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Contract Utilization Review Specialist jobs

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REGISTERED NURSE - UTILIZATION REVIEW COORDINATOR

1-3 years experience RN license - NH or other Compact State. Utilization Management Certified within 1 year of hire. Reviews all admissions and provides clinical information to third party payors as required by contracts. Maintain...

CompanyExeter Hospital
AddressExeter, NH
CategoryEducation/Training
Salary$71.6K - $90.7K a year
Job typePer diem
Date Posted 4 days ago See detail

Registered Nurse - Utilization Review Coordinator

Exeter Hospital

Exeter, NH

$71.6K - $90.7K a year

1-3 years experience RN license - NH or other Compact State. Utilization Management Certified within 1 year of hire. Reviews all admissions and provides clinical information to third party payors as required by contracts. Maintain...

4 days ago seen See more...

Utilization Management Specialist

Kaizen Clinical Partners, Inc.

McAllen, TX

$44.9K - $56.8K a year

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

2 weeks ago seen See more...

Medical Utilization Review Analyst

Nyc Health + Hospitals

New York, NY

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees Paid Holidays and Vacation in accordance with employees' Collectivel...

3 weeks ago seen See more...

Registered Nurse - Utilization Review

Ascension

Jacksonville, FL

Department: Utilization Management Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm Hospital: Ascension St. Vincents Riverside Location: Jacksonville, FL Review admissions and service requests within assigned unit for pr...

a month ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

a month ago seen See more...

Continuing Care Utilization Review Coordinator RN

Kaiser Permanente

Oakland, CA

Conducts Utilization Review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization. Conducts clinical reviews based on established...

a month ago seen See more...

Utilization Review Coordinator Lead

Umpqua Health

Remote

$61.3K - $77.6K a year

Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and internal and external guidelines. Leads also provide oversight, monitoring and training of thes...

2 months ago seen See more...

Utilization Review Nurse

American Health Plans Llc

Franklin, TN

$57.9K - $73.4K a year

Affordable Medical/Dental/Vision insurance options. Generous paid time-off program and paid holidays for full time staff. TeleDoc 24/7/365 access to doctors. Optional short- and long-term disability plans. Employee Assistance Plan...

2 months ago seen See more...

Utilization Review RN

Ust

United States

$60,000 - $90,000 a year

Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service...

2 months ago seen See more...

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