- Health eCareers (Tempe, AZ)
- Job Title: Utilization Review Clinician / Clinical Review Nurse - Prior Authorization Openings: 1 Location: Remote - must reside in Arizona and hold ... Monday-Friday, 8:00am-5:00pm, no overtime required Position Overview A-Line Staffing is seeking a Utilization Review Clinician / Clinical Review Nurse to… more
- CVS Health (Frankfort, KY)
- …it all with heart, each and every day. **Position Summary** This is a fully ** remote ** Utilization Review Clinical Consultant. **Must reside in the state of ... the standard schedule based on business needs **Preferred Qualifications** + Managed care/ utilization review experience + Foster Care population experience +… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days ... UMNC participating in non-traditional, weekend shift rotation **Preferred Qualifications** + Utilization review experience + Experience with LTAC, skilled rehab,… more
- HonorHealth (AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring ... for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified… more
- Henry Ford Health System (Troy, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. ... Epic preferred. Additional Information + Organization: Corporate Services + Department: Central Utilization Mgt + Shift: Day Job + Union Code: Not Applicable… more
- Henry Ford Health System (Warren, MI)
- …Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. ... Science Nursing required OR four (4) years Case Management/ Appeal/ Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES… more
- CVS Health (Lansing, MI)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... 5+ years of clinical practice experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of experience with… more
- Virtua Health (Pennsauken, NJ)
- …of Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: 100% Remote Employment Type: Employee Employment Classification: Regular ... America) Total Weekly Hours: 20 Additional Locations: Job Information: Remote work environment after successful completion of in-office training Summary:Responsible… more
- CVS Health (Santa Fe, NM)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... partial hospitalization and intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. +… more
Recent Jobs
-
Heavy Duty Equipment Technician
- JobElephant (Santa Cruz, CA)
-
Principal Scientist, Translational Research / CDx
- Merck & Co. (Boston, MA)
-
Local Contract Nurse RN - Clinical Document Improvement Specialist - $40-52 per hour
- Health eCareers (Memphis, TN)
-
Manager, Media Planning (Traditional and Digital)
- Quad (Chicago, IL)