Utilization Specialist Millcreek of MageeUtilization SpecialistMagee, MississippiFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist (On-Site) Mirror Lake Recovery CenterUtilization Specialist (On-Site)Burns, TennesseeFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Management Specialist Integrated Resources, IncUtilization Management SpecialistMiami, FloridaContractorReviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with program processes for transitions across levels of care including discharge planning and ambulatory follow up activity. Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services.
Utilization Management Coordinator II MSO North East Medical ServiceUtilization Management Coordinator II MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Responsible to review Referral Requests and Treatment Authorization Requests received daily; process and approve authorization requests according to the NEMS MSO Authorization Grid and established clinical guidelines. The Utilization Management Coordinator II functions under the direct supervision of a physician or Registered Nurse performing utilization management (UM) and care coordination duties for the NEMS MSO.
Clinical Review RN PRN Cooper University HospitalClinical Review RN PRNCamden, New JerseyPer diemIdentify and manage concurrent and retroactive denials through communication with attending physicians, case management, multidisciplinary team, external physician resource group and payers. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Utilization Specialist Seven Hills HospitalUtilization SpecialistHenderson, NevadaFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist - FT Rio Vista Behavioral HealthUtilization Specialist - FTEl Paso, TexasFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist - PRN Rio Vista Behavioral HealthUtilization Specialist - PRNEl Paso, TexasPer diemGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
ABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services) WellSense Health PlanABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)RemoteRemoteFull timeThis includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. This position is responsible for managing complex outpatient and non-24-hour diversionary cases, applying clinical expertise to ensure appropriate, timely, and effective care.
Utilization Specialist PRN Pacific GroveUtilization Specialist PRNRiverside, California$31–$50 / hourPer diemGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
NewTravel Nurse RN - Case Manager - $1,889 to $2,099 per week in Southwestern Maine, ME All Medical PersonnelTravel Nurse RN - Case Manager - $1,889 to $2,099 per week in Southwestern Maine, MESouthwestern Maine, ME$1,889–$2,099Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $3,044 to $3,383 per week in Alaska Panhandle, AK All Medical PersonnelTravel Nurse RN - Case Manager - $3,044 to $3,383 per week in Alaska Panhandle, AKAlaska Panhandle, AK$3,044–$3,383Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $2,656 to $2,952 per week in Anchorage, AK All Medical PersonnelTravel Nurse RN - Case Manager - $2,656 to $2,952 per week in Anchorage, AKAnchorage, AK$2,656–$2,952Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $3,130 to $3,478 per week in Alaska Panhandle, AK All Medical PersonnelTravel Nurse RN - Case Manager - $3,130 to $3,478 per week in Alaska Panhandle, AKAlaska Panhandle, AK$3,130–$3,478Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,616 to $1,796 per week in Western Colorado, CO All Medical PersonnelTravel Nurse RN - Case Manager - $1,616 to $1,796 per week in Western Colorado, COWestern Colorado, CO$1,616–$1,796Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in St. Petersburg-Clearwater, FL All Medical PersonnelTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in St. Petersburg-Clearwater, FLSt. Petersburg-Clearwater, FL$1,620–$1,800Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,422 to $1,580 per week in Dallas, TX All Medical PersonnelTravel Nurse RN - Case Manager - $1,422 to $1,580 per week in Dallas, TXDallas, TX$1,422–$1,580Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,979 to $2,199 per week in Portland, ME All Medical PersonnelTravel Nurse RN - Case Manager - $1,979 to $2,199 per week in Portland, MEPortland, ME$1,979–$2,199Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $2,016 to $2,240 per week in Portland, ME All Medical PersonnelTravel Nurse RN - Case Manager - $2,016 to $2,240 per week in Portland, MEPortland, ME$2,016–$2,240Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,515 to $1,683 per week in Central Louisiana, LA All Medical PersonnelTravel Nurse RN - Case Manager - $1,515 to $1,683 per week in Central Louisiana, LACentral Louisiana, LA$1,515–$1,683Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.