NURSE UTILIZATION AND CLINICAL jobs in UNITED STATES, United Kingdom #8

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... MUST BE LICENSED IN THE STATE OF TX Position Purpose: Performs a clinical review and assesses care related to mental health...

. Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any...Anticipated End Date: 2024-08-12 Position Title: Senior RN Utilization Review/Management (Acute InPatient...

Outpatient clinician will be part of the Medicare precertification team. Members of this team will utilize their clinical... experience to assess appropriateness of treatment plans for member accessing outpatient services. This team will gather clinical...

additional medical, community, or financial resources available. Provide utilization management (UM) services which promote... quality, cost-effective outcomes by helping member populations achieve effective utilization of healthcare services...

Utilization Management experience is required for this role 2+ years management or leadership experience in a clinical setting...Become a part of our caring community and help us put health first The Manager, Utilization Management Nursing...

responsibility for assessing a patient's clinical status on admission and daily to determine the appropriate admission status... is required; Prior utilization management or case management experience is required. A minimum of 5 years of acute care nursing...

nurse review process for giving an approval of services requested. Documents case activities for Utilization determinations... and understanding of the laws, regulations, and policies that pertain to the organizational unit’s business and uses clinical judgment...

Work NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker... as a leader of positive change. The role integrates and coordinates utilization management, care coordination, discharge...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... summary clinical and ancillary information to Clinical Pharmacist and Medical Director for review and decision making...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... summary clinical and ancillary information to Clinical Pharmacist and Medical Director for review and decision making...

Counselor (LPC), or Registered Nurse is required. Licensed Clinical Drug and Alcohol Counselor (LCADC) is preferred...Description : Utilization Management Specialist *Remote* *working collaboratively with the treatment team...

, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the... clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...

Description: Under the general direction of the Utilization Management Manager, you will be responsible for prospective and concurrent... utilization of appropriate reports such as Health Plan Eligibility and Benefits and Division of Responsibility (DOR) Maintain...

Description: Under the general direction of the Utilization Management Manager, you will be responsible for prospective and concurrent... utilization of appropriate reports such as Health Plan Eligibility and Benefits and Division of Responsibility (DOR) Maintain...

Description: Under the general direction of the Utilization Management Manager, you will be responsible for prospective and concurrent... utilization of appropriate reports such as Health Plan Eligibility and Benefits and Division of Responsibility (DOR) Maintain...

:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager, Utilization Review/ Transitions... of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review...