- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Cedars-Sinai (Los Angeles, CA)
- …accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days ... about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the most… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** : ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare...Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials supports… more
- University of Utah Health (Salt Lake City, UT)
- …of practice and according to state law. **Required** + One year ** Utilization Review or Case Management** experience. **Corporate Overview:** The University ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager of Utilization Review ...+ 3-5 years work experience in healthcare as a nurse required + 1-3 years work experience in Care ... Relations Manager to facilitate coordination of services related to utilization review . Collaborates with the multidisciplinary team, lending professional… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization ... and payer requirements. Reporting to the Director of Centralized Utilization Review , the Centralized Manager ,...abilities **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas Board of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- CVS Health (OH)
- …office locations in New Albany OH, Chandler AZ or High Point NC.** Precertification Nurse Case Manager is responsible for reviewing medical records to determine ... requirements and claims history to address potential impact on current case review and eligibility. + Drives effective utilization management practices by… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Amergis (Aberdeen, MD)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... The RN Case Manager is responsible for coordinating continuum of care...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
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