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Job Summary The UM Medical Director provides clinical leadership and oversight for utilization review, medical necessity determinations, and care management activities. This role ensures appropriate,

About Us:Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use a

About this Job: *** Must have acute care Utilization Review experience to be considered for the position ***General Summary of PositionConducts admission concurrent and retrospective case reviews to e

Your experience matters At Sycamore Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hos

Job Summary: Intensive Specialty hospital is seeking a detail-oriented and motivated Utilization Management Review Coordinator to support the authorization process for continued patient care. This pos

About this Job: General Summary of PositionCoordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates

We are so glad you are interested in joining Sutter Health Organization: SCP-Sutter Center for Psychiatry Position Overview: The Utilization Review/Discharge Planner (UR/DP) performs chart review to d

One organization. Countless opportunities. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, a

Position Title: Utilization Review Specialist (Remote) Location: Remote (Candidates must have a reliable internet connection and a suitable home office setup.) Job Description:As a Utilization Review

Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift. Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduc

Utilization Specialist - Acute | Carolina Dunes Behavioral Health | Leland, North Carolina About the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stay

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading hea

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading hea

Description Who we are Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the

Become a part of our caring community and help us put health first The Utilization Management (UM) Administrative Coordinator 2 is responsible for providing high-quality support to healthcare provid

Anticipated End Date: Position Title: Utilization Management Rep I (US)Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-ti

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to appl

Anticipated End Date: Position Title: Utilization Management Representative II Job Description: Utilization Management Representative II Virtual: This role enables associates to work virtually

Anticipated End Date: Position Title: Utilization Management Representative II Job Description: Utilization Management Representative II Virtual: This role enables associates to work virtually

OverviewThis position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to the

Anticipated End Date: Position Title: Utilization Management Representative IIIJob Description: Utilization Management Representative III Virtual: This role enables associates to work virtually

Overview Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and