- Baptist Memorial (Memphis, TN)
- Summary Responsible for the Utilization Review Program across the system. In collaboration with system care coordination leadership ensures the strategic goals for ... Utilization Review are established and achieved. Establishes policies and...of patient throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal… more
- Hackensack Meridian Health (Neptune, NJ)
- …and serve as a leader of positive change. The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay,… more
- Universal Health Services (Chicago, IL)
- …treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, ... care requirements and payer expectations for patient acuity and appropriate utilization . Completes quality and timely appeal/denial letters. Participates in post… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …and serve as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay,… more
- Prime Healthcare (Bristol, PA)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech essentially ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry and… more
- Universal Health Services (Conway, SC)
- …Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral ... and its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of Four 8-hour Daylight Shifts… more
- HCA Healthcare (Largo, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a ... in our organization. We are looking for an enthusiastic Utilization Review RN to help us reach our goals....**Job Summary and Qualifications** We are currently seeking a Utilization Review RN to join our team. As our… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible for ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management RN has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization Management RN is an ... on their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and efficient processes for… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE MANAGEMENT (Billings ... for tuition loan reimbursement Under the direction of department leadership, the Utilization Review/ Management RN. This position is to conduct initial, concurrent,… more