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...

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...

A highly awarded health system located north of Philadelphia, Pennsylvania, is seeking a Family Medicine physician to work in a non-clinical utilization review setting.?Opportunity Highlights...

JOB SUMMARY Responsible for the Utilization Management process (Admission, Continued Stay and Discharge Reviews) which include evaluating medical information to determine medical necessity and...

Job Summary / PurposeResponsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants,...

Position Summary:The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes...

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...

A highly awarded health system located north of Philadelphia, Pennsylvania, is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting.?Opportunity Highlights...

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture...

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...

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...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every...

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

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...

A small, acute care hospital located near Bakersfield, California has a fantastic opportunity for a full-time, permanent, Utilization Review Nurse , to come and work for their hospital! Great...