Utilization Review Jobs

OverviewTower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million...

Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for...

Overview Prime Healthcare is an award-winning health system operating 45 hospitals in 14 states . It is one of the nation's leading healthcare service providers with more than 43,500 employees and...

Utilization Review Specialist PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ESSENTIAL FUNCTIONS: Act as liaison between...

A leading hospital in Eastern Florida is looking for an experienced Director of Utilization Review Case Management to join their team of medical professionals. The coastal hospital is part of a...

Description The Utilization Review Supervisor is responsible for the technical and clinical supervision of the Utilization Review department under the direction of the Director of Case Management....

A leading hospital in Eastern Florida is looking for an experienced Director of Utilization Review Case Management to join their team of medical professionals. The coastal hospital is part of a...

We Are Hiring RN-Case Mgmt - Case Management 001 - PRN,Day - SHH PanamaCty BayMedical - Panama City,FL Why Join Ascension? Ascension Sacred Heart is a faith-based health system that provides a...

A well-respected hospital in Northern CA is actively interviewing for a strong leader to serve as their new Nurse Director Utilization Review Case Management. Join this established healthcare...

Utilization Review Registered Nurse Summary: · Post-Acute Case Manager RN · (Nurse Case Management Senior Analyst/ Band 3) Job Description · The two major functions of the Post-Acute Care Case...

Proactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity. Act as liaison between managed...

Hello Health Professionals I'm working with one of the largest insurance providers currently serving 74 million people in the US Location : Tampa, FL Requires a LPN, LVN, or RN; 2 years of clinical...

Job Description: Description RN Case Manager will work with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge....

Job Description: Description The RN Case Manager - Utilization Review effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care...