... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Commission of Accreditation of Hospital. Successfully ensures patients receive recommended ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Commission of Accreditation of Hospital. Successfully ensures patients receive recommended ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Accredited by the Joint Commission, Highlands Medical Center stands out as one of the top-rated ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Accredited by the Joint Commission, Highlands Medical Center stands out as one of the top-rated ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Accredited by the Joint Commission, Highlands Medical Center stands out as one of the top-rated ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Accredited by the Joint Commission, Highlands Medical Center stands out as one of the top-rated ...
Physician Reviewer-Radiology (Part Time)
Montgomery, AL · On-site
$95 - $100/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Physician Reviewer-Radiology (Part Time)
Montgomery, AL · On-site
$95 - $100/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Montgomery, AL · On-site
$95 - $96/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Montgomery, AL · On-site
$95 - $96/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Ensures documentation of all communications with medical office staff and/or MD ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Ensures documentation of all communications with medical office staff and/or MD ...
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Radiation Oncology Field Medical Director
Montgomery, AL · On-site
$130 - $145/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Radiation Oncology Field Medical Director
Montgomery, AL · On-site
$130 - $145/hr
... as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · On-site
$249 - $373/hr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · On-site
$249 - $373/hr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · Remote
$248K - $373K/yr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · Remote
$248K - $373K/yr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · Remote
$248K - $373K/yr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Inpatient Medical Director - Remote - Florida residency and license required
Jacksonville, AL · Remote
$248K - $373K/yr
... Optum team. This team is responsible for conducting acute level of care and length of stay reviews ... inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the ...
Hospice Registered Nurse RN PRN
Pell City, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Quick apply
Hospice Registered Nurse RN PRN
Pell City, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Quick apply
Hospice Registered Nurse RN PRN
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Demopolis, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Demopolis, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Pell City, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Pell City, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Demopolis, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN PRN
Demopolis, AL · On-site
$31 - $41/hr
Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice ... Participates in quality improvement, utilization review, and infection control activities as ...
Commission Optum Utilization Review information
What are the most commonly searched types of Optum Utilization Review jobs in Alabama?
The most popular types of Optum Utilization Review jobs in Alabama are:
What are popular job titles related to Commission Optum Utilization Review jobs in Alabama?
For Commission Optum Utilization Review jobs in Alabama, the most frequently searched job titles are:
- Remote Utilization Review Social Worker
- Independent Contractor Remote Utilization Management Nurse
- Remote Behavioral Health Utilization Review
- Contractual Referral Nurse
- Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Registered Nurse Utilization Review
- Entry Level Utilization Management Nurse
- Temporary Utilization Review Nurse
- No Experience Utilization Review Nurse
What job categories do people searching Commission Optum Utilization Review jobs in Alabama look for?
The top searched job categories for Commission Optum Utilization Review jobs in Alabama are:
- Aetna Utilization Review Nurse
- Cigna Utilization Review Nurse
- Freelance International Utilization Review Nurse
- Weekend Utilization Review
- Case Manager Utilization Review Nurse
- Director Case Management Travel Rn
- Utilization Management Care Coordinator
- Lpn Utilization Review
- Utilization Review
- Rn Clinical Manager
What cities in Alabama are hiring for Commission Optum Utilization Review jobs?
Cities in Alabama with the most Commission Optum Utilization Review job openings:
RN Case Mgr - Highlands Case Management - FT - 1st Shift
Scottsboro, AL • On-site
Full-time
Re-posted 11 days ago
Huntsville Hospital Health System rating
6.2
Based on 209 frontline employees who took The Breakroom Quiz
699th of 898 rated healthcare providers
Job description
Overview
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.
ResponsibilitiesAccurately identifies through chart review of SI/IS for admit and continued stay. Competently coordinates the overall discharges planning and social services function ensuring compliance with federal and state laws and Joint Commission of Accreditation of Hospital. Successfully ensures patients receive recommended follow-up services. Appropriately maintains a liaison with community agencies offering services to discharge patients. Professionally maintains rapport with physicians, co-workers, representatives of other organizations, and departments.
QualificationsAssociates degree in Nursing. Minimum of three years nursing experience required. Three years' experience in case management or utilization management preferred.
Employment Type: OTHERWhat Huntsville Hospital Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Huntsville Hospital Health System
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Industry
Hospitals