- Beth Israel Lahey Health (Burlington, MA)
- …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management ... necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue...intensity of medical care provided. . **Job Description:** The Utilization Analyst works with physicians, the payers… more
- Beth Israel Lahey Health (Burlington, MA)
- …rotation. This role requires being on-site in Burlington, MA. **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...OPTION II: Two (2) years of experience as a registered nurse, of which one year must be in ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of … more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / Florida *...teams to review care services related to Applied Behavior Analysis Services… more
- Centene Corporation (Phoenix, AZ)
- …and be licensed in Arizona **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Carle Health (Champaign, IL)
- …patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, ... years experience - External Applicants Only** Hybrid Option The Registered Nurse (RN) who serves in the role of...years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum… more
- MyFlorida (Gainesville, FL)
- STORES ANALYST - 67012855 Date: Oct 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 863672 Agency: Agency for Persons with Disabilities Working Title: STORES ANALYST - 67012855 Pay Plan: Career Service Position Number: 67012855 Salary: $1,336.92… more
- Montrose Memorial Hospital (Montrose, CO)
- …service is billed to the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial Management Program and is ... responsible for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business, and regulatory knowledge… more
- University of Rochester (Rochester, NY)
- …Attend registry vendor sponsored training workshops/meetings to maximize trauma registry utilization and performance. Registry Admin Duties + Oversee the conversion, ... for the Pediatric Trauma Program including Pediatric Multidisciplinary Trauma Peer Review and Trauma Systems and Operations Committee meetings + Attends weekly… more
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