Utilization review near me

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Chapel Hill, North Carolina. Job Description &...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Overview: Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission,...

* SIGN-ON BONUS OFFERED * A Sign-On Bonus of $10,000.00 for the successful applicant(s) of this posting. See "Eligibility for Sign-On Bonus" below in the Supplemental and Contact Information section for...

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust,...

Utilization Review Specialist (PRN) | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job: Schedule: 20 hours per week, between the hours of 8:30am-5pm M-F The Utilization Specialist is responsible for reviewing...

Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. The Remote Utilization Management Nurse will be serving as an essential...

About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As a physician, you will work with the actuarial, technology, medical care coordination, and medical...

About WakeMed: Mental Health & Well-Being Hospital - WakeBrook provides innovative solutions to address the mental health issues among adults in our community. WakeBrook will serve adults in need of inpatient care for psychiatric...

Job Type Full-time Description AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out...

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on...

Are you a Scheduler looking for a new opportunity? We're seeking a Scheduler to join our team and keep everything running smoothly. The ideal candidate will have strong Primavera P6 experience with a general understanding of Microsoft Project as...

Overview Registered Nurse, RN - Clinical Decision Unit We are actively hiring BSNs and ADNs for multiple roles! We strongly emphasize diversity and inclusion throughout our organization and...

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on...

Overview Registered Nurse, RN - Clinical Decision Unit We are actively hiring BSNs and ADNs for multiple roles! We strongly emphasize diversity and inclusion throughout our organization and...

Overview Registered Nurse, RN - Clinical Decision Unit We are actively hiring BSNs and ADNs for multiple roles! We strongly emphasize diversity and inclusion throughout our organization and...

Liberty Cares With Compassion Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us! We are currently seeking an experienced: LIBERTY CARE...

The Product Owner defines, delivers, and manages the lifecycle of products in a product portfolio. Leads a single product team developing a product as defined by the Product Complexity...

Position Objective/Summary: Under the immediate supervision of the Director of Quality Management, the Clinical Documentation Reviewer oversees the healthcare organization's medical recordkeeping practices. This includes ensuring compliance with...

Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and tracks UM resources to ensure...

Purchase Order Specialist Take your next career step at ABB with a global team that is energizing the transformation of society and industry to achieve a more productive, sustainable future. At ABB, we have the clear goal of driving diversity...

Job Description ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching...

We are looking for a driven, self-motivated, bilingual (Spanish/English) Recruiting Support Specialist to join team! Experienced in high volume recruiting? We are looking for go-getters with high energy who are...

Amazon is now hiring work from home workers in your area. Great pay and flexible hours. Easy apply online. This position is a work from home position at Amazon. You will not need to come into the office. No Experience Needed. Benefits: Health...

Position: Facilities Operation Supervisor Location: Durham, NC Pay: $45/hr + Benefits & Weekly Pay! Experience/Education: 9 years in Structural Civil...

Salary : $45,993.00 - $58,639.00 Annually Location : Youngsville, NC Job Type: Full Time Job Number: 202200282 Department: Public...

Overview Sign-on bonus available up to $10,000 and Relocation up to $7,500! Schedule: 7:00 AM - 7:00 PM,Day shift(NO CALL!),Baylor position! (working part-time hours, paid for...

Seeking motivated individuals to participate in National Focus Groups and Clinical Trial studies. Earn up to $750/week in your spare time. Must register and apply to see if you qualify.

Summary The Quality Assurance (QA) Supervisor will be responsible for playing a key role in maintaining principles of quality assurance and best practices within the organization. The QA Supervisor will provide direction and...

Position Summary The supervisor should prepare and distribute the personnel assignments. The supervisor must ensure that all job instructions and procedures are followed to reduce error and ensure a quality product.