- Comunilife (Bronx, NY)
- Utilization Review Analyst -(OMH) RTS Program Job Details Job Location Bronx, NY Position Type Full Time Education Level 4 Year Degree Salary Range $50,000.00 ... Nonprofit - Social Services Description Comunilife Inc. is looking for a Utilization Review Analyst . This position will support the 6 program directors… more
- Ascension Health (Hoffman Estates, IL)
- …+ experience with imaging authorizations, communication with insurance companies and review of clinical notes. Cardiology experience a plus. **Why Join Our ... Team** Ascension Illinois delivers compassionate, personalized care throughout Chicago and its surrounding suburbs. As one of the largest health systems in Illinois with 15 hospitals and more than 230 sites of care, you will find an environment that allows you… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The Utilization Analyst works with physicians, the payers and inpatient case management ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… more
- The Cigna Group (Denver, CO)
- …cases for impact. + Access the approved Cigna guidelines for inpatient review and directs communication with the facility to elicit clinical information and ... facilitate discharge planning. + Identified all cases appropriate for inpatient case management interventions, initiates and discusses options for discharge planning with the facility, provider, vendor, member and/or family and documents interactions and… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. + Knowledge of ABA services and BH utilization review process preferred. + Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Centene Corporation (Tallahassee, FL)
- …must reside in Florida._** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses and reports for clients and ... distributions and drivers of population health, and health care utilization , costs, and quality both within a population and...Performs other duties as assigned. Lead Employer Group Consulting Analyst Lead the design and execution of analyses and… more
- HCA Healthcare (Hermitage, TN)
- …compelling, we encourage you to apply for our Consulting EHR Support Analyst opening. We promptly review all applications. Highly qualified candidates ... of each individual is recognized. Submit your application for our Consulting EHR Support Analyst opening with HCA Healthcare today and find out what it truly means… more
- State of Colorado (Golden, CO)
- Proposal Analyst , Research Administration Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4817730) Proposal Analyst , Research ... be considered from residents and non-residents of Colorado. Hiring Pay Rate Proposal Analyst I: $64,200 -$70,200 Proposal Analyst II: $68,700 - $76,300 Proposal… more