Weekend Utilization Review Jobs in Nevada (NOW HIRING)

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Perform timely Utilization Management (UM) reviews across Medicine, Surgery, and Behavioral Health. * Collaborate with ED and inpatient physicians and provide level of care recommendations that ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...

Interqual, Utilization Management, ICU or ED Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires ...

Utilization review * Insurance/resource coordination * Patient and family support ~SK ... Some weekend/holiday rotation possible depending on department Requirements * Graduate from ...

... utilization review Ensure compliance with care standards and regulations Serve as a clinical resource for patients and care teams Qualifications: Graduate of an accredited nursing program Active ...

Facilitates safe and timely discharge planning while ensuring appropriate resource utilization. Reviews medical necessity and supports compliance with regulatory and reimbursement guidelines. Serves ...

Facilitates safe and timely discharge planning while ensuring appropriate resource utilization. Reviews medical necessity and supports compliance with regulatory and reimbursement guidelines. Serves ...

... Weekends and holidays. The Medical Management Nurse for California HMO is responsible for review of ... Utilization management/review within managed care or hospital strongly preferred. For candidates ...

Monitor utilization review and care management processes * Ensure compliance with hospital and regulatory standards * Educate patients and families regarding treatment plans and resources * Maintain ...

While providing concurrent utilization review, the Hospital Care Manager will collaborate with the ... Participate in the weekend on call rotation * Perform benefit education to participants and ...

We are currently seeking Weekend Part-Time Licensed Therapists to provide group therapy, provide ... Previous experience in case management and/or utilization review preferred * One year of inpatient ...

This role is best suited for nurses who are currently working in acute care case management or utilization review and want a stable, long-term opportunity. Role Overview * Coordinate care for ...