Job offers: utilization review coordinator

Maxim Healthcare Services

Nurse Practitioner - RNNP

Maxim Healthcare Services :: Las Cruces, New Mexico :: 9 days ago

... physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician. Take patient histories, conduct physical examinations; write progress notes; prepare patient workups and summaries noting pertinent positive and negative ...

Maxim Healthcare Services

Registered Nurse - RN - Case Manager

Maxim Healthcare Services :: Salem, Oregon :: 5 days ago

... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. ... s status. Document patient case information within a database system. Perform chart review/audits monthly or as needed. Participate in monthly case conferences by providing ...

Maxim Healthcare Services

Registered Nurse - RN - Case Manager (Quality Improvement)

Maxim Healthcare Services :: Redwood City, California :: 9 days ago

... s status. Document patient case information within a database system. Perform chart review/audits monthly or as needed. Participate in monthly case conferences by providing ... and referrals for psychosocial needs. Participate in Quality Assurance and Utilization review activities, as directed. Empower patients in decision making for care ...

RN- Utilization Review Nurse

Southern Maryland Hospital Center :: Clinton, Maryland :: 26 days ago

RN- Utilization Review Nurse Department: Utilization-Case Mgmt Schedule: 10 Hour Shift, everyother weekend Shift: 10 Hour Shift Hours: Saturday & Sunday Job Details: CPR Card - Healthcare Provider Maryland RN license Required MedStar Southern Maryland Hospital Center, Inc. is currently seeking high -energy, hands-on RN Utilization Review Nurse ...

Utilization Management Coordinator

HealthCare Scouts :: Newark, New Jersey :: 28 days ago

... Scouts has partnered with a managed care organization looking for a Utilization Management Coordinator to join their stable, growing team! As a UM Coordinator, you will support the ... functions while acting as a liaison between those involved in the Utilization Review process. As the Utilization Management Coordinator, you will be responsible ...

Managed Care Coordinator

HealthCare Scouts :: New Jersey :: over 30 days ago

... a medical background to join their stable, growing team! In this position, you will support the Utilization Management functions while acting as a liaison between those involved in the Utilization Review process. As the Utilization Management Coordinator / Managed Care Coordinator, you will be responsible for initial screening for pre-certification ...


Meridian Health Services :: New Jersey :: 20 days ago

UTILIZATION MGMT COORDINATOR UTILIZATION MGMT COORDINATOR ID 2016-17229 Site JERSEY SHORE UNIV MED CTR Job Locations US-NJ-Neptune Status Full Time Shift Day Shift Hours 8:00-4:30 More ... requirements and coordinating the medical management aspects of clinical review requests from external entities. Responsibilities: Review Activities: Admission ...

Mortgage Industry

DiCenzo Personnel Specialists :: Coraopolis, Pennsylvania :: over 30 days ago

Job Description: Company seeking qualified candidates for the following openings: Several experienced Closing Coordinators Vendor Management Coordinator Online Search Coordinator Title Operations Coordinator Title Commitment Coordinator Title Policy Coordinator Scheduling Coordinator Doc Audit Coordinator Scanning/Shipping Coordinator Workshare ...

Utilization Review - Managed Care Nurse - (UL RN)

American Mobile Healthcare :: Torrance, California :: 26 days ago

Utilization Review - Managed Care Nurse - (UL RN) Job ID: 318548 Discipline: Registered Nurse Location: Torrance, CA Shift: 8 D Duration: 13 Weeks Start Date: ASAP Pay Rate: $0.00* Description: Utilization Review - Managed Care Nurse - (UL RN) Evaluates medical necessity, appropriateness, and efficiency of medical services for THIPA members while ...

Referral Coordinator II - UR

AIG :: Dallas, Texas :: 13 days ago

Referral Coordinator II - UR - Job ID #: 141031 - Functional Area: Health/Medical - RNS & Nurse Mgmt - Estimated Travel Percentage (%): 0 - Location(s): TX-Dallas - - - - - ... No Share via Networks - - - Refer a Friend Position Description: Perform Utilization Review (UR) triage of incoming UR referrals with emphasis on regulatory compliance ...

Utilization Review Specialist

Spartan Strategics, LLC :: Orlando, Florida :: over 30 days ago

... of both addiction and eating disorders, our client has multiple inpatient facilities throughout the greater Orlando area. We are currently responsible for finding a Utilization Review Specialist to join their outstanding team at their flagship facility in Umatilla. The Utilization Review Specialist (UR Specialist) is responsible for prospective, ...

Registered Nurse

Bakersfield Family Medical Center :: Bakersfield, California :: 19 days ago

... Inpatient Case Management Bakersfield Family Medical Center / Heritage Physician Network is currently hiring qualified RN's to work fulltime positions in Utilization Review Provide guidance and coordination for Utilization Review Department. Evaluate inpatient medical records using criteria and facilitate discharge plans and needs. ...

Utilization Review Nurse

Novare :: Frisco, Texas :: 13 days ago

Job Description: Description:Position Summary: To perform utilization review for workers compensation claims based on review criteria and protocols in accordance with state and regulatory agency compliance. This is a position that requires critical thinking and problem solving skills with effective written and oral communication skills. The ...

Director of Utilization Management

Odell Medical Search :: Harrisburg, Pennsylvania :: 12 days ago

... Academic Medical Center in Southern Pennsylvania is currently seeking a Director of Utilization Management. This is a new position for the institution and will report to the ... Cycle Experience Keywords: utilization management, utilization, utilization review, utilization management director, utilization management manager, director of ...

HEDIS Nurse Medical Record Reviewer

SVS Group :: Downers Grove, Illinois :: 22 days ago

... premier managed care plans. The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records. ... * Minimum two years previous experience auditing medical charts (preferably in a Utilization Management or Quality environment) * Reliable transportation and willing and able ...

Case Manager - Full Time/Days

Barnabas Health :: Toms River, New Jersey :: 25 days ago

... Expert Clinical RN providing patient assessment, interventional utilization management and discharge planning in conjunction with ... BSN preferred. Minimum five years acute care nursing experience with a minimum 1 year hospital case management experience. Utilization Review, Case Management, or Managed Care experience preferred EOE

Utilization Review Nurse

HealthCare Scouts :: New Jersey :: over 30 days ago

... continued growth and allows you to enhance your skill sets? HealthCare Scouts is currently partnered with a highly recognized healthcare organization, looking for a Utilization Review Nurse! As a Utilization Review Nurse, daily responsibilities will include but not limited to utilizing care guidelines to assess patient care, implementing care plans ...

Registered Nurse / Utilization Review

A-Line Staffing Solutions :: Brooklyn, New York :: 15 days ago

Job Description: Registered Nurse / Utilization ReviewA-Line Staffing is looking for Registered Nurses with Utilization Review Experience to work in the management field for a major Health company in Brooklyn, NY. This company is looking to set up interviews immediately and have multiple positions open. For information and details regarding this ...

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