Commission Optum Utilization Review Jobs (NOW HIRING)

RN - Utilization Review MedWave Healthcare Staffing is currently seeking a Utilization Review RN for a travel assignment in Tuba City, Arizona. The candidate that will best match this position will ...

Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of ... Any required state or Joint Commission training is compensated at the state or local minimum wage ...

Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ... Joint Commission Accredited Health care Organizations standards, state statutes governing hospital ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Job Summary Our client is seeking a Utilization Review Nurse. This role involves managing the full ... Any required state or Joint Commission training is compensated at the state or local minimum wage ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E ... Commission, dedicated to delivering evidence-based, patient-centered care. TCBH provides a safe ...

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for ...

Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E ... Commission, dedicated to delivering evidence-based, patient-centered care. TCBH provides a safe ...

Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ... Joint Commission Certified LT # 22836

Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per ... Ensures compliance with CMS and Joint Commission requirements * Contributes to reporting and ...

Job Posting Title Utilization Review Specialist I Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV ... Commission, dedicated to delivering evidence-based, patient-centered care. TCBH provides a safe ...

... CMS and Joint Commission requirements while contributing to reporting and quality improvement ... utilization review processes. Demonstrate knowledge of electronic health record systems.

We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring ... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ...

... all utilization review/case management activities for the facility's inpatient, partial ... All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans ...

... Utilization Review RN participates as a member of a multidisciplinary team to support medical ... Commission Standards. Minimum Qualifications Education: Bachelor of Science in Nursing (BSN ...

Utilization Review and Appeals Case Manager Position Summary This position is responsible for ... Ensure compliance with CMS, Joint Commission, HIPAA, and organizational policies related to ...