Perimeter Behavioral in Springfield seeks a Full-Time Utilization Review Coordinator to enhance the lives of those with mental health conditions. Monitor patient care quality, review records, and liaise with medical staff and insurance providers. Req...
Prime Healthcare, a prominent health system in California with 45 hospitals and over 300 clinics across 14 states, seeks team members to assist in utilization review operations. Responsibilities involve coordinating appeals, interacting with insuranc...
Seeking an RN Utilization Management Specialist to champion appropriate health care resource usage and clinical outcomes. Remote position within UPH regions. UnityPoint Health offers top benefits, unwavering values, and growth opportunities. Validate...
Assist the UR Director in daily operations to meet state regulations. Maintain professional relationships, perform assigned duties. RN or licensed social worker/therapist with 1 year psychiatric inpatient experience. Knowledge of JCAHO, CPR, and PCI ...
Join Praesum Healthcare, an industry leader in administrative services for healthcare providers. Seeking a Utilization Review Specialist to manage mental health and substance abuse services across various care settings. Ideal candidates have 2+ years...
Dublin Springs, a mental health hospital in Dublin, OH, seeks a Utilization Review Manager to lead a team ensuring timely completion of review activities. Manage staff, liaise with care providers, conduct clinical reviews, and provide ongoing trainin...
Seeking a skilled Case Manager II Part Time to ensure seamless patient care coordination. Advocate for patients, lead discharge planning, and optimize resource utilization. Must have relevant healthcare experience and licensure. Join us at ScionHealt...
Seeking a dedicated Utilization Review Manager at Denver Springs, a leading behavioral hospital in Englewood, CO. Responsible for overseeing UR activities, ensuring accurate clinical reviews for patients. Ideal candidate has knowledge of mental healt...
Seeking an Intake Specialist to manage administrative tasks for the utilization review process. Responsibilities incl. receiving, screening, data entry, and assisting Utilization Review Nurse. Req. HS diploma, customer service exp. preferred. Join us...
Seeking a Utilization Review Nurse to join Berkshire Hathaway GUARD Insurance Companies. Collaborate with our managed care team, ensuring timely review of workers' comp claims. Enjoy work-life balance, generous benefits, and room to advance in a top-...