Find work in the United States.

Pharmacy Nurse Care Coordinator

Innovative Hematology, Inc.

Indianapolis, IN

Works with pharmacists to support individualized dosing plans and factor-utilization reviews.

Registered Nurse (RN) - Utilization Review

Tenet Healthcare Corporation

Rock Hill, SC

…patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this…

Registered Nurse Medical Care Center Part Time Nights

Northwestern Memorial Healthcare

Winfield, IL

• $34.5 to $55.2 USD / hour
• Part-time

Directs care and determines the appropriate utilization of any assistant involved in providing direct patient care.

DIR - UTILIZATION REVIEW / MGMT

UHS

AUGUSTA, GA

Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Director of Utilization Review to add to our growing team. Lighthouse Care Center of Augusta has been providing…

Unit Clerk

Behavioral Center of Michigan

Detroit, MI

Prepares and processes health records for discharge/transfer. Makes appropriate copies for various departments (Nursing, Utilization Review, Billing, and Partial Hospitalization Program).

Care Coordination Manager--Onsite

Kennestone Hospital, Inc.

United States

…care coordination best practice balanced with cost effective utilization. * Continually assesses current trends/clinical/technological advances in the area of best practice and takes…

RN: Case Manager

Atlas Medstaff

Santa Barbara, CA

Join an acute hospital team in Santa Barbara as a Registered Nurse Case Manager supporting adult patients through utilization management, care coordination, quality review, and discharge…

Medical Management Nurse

Elevance Health

Indianapolis, IN

Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of…

Certified Senior Medical Assistant - Neurology (Sugar Land)

HMSPG - HM Specialty Physician Group - Houston Methodist Specialty Physicians

United States

…weight, and height), chief complaint(s), preforms medication(s) review, discusses/reviews medical and social history (as appropriate). Documents, in patient’s electronic medical record…

Infection Prevention/Employee Health Nurse - Full-time- M-F - LPN or RN

Spanish Peaks Regional Health Center

Walsenburg, CO

• $25.61 to $51.89 USD / hour
• Full-time

Collaborates with Pharmacy to review and report antibiotic resistance and antibiotic utilization.

RN Case Manager

Banner Health

Fort Collins, CO

• $36.14 to $60.23 USD / hour

Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.

Registered Nurse (RN) - Care Manager

AdventHealth

Littleton, CO

Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources…

Registered Nurse Medical-Surgical

Team Member Services

United States

…protocol. Utilizes management skills to supervise, evaluate, and review patient care activities, ensuring quality care and adherence to nursing standards. Provides constructive feedback and…

Registered Nurse-Operating Room, Pediatrics *OR Experience Required*

NYU Langone Health

New York, NY

• $132,017.38 to $156,767.38 USD / year

Documents learning outcomes of patient/family; evaluates and revises education plan. (Include utilization of EHR education tools)

Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)

Devoted Health Services, Inc

Remote, United States

• $82,680 to $96,460 USD / year

As a Clinical Guide on our Outpatient Utilization Management team, you’ll have the opportunity to make a difference in the lives of our members. You’ll be responsible for clinical review of…

Remote Registered Nurse - Denial/Appeals

Actalent

Shaker Heights, OH

• $40 USD / hour

Experience working with commercial insurers and understanding of payer utilization review and audit practices.

Social Worker (LCSW) - Outpatient Ophthalmology, Casual, Days (16 hours/week)

Northwestern Memorial Healthcare

Chicago, IL

• $35.51 to $55 USD / hour

…facilitating the plan of care through discharge planning and resource utilization for all patient populations throughout the Northwestern Memorial Hospital…

Access Nurse

Cleveland Clinic

Remote, United States

Elicit information from referring providers, review patient clinical information and assess patient status for appropriate placement.

Access Nurse

Cleveland Clinic

Remote, United States

Elicit information from referring providers, review patient clinical information and assess patient status for appropriate placement.

Associate Director Care Coordination

Banner Health Corporate

United States

…Microsoft Suite, you will have everything you need to monitor KPIs, review productivity, and drive compliance with confidence. If you are a strategic thinker with a heart for people -…

Physician Assistant Clinical Director - Critical Care - MSH - Full Time

Mount Sinai Health Systems

New York, NY

• $153,723 to $230,584 USD / year
• Full-time

…to, medical or clinical service delivery, cost management, utilization review, quality assurance and development of medical protocols. This individual oversees activities of all clinical…

PRN RN, Emergency Department

WVUH West Virginia University Hospitals

United States

12. Provides critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare.

Universal RN

InnovAge

Sacramento, CA

Support utilization review, peer review, and quality management activities as assigned.

Utilization Management Nurse Consultant - Behavioral Health (Remote)

CVS Health

Phoenix, AZ

• $29.1 to $62.32 USD / hour

Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to review inpatient and outpatient services. You'll collaborate…

Healthcare Operations Facility Administrator

Fresenius Medical Care

Las Vegas, NV

Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.