beBeeUtilization Jobs in United States

Job Opportunity · We are seeking a skilled professional to join our team as a Utilization Review Technician. · Responsibilities: · ...

Job Details · A critical function in healthcare requires a skilled and detail-oriented professional to manage utilization review. · Key Responsibilities: · Schedule and coordinate with healthcare providers, patients, and other stakeholders as required. · ...

Career Description: · The Director of Case Management, a leadership position within healthcare teams, focuses on enhancing patient care delivery through proactive engagement strategies. This involves promoting high-quality standards by streamlining operations that provide effecti ...

Job Summary: · We are seeking a highly skilled Utilization Management Professional to join our team. · The ideal candidate will have experience in precertification, concurrent reviews, and ongoing monitoring of non-clinical staff activities. · ...

Concurrent review using InterQual/MCG · Variation management · ...

As a Utilization Management Specialist, you will play a pivotal role in enhancing healthcare delivery through coordinated care, patient education and support, trust building between patients and medical practitioners, and streamlined communication and continuity of care. · Clinic ...

Job Overview · This role serves as a liaison between patients and healthcare facilities/physicians, ensuring seamless quality patient care throughout hospitalization. The incumbent oversees provisions for discharge, assessing the appropriateness of care from admission to post-dis ...

Responsibilities · Evaluate patient status, treatment plans, and healthcare utilization to determine appropriateness of services. · Identify expected outcomes related to care transitions, resource use, and reimbursement. · ...

The Portal of Entry Utilization Management Nurse is a crucial member of the healthcare team, ensuring that patients receive appropriate care while minimizing unnecessary hospitalizations. · Key Responsibilities · Conducts chart reviews to identify quality, timeliness and appropri ...

Top Travel Nursing Opportunities · Job Description & Requirements · Specialty: Care Manager · Discipline: RN · We are seeking a skilled and experienced Registered Nurse with expertise in care management to join our team on a travel nursing assignment. This is an excellent opportu ...

Description · The Utilization Review Nurse requires a strong clinical background blended with knowledge of healthcare management, medical necessity, and patient status determination. · A degree in Nursing or related field; · Prior experience as a registered nurse in an acute care ...

Job Title: LPN Case Manager · About the Role: · This role involves coordinating day-to-day operations of case management and utilization management programs to ensure optimal patient care standards. · ...

Responsibilities · Collaborate with healthcare teams to manage and resolve issues related to clinical record integrity. · Promote high-quality patient care through effective communication and collaboration among multidisciplinary teams. · <li-Contribute to transitions of care by ...

Job Title: Travel Case Management Professional · Job Description: · Role Overview · We are seeking a dedicated and experienced travel case management professional to join our team. As a key member of our healthcare team, you will be responsible for coordinating continuity of care ...

Key Responsibilities · The nurse is responsible for delivering patient education processes, coordinating patient care to facilitate efficient hospital stays and working closely with other healthcare professionals to ensure seamless transitions. · This role involves critical think ...

Job Title: Travel Nurse RN - Utilization Review · Overview of the Position: · We are seeking a skilled travel nurse to fill a key role in our utilization review team. As a registered nurse, you will play a vital part in ensuring patients receive necessary care without unnecessary ...

Behavioral Health Utilization Management Clinician · A behavioral health utilization management clinician is responsible for conducting reviews using evidence-based criteria, ensuring timely and cost-effective care delivery. · Maintain accurate documentation to support clinical d ...

Job Opportunity · The Utilization Review Coordinator plays a pivotal role in the patient admission and concurrent review process at our facility. · Responsibilities include conducting daily reviews as outlined in the utilization plan. · ...

Clinical Specialist - Healthcare Services · The successful candidate will be responsible for reviewing patient records and determining whether they require additional treatment or services. This role requires strong analytical skills and attention to detail in order to accurately ...

We're looking for a seasoned professional who can drive improvements in our services by developing effective protocols for managing healthcare resource use. · The ideal candidate will have extensive experience in utilization management alongside robust knowledge of current CMS an ...