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Case Review jobs

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RN CASE MANAGER I UTILIZATION REVIEW PRN DAYS

This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay,...

CompanyBirmingham Market Office
AddressDolomite, AL
CategoryEducation/Training
Job typeFull-time, Part-time
Date Posted 3 days ago See detail

RN Case Manager I Utilization Review PRN Days

Birmingham Market Office

Dolomite, AL

This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay,...

3 days ago seen See more...

Physician PM&R Board Certified - FOR REMOTE CASE REVIEW

Key Med Staff

Remote

$167K - $212K a year

Work remotely, anywhere in the US, with a secure internet platform. Flexible work schedules. Training provided. Must have unrestricted physician state licensure anywhere in the USA, no disciplinary actions. Must be in Active pract...

4 weeks ago seen See more...

Case Review Officer

Kings County

Hanford, CA

$74,401.60 - $90,812.80 a year

Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.Case Review Officers assigned to CPS and Probation Case Review: Conducts CPS and Probation Case Reviews to en...

4 weeks ago seen See more...

Case Reviewer

Constellis

Remote

$60K - $76K a year

U.S. Citizenship;. Minimum 18 years of age;. H.S. Diploma or equivalent;. Bachelor's Degree from four-year college or university; experience in background investigations and knowledge of the background investigation process to inc...

a month ago seen See more...

COMPLEX MEDICAL CASE REVIEWER

Nyc Careers

New York, United States

$109,739 a year

Agency: HRA/DEPT OF SOCIAL SERVICES Job type: Full-time Title Classification: No exam required Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on cases involving Medical...

a month ago seen See more...

Case Reviewer – Maui, HI

Tidal Basin

Hawaii, United States

$38.7K - $49K a year

Gather documents to establish program eligibility. Once established, maintain a caseload of clients, and sustain regular and required contacts within guidelines. Maintain a high standard to protect client information. Provide reso...

a month ago seen See more...

Assistance Payments Case Reviewer

Weld County, Co

Greeley, CO

$27.36 - $34.66 an hour

The Weld County department of Human Services is recruiting an Assistance Payments Case Reviewer who will perform sample and random reviews of multiple Human Services programs, including but not limited to Food Assistance, Child Ca...

a month ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

4 weeks ago seen See more...

Utilization Review-Case Management (Full-Time)

Aurora San Diego

San Diego, CA

$66,560 - $124,800 a year

Pay Range: $32/hr. to $60/hr. Admissions: Conduct admission reviews. Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews. Payment Appeals: Prepare and submit appeals to third party payers. Recordkeeping: Maintain...

4 weeks ago seen See more...

Manager - Case Management & Utilization Review, Jay Hospital

Baptist Health Care Corporation

Jay, FL

3 years nursing experience in the clinical setting Required. 1 year Case Management or Utilization Review experience Preferred. Excellent verbal and written communication skills required. Understands health care finance relative t...

4 weeks ago seen See more...

Utilization Review Case Manager CMC

Utmb Health

Friendswood, TX

Demonstrates thorough knowledge of Inter Qual Criteria, CMC Specialty Referral Guidelines and Protocols used to determine status for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utiliz...

a month ago seen See more...

Utilization Review Nurse - Case Management

Kern Medical

Bakersfield, CA

$41.32 - $65.10 an hour

New Hire Bonus: $6,000.00. New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay: 10% of base pay for hours worked from 7:00 PM to 7:30 AM, with two (2) ho...

a month ago seen See more...

UTILIZATION REVIEW NURSE - CASE MANAGEMENT

North Oaks Health System

Hammond, LA

Physical Effort RequiredStrength: SedentaryPush: occasionallyPull: occasionallyCarry: occasionallyLift: occasionallySit: frequentlyStand: frequentlyWalk: frequentlyResponsibilities:Monitors and facilitates initial and continued st...

a month ago seen See more...

Case Manager/Utilization Review

Saint Anthony Hospital

Chicago, IL

$70.9K - $89.7K a year

Bachelor's degree in healthcare or related field; BSN preferred. Licensed as a Registered Nurse in the State of Illinois. Five years recent clinical experience in a hospital setting, or four years recent clinical experience. Utili...

2 months ago seen See more...

Utilization Review Case Manager - FT Days

Torrance Memorial Medical Center

Torrance, CA

$53.40 - $82.22 an hour

Tracks avoidable days....

2 months ago seen See more...

REMOTE UTILIZATION REVIEW CASE MANAGER

Carson Tahoe Health

Carson City, NV

Transition management Assigns appropriate length of stay, participates in readmission prevention, transition level of care and patient satisfaction. Utilization management Screens for accurate medical necessity using approved...

2 months ago seen See more...

Case Management Nurse Utilization Review Inpatient: Remote

Florida Health Care Plans, Inc.

Florida, United States

$68.8K - $87.2K a year

Current licensure in Florida as a Registered Nurse. Minimum of 3 years clinical experience; acceptable areas include Ambulatory Care, Medical/Surgical, or ICU required. Previous experience with referrals, Case Management, pre-cert...

2 months ago seen See more...

Case Management Assistant Utilization Review

Inova Health System

United States

Conducts timely arrangements of services to meet customer requirements. Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned. Communicates financial a...

2 months ago seen See more...

CA Utilization Review Case Manager I

Corvel Healthcare Corporation

Rancho Cucamonga, CA

Identifies the necessity of the review process and communicates any specific issues of concern to the appropriate claims staff/customer. Collects data and analyzes information to make decisions regarding certification or denial of...

2 months ago seen See more...

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What are the top cities open Case Review jobs?

There are open Case Review jobs in several cities including Phoenix, Oklahoma City, Atlanta, Bryant, Seattle,

What companies are hiring for Case Review jobs?

The top companies hiring now for Case Review jobs are CVS Health, State Of Arkansas,

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