- Commonwealth Care Alliance (Boston, MA)
- … Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing leadership and ... growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming,...Serve as the lead for CCA's Utilization Review functions working closely with other medical … more
- Actalent (Sunrise, FL)
- …Medical Directors and other Medical Management staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization ... on department activities as assigned. Essential Skills + Clinical review + Utilization review +...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review SpecialistJob Description The Behavioral Health Utilization Review Specialist conducts comprehensive ... LMHC). + Minimum of two years of experience in utilization review /case management. + At least one...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** The **Registry Utilization Review Nurse** (PRN) is responsible for conducting medical necessity reviews ... physician advisor. + The UR RN (PRN) will perform utilization review by completing a timely and...Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. +… more
- Prime Healthcare (Ontario, CA)
- …working for a Health Plan. + At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS (AHA) ... of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity,… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …Practical experience in the application of UM methods and expertise in medical necessity review criteria. This position requires strong analytical skills ... Follows procedures per established policies and guidelines. Responsibilities The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities… more
- Actalent (Sunrise, FL)
- …+ Active Florida license (RN, LCSW, LMSW, LPHA, or LMHC). + 2+ years in utilization review /case management; 1+ year in acute care discharge planning preferred. + ... crisis, including triage, discharge planning, and aftercare referrals. + Review treatment plans and collaborate with Medical ...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. ... Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/director-of-case-management utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCentinela Hospital Medical Center… more
- Montana State University-Northern (Havre, MT)
- Assistant Athletic Trainer - Temporary Below you will find the details for the position including any supplementary documentation and questions you should review ... you would like to bookmark this position for later review , click on the Bookmark link. If you would...Information NBAPOSN Title Working Title Assistant Athletic Trainer - Temporary Brief Position Overview This position is for a… more
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