required by law. The **Behavioral Health Care Manager I, Utilization Management** is responsible for managing psychiatric and substance abuse or substance… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with insurance ... access the full range of their benefits through the utilization review process. Requirements + Education: Master's Degree in...LMFT or LMFT-A Preferred but not required. LVN or RN licensure also considered for this position. + Experience:… more