Utilization Review Jobs

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports...

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase...

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports...

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase...

OverviewThe Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Position Summary: Reporting directly to the Chief Medical Officer (CMO), the...

Job SummaryAssumes responsibility and accountability for the appropriate utilization of facilities and services. Coordinates total care given by interdisciplinary team members and directs them to...

The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all...

SUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical...

The role of the Utilization Review Nurse actively supports the management of a successful compliant utilization review program through planning, process evaluation, data analysis and establishing...

The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation. Communicates with the physicians and...

Position SummaryThe Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and monitors the...

OverviewThe Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Position Summary: Reporting directly to the Chief Medical Officer (CMO), the...

Job SummaryAssumes responsibility and accountability for the appropriate utilization of facilities and services. Coordinates total care given by interdisciplinary team members and directs them to...

The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all...