- Parkview Health (Fort Wayne, IN)
- …3 months of employment. Experience Two years of psychiatric nursing. Case management , quality assurance experience preferred. Other Qualifications Application ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more
- Spectrum Billing Solutions (Skokie, IL)
- …add a Utilization Review ( UR ) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical ... Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to… more
- Community Health Systems (Franklin, TN)
- …requirements. + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness,...+ 2-4 years of clinical experience in utilization review, case management , or acute care nursing required… more
- Community Health Systems (Franklin, TN)
- …the Utilization Review Clinical Specialist . + Monitors and updates case management software with documentation of escalations, avoidable days, authorization ... aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. + Reviews and closes out cases after patient discharge,… more
- University of Rochester (Rochester, NY)
- …Part time Scheduled Weekly Hours: 20 Department: 400058 Medicine M&D-Nephrology Div Work Shift: UR - Day (United States of America) Range: UR URG 108 ... of Rochester is seeking a part-time (20 hours/week) Human Subject Research Specialist , Level II, to coordinate human subject research activities. The division of… more
- Cleveland Clinic (Cleveland, OH)
- …of the most respected healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as admission, ... appropriately in UM notes to provide evidence that the UR process for the case was followed....Preferred qualifications for the ideal future caregiver include: + Case Management Certification (CCM) + Prior Utilization… more
- HonorHealth (Scottsdale, AZ)
- …years Registered Nurse in an acute care setting. Required 1 year experience in UR /UM or Case Management Required Licenses and Certifications Registered Nurse ... Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the… more
- University of Rochester (Brighton, NY)
- …budgets, applying for entitlements, and learning skills of daily living, and other case management tasks as indicated. + Transports clients as needed to ... 40 Department: 500137 Psychiatry SMH Strong Ties Work Shift: UR - Day (United States of America) Range: ...psychiatric care. The Rehabilitation Therapist functions as a Vocational Specialist , per Office of Mental Health ACT Guidelines, for… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500021 Clin Practice Evaluation Ofc Work Shift: UR - Day (United States of America) Range: UR URG 112 Compensation ... avoid future complaints. ESSENTIAL FUNCTIONS **Coordinates and supports quality management initiatives** + Ensures compliance with the SMH Quality… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URC 217 Compensation ... health-care providers to implement and maintain innovative disease or medication management programs and clinical pharmacy services. Participates in the development… more