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MRIoANew
Overview
The role involves conducting independent Utilization Reviews for oncology cases. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
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Compensation
Salary not listed
Posted
New
The physician will conduct independent Utilization Reviews in Oncology. This role requires only 1-2 hours of work per week.
The role involves conducting independent Utilization Reviews for Endocrinology. It requires only 1-2 hours of work per week with no minimum commitment.
Board-Certified physicians in Vascular Surgery are sought to conduct independent Utilization Reviews for the organization. This role requires adherence to all applicable HIPAA regulations and company policies regarding sensitive health information.
Conduct independent Utilization Reviews as a Board-Certified physician in Rheumatology. The role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
The physician will conduct independent Utilization Reviews in Rheumatology. This role requires only 1-2 hours of work per week.
Lifepoint Health
Facilitates clinical reviews for patient admissions and continued stays to determine the legitimacy of treatment and length of stay. Interfaces with managed care organizations and payers to secure insurance coverage and advocate for necessary patient treatment.
$33 - $45 / HOUR
3 days ago
Centene Corporation
Conducts clinical reviews and prior authorizations for mental health and substance abuse services to ensure medical appropriateness. Monitors inpatient stays and collaborates with providers and medical directors to optimize care quality and efficiency.
$27 - $49 / HOUR
4 days ago
Gainwell Technologies LLC
The Utilization Review Nurse will conduct reviews for medical necessity and appropriateness of services, ensuring compliance with clinical criteria and policies. This includes engaging with providers, documenting findings, and assisting in training new nurses.
$65,000 - $78,000 / YEAR
6 days ago
Emory Healthcare
Conduct medical necessity reviews for inpatient and observation admissions using Milliman and Interqual guidelines to ensure appropriate status designation. Coordinate with physicians and payers to maximize reimbursement and reduce financial risk through timely communication and documentation.
8 days ago
MRIoA
The Radiologist will conduct independent Utilization Reviews. This role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
14 days ago
UF Health
Provides assessment and treatment of patients requiring physical therapy services within a home care setting. Participates in utilization review, quality improvement, and interdisciplinary conferences.
15 days ago
UHS
The Assessment Clinician conducts telephonic, telehealth, and in-person risk assessments to determine appropriate levels of care for patients. They coordinate the intake and admission process while maintaining communication with referral sources, families, and clinical staff.
16 days ago
The Assessment Clinician conducts clinical risk assessments and coordinates the intake and admission process for patients. They maintain communication with referral sources, families, and unit staff while ensuring compliance with hospital policies.
The Assessment Clinician performs clinical risk assessments and coordinates the intake and admission process for patients. They maintain communication with referral sources, families, and unit staff to ensure appropriate level of care.
Sierra Meadows & Ascend Behavioral Health
The Associate Therapist provides direct therapeutic services including individual, group, and family therapy while managing treatment plans and clinical documentation. They also coordinate care with multi-disciplinary teams and ensure compliance with regulatory and organizational standards.
$70,304 - $80,000 / YEAR
22 days ago
Access Healthcare Staffing & Recruitment
The Utilization Review Nurse evaluates patient admissions to ensure medical necessity and appropriate resource utilization. They analyze medical records to verify that care aligns with established clinical and regulatory standards.
$40 - $63 / HOUR
Albany Medical Center
The Utilization Review Nurse is responsible for performing utilization management, quality screening, and delay management for assigned patients. They collaborate with the healthcare team to monitor appropriateness of admissions, continued stays, and resource utilization while ensuring compliance with regulatory requirements.
$71,612 - $110,999 / YEAR
Mass General Brigham
The Case Manager is responsible for conducting intake interviews, performing psychosocial assessments, and coordinating patient care services. They also manage discharge planning and ensure compliance with hospital policies and JCAHO standards.
$58,656 - $142,449 / YEAR
Lightfully Behavioral Health
The Primary Therapist provides evidence-based individual, group, and family therapy while managing treatment planning and clinical documentation. They also collaborate with the multidisciplinary team to ensure continuity of care and provide milieu support for clients.
$70,000 - $93,000 / YEAR
23 days ago
