Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles
Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, payers, and the Guthrie Clinic health system business office, is
Job Summary: Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. This role identifies trends for opportunities to educate
Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Job Duties: 1. Chart Review: Reviews the medical record
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements Registered professional nurse with education, knowledge and experience. Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.
Overview San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed
Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers
Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Womens
Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
Utilization case review and application of criteria to approve initial and continued inpatient services Identify patients in need of outreach efforts based on patient risk stratification or other defined criteria as well as defined disease management guidelines Work
Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues
Job Summary Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement. Essential Functions Understands
Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected
Company :Highmark Health Job Description : JOB SUMMARY *If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office *Note
Job Description Job Type: Part-time Contractor Required Skills and Experience: Broad state licensure coverage Medicare Utilization Management experience Comfort with learning and adapting to new technologies Willingness to obtain other state licenses Your Responsibilities will include: Perform clinical
Job Details Registered Nurse (RN) - Utilization Management FT Day Shift (Hrs.: 8a-4:30p) - On-site Newark, DE ChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience with insurance providers such as Aetna and Cigna, along
Job DetailsJob Location: 1700 EDUCATION AVE - PUNTA GORDA, FL 33950Position Type: Part TimeEducation Level: High SchoolSalary Range: $16.50 - $18.50 HourlyTravel Percentage: NegligibleJob Shift: DayJob Category: InsuranceSign-on Bonus: $500Work days: Saturday and SundayParticipate in daily