- Cardinal Health (Lander, WY)
- …and team members of the clinic. + Comply with all credentialing, quality assurance and utilization review criteria that are adopted by the Company. + Adhere to ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Elevance Health (Tampa, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... (Saturday and Sunday). The **Medical Management Nurse** will be responsible for review of the most complex or challenging cases that require nursing judgment,… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies… more
- Logan Health (Kalispell, MT)
- …+ Provides triage coverage and assistance per department protocol. + Performs utilization review and/or caring contacts, call backs, and discharge activity. ... + Drug Screening + Health and Immunizations Screening + Physical Demand Review /Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer… more
- Northern Light Health (Bangor, ME)
- …dates, and times of conversations with businesses, insurances, managed care organizations, Utilization Review , and patients are documented, if appropriate. + ... understanding of benefit coverage and precertification/authorization, if appropriate. + Quality review procedures are followed to ensure accounts are brought to a… more
- HCA Healthcare (Corpus Christi, TX)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... to apply for our Mental Health Prof II Mast PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Catholic Health Services (Uniondale, NY)
- …facilitates group counseling. + Plans effective and timely discharges based on utilization review criteria and communicates discharge planning with Program ... Recovery Plan goals and documents finding every two (2) days on Recovery Plan Review and daily or as needed in Progress Notes. + Maintains confidentiality of… more
- HCA Healthcare (West Palm Beach, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... you to apply for our Mental Health Prof III Lic opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of… more
- HCA Healthcare (Summerville, SC)
- …in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. Trident ... encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- HCA Healthcare (Gainesville, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... apply for our Mental Health Professional III Licensed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more