Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG(R)/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and…
Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services…
Facilities Projects Coordinator onsite in Lebanon, IN Job ID 255316 Posted 15 Jan 2026 Service line GWS Segment Role type Full time…
UTILIZATION REVIEW SPECIALIST Purpose of Job Position: Responsible for ensuring appropriate communication with third party payers to authorize hospital stays. Gathers clinical…
Customer Sales & Dispatch Coordinator (Onsite) Southside Junk Removal Jonesboro, GA 30236 $17/hour + performance based bonuses Full Time | Four 9…
What to expect The Utilization Review Clinical Specialist provides timely, comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Collaborating…
Responsibilities: Join the Southwest Healthcare Team! About Us: Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient…
UTILIZATION REVIEW SPECIALIST Purpose of Job Position: Responsible for ensuring appropriate communication with third party payers to authorize hospital stays. Gathers clinical…
About this Job: General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of…
About Company: We're officially a Great Place To Work(R)! We've always believed that supporting our team is just as important as supporting…
Join Martin's Point Health Care an innovative, not for profit health care organization offering care and coverage to the people of Maine…
Position Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order…
Overview: Director of Utilization Review (RN) - Midland/Odessa, Texas Signet Health is seeking an experienced Director of Utilization Review (RN) for a…
Job Title: Utilization Review Specialist Job Type: FT Your experience matters At Cottonwood Springs, we are committed to empowering and supporting a…
Description RN Utilization Review at Irvine, CA. This position is Part time and will work Remote 8 hour, Day shifts. Provide prospective,…
Position Summary As a Utilization Review Nurse you will work with members to ensure they obtain the proper healthcare in the most…
Position Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order…
Do you want to utilize your skills and make a difference? Are you ready to take the next step in your career?…
Overview: Director of Utilization Review (RN) - Midland/Odessa, Texas Signet Health is seeking an experienced Director of Utilization Review (RN) for a…
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services…