- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete assigned duties in providing care to… more
- Tenet Healthcare (Detroit, MI)
- …care options May, if licensed RN, oversee work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator. (10% daily, essential) Compliance ... Group Director Utilization Review - 2506000536 Description :...the CMS Conditions of Participation and Tenet policies If licensed RN, operates within the RN scope of practice… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We ... Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for...in accordance with law and regulation, such as a Licensed Professional Counselor (LPC), Licensed Mental Health… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions to improve...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you… more
- Centene Corporation (Jefferson City, MO)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... YEAR WITH THIS ROLE **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members… more
- Catholic Health (Buffalo, NY)
- …Rotation Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse (RN) Care Manager- Utilization Review , as an active member of the Care Management and ... interdisciplinary care team, provides comprehensive Utilization Review and discharge services to patients...or BS in Health related field + Registered Nurse, licensed (unrestricted) in New York State + New York… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Trinity Health (Mason City, IA)
- …Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case screening, insurance ... + Works directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to… more
- Prime Healthcare (Lynwood, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/204105/case-manager%2c-rn utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3.… more
Recent Jobs
-
Principal DevSecOps Engineer
- Shuvel Digital (Boston, MA)
-
ML Software Developer Intern - Hybrid, Minnesota
- Entrust (Shakopee, MN)
-
Scheduler II
- LifePoint Health (Elko, NV)
-
Senior Software Engineer I - Full Stack Java
- Walgreens (Deerfield, IL)
Related Job Searches:
Licensed,
Licensed Utilization Review II,
Licensed Utilization Review Nurse,
Licensed Utilization Review Senior,
Review,
Utilization,
Utilization Review