- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... Utilization Management and Review for...Utilization Management and Review for the Enterprise. The...team in delivering and collaborating on all aspects of utilization management and care coordination… more
- Providence (Centralia, WA)
- …+ 3 years Nursing **Preferred Qualifications:** + Bachelor's Degree Nursing Or + 3 years Utilization Review , Care Management , Quality Management , ... **Description** The Utilization Review (UR) Nurse has a...clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient… more
- Providence (Olympia, WA)
- …**Preferred qualifications:** + Bachelor's Degree Or Associate's Degree Nursing + 3 years of Utilization Review , Care Management , Quality Management , ... **Description** The Utilization Review (UR) Nurse has a...clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review . Responsibilites: Reviews admissions and ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to… more
- BayCare Health System (Tampa, FL)
- …system level with clinical reviews and data analysis in collaboration with the Care Management , Utilization Review /Denials, Clinical Documentation ... remotely?** Always **Equal Opportunity Employer Veterans/Disabled** **Position** APRN - Utilization Management /Physician Advisor Services **Location** Tampa:St Josephs… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director, CC/DP and Utilization Review , provides clinical and management leadership across multiple hospitals within the region. This ... organizations, providers, and payers to address benefit coverage, utilization review , and quality assurance. + Promote...with hospital administration and clinical teams. + Experience in utilization management and care coordination.… more
- Cleveland Clinic (Stuart, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This downtown Stuart hospital… more
- Cleveland Clinic (Garfield Heights, OH)
- …eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... and the Southeast communities of Cuyahoga County, Marymount Hospital is an acute care , faith-based hospital. Here, caregivers are guided by the Christian values of… more
- Cleveland Clinic (Beachwood, OH)
- This position requires 2 years of experience in Utilization Review , Quality or Care Management , Disability Plans, FMLA and ADAA** Join the Cleveland ... nursing experience + Two years of experience in Utilization Review , Quality or Care Management , Disability Plans, FMLA and ADAA Preferred qualifications… more
- Providence (Hood River, OR)
- …year of Home health, mental health, substance use, hospice, utilization review , discharge planning or care management experience **Preferred ... ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Providence caregivers are not simply valued - they're… more