Utilization Specialist Geisinger Behavioral Health Center NortheastUtilization SpecialistMoosic, PennsylvaniaFull 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 Rebound Behavioral HealthUtilization SpecialistLancaster, South CarolinaPer 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.
Director of Case Management - Utilization Management Centinela Hospital Medical CenterDirector of Case Management - Utilization ManagementInglewood, California$108,160–$163,800 / yearFull timeAn award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.
APRN - Utilization Management/Physician Advisor Services BayCare Health SystemAPRN - Utilization Management/Physician Advisor ServicesTampa, FLAssists Physician Advisors to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided by efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Responsibilities: Serving the health system through assisting Physician Advisors on a hospital and system level with clinical reviews and data analysis in collaboration with the Care Management, Utilization Review/Denials, Clinical Documentation Integrity, Coding, and Managed Care departments.
Behavioral Health Utilization Management Reviewer AmeriHealth CaritasBehavioral Health Utilization Management ReviewerWashington, DCRemote$77,700–$105,900 / yearUsing clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed.
Travel Physical Therapist - Long Term Care - $2,258 per week ARMStaffingTravel Physical Therapist - Long Term Care - $2,258 per weekAda, OKWe accomplish this through our total dedication to our clients and field associates, our over 15 years of experience, a strong and diverse poor of medical professionals, and the high level of loyalty of our internal staff. Allied Resources Medical Staffing (ARMStaffing) places the most qualified medical professionals in the industry, including: local and travel contract, temp-to-perm, per diem, and direct-hire personnel.
NewRN Registered Nurse Cibola General HospitalRN Registered NurseGrants, NM$40–$60 / hourThe Case Manager / Utilization Review Nurse serves as a liaison between patients, families, providers, payers, and post-acute resources to facilitate safe, timely, and cost-effective transitions of care while supporting hospital reimbursement integrity and compliance with Medicare, Medicaid, commercial payer, and regulatory requirements. The position combines clinical Case Management functions with Utilization Review responsibilities, including medical necessity reviews, inpatient and concurrent authorizations, concurrent reviews, denial prevention, and interdisciplinary collaboration.
Travel Physical Therapist - $2,400 per week LanceSoftTravel Physical Therapist - $2,400 per weekAda, OKLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
Travel Speech Language Pathologist - $2,600 per week LanceSoftTravel Speech Language Pathologist - $2,600 per weekPurcell, OKLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
Travel Speech Language Pathologist - $2,500 per week LanceSoftTravel Speech Language Pathologist - $2,500 per weekMarshfield, MOActive ASHA and State Licensure Submission requirements: 1 year of SLP experience - [REQUIRED]LTC or SNF experience - [Required]MO State License - [Required] [Document]CCC certified SLP - [Required] [Document]3 years experience holding active CCS-preferredWill accept one Reference at time of submissionMust be submitted at the posted rate, if requested rate is higher candidate will be redirected Rate:85 OnCall:none WeekendDescription:No weekends unless a holiday falls within M-F, then they can make the hours up on the weekend. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Travel Physical Therapy Assistant - $1,600 per week LanceSoftTravel Physical Therapy Assistant - $1,600 per weekOregon, MOLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Submission requirements: 1 years of PTA experience - [REQUIRED]LTC or Rehab Experience - [REQUIRED]PTA license-[REQUIRED]Must be submitted at the posted rate, if requested rate is higher candidate will be redirected Rate:58 OnCall:None WeekendDescription:No weekends unless a holiday falls within M-F, then they can make the hours up on the weekend.
Travel Physical Therapist - $2,500 per week LanceSoftTravel Physical Therapist - $2,500 per weekBuffalo, MOLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Submission requirements: 1 year of PT experience - [Required]New Grads OKAY- as long as a Level II experience and not just a Level I observation experienceLTC or Rehab experience - [Required]MO State License - [Required] Rate:85 OnCall:None WeekendDescription:None StateLicenses:Missouri.
Travel Physical Therapist - $2,800 per week LanceSoftTravel Physical Therapist - $2,800 per weekMammoth Lakes, CALanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Who you are:Enjoy working as a team and collaborating with co-workers for best patient outcomesEnjoy working with people and thrive in a social atmosphereEager to motivate, goal-oriented, able to stay positive and patientA good listener and astute observerExperience in hand therapyQualifications:Graduate of an accredited program of Physical Therapy and a licensed Physical Therapist in the State of California.
Travel Physical Therapist - $2,600 per week LanceSoftTravel Physical Therapist - $2,600 per weekPotosi, MOLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Submission requirements: 1 year of PT experience -RequiredLTC or Rehab experience -RequiredMO State License -RequiredNew Grads OKAY-as long as a Level II experience and not just a Level I observation experience Rate:90 OnCall:None WeekendDescription:No weekends unless a holiday falls within M-F, then they can make the hours up on the weekend.
Travel Speech Language Pathologist - $2,700 per week LanceSoftTravel Speech Language Pathologist - $2,700 per weekMoore, OKLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
Registered Nurse - (Rn) - ED Admission Utilization Management Experience Northeast Georgia Health SystemRegistered Nurse - (Rn) - ED Admission Utilization Management ExperienceGainesville, GAAssess, coordinate and facilitate patient's discharge plan to assure post-acute needs are arranged and secured prior to discharge when applicable; Communicate discharge plan with Physician, patient/family, and other members of the healthcare team as appropriate; Reassess discharge plan routinely throughout patient's stay to ensure timely, safe discharge and appropriate transition to the next level of care. Additionally, the ED Admissions Case Manager coordinates a team approach designed to facilitate the achievement of expected patient outcomes with appropriate transitions to the next level of care and also provides cross coverage for other ED RN Case Managers as required.
Utilization Specialist Greenleaf Behavioral Health HospitalUtilization SpecialistValdosta, GeorgiaFull 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 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.