beBeeUtilizationReview Jobs in United States

Job Summary: · We are seeking a skilled Utilization Review Nurse to join our team. This role involves coordinating and performing all aspects of medical management activities for Worker's Compensation, auto, and general liability claims. · The ideal candidate will have experience ...

Transforming the field of precision medicine is an exciting opportunity to make a real difference in people's lives. · Variantyx is at the forefront of this revolution, leveraging cutting-edge technology and innovative solutions to improve diagnostic capabilities and treatment re ...

Opportunity for Experienced RN - Case Manager/ Utilization Review · We are currently seeking an experienced Registered Nurse (RN) with expertise in case management and utilization review. The selected individual will play a crucial role in ensuring that patients receive high-qua ...

Care for clients with diverse needs · Evaluate patient progress and develop effective care plans · ...

Job Description: · Seeking a qualified RN to fill positions in Juneau, Alaska. The ideal candidate will have current licensure and certifications in ACLS and BLS. · ...

Case Manager/Utilization Review Opportunity · This is an exciting opportunity to work as a Case Manager/ Utilization Review in a dynamic healthcare environment. · Schedule: 8:00 AM - 4:30 PM, Monday through Friday, with the possibility of rotating shifts and weekend work. · The i ...

In this non-RN/LVN role as a Utilization Review Specialist, you will be responsible for coordinating the utilization review process and interpreting medical insurance plans to ensure accurate coverage determinations. Your tasks include communicating with patients' healthcare prov ...

Job Description · An experienced Registered Nurse is required to collaborate with healthcare providers, members, and business partners to optimize member benefits and evaluate medical necessity. The successful candidate will review medical services for appropriateness of setting ...

Healthcare Utilization Review Professional · We are seeking a skilled and experienced healthcare professional to join our team as a utilization review nurse. This role involves conducting comprehensive reviews of patient care plans to ensure they align with medical necessity and ...

This position requires the ability to work independently, exercise sound judgment, and effectively communicate with physicians, payers, and healthcare teams. · The ideal candidate will possess progressive knowledge of InterQual Level of Care Criteria or Milliman Care Guidelines, ...

Responsibilities: · Evaluate the medical necessity of services using established criteria. · Authorize or deny requests in accordance with compliance guidelines. · Collaborate with Medical Directors when services do not meet criteria or require additional review. · ...

Job Title: Utilization Review Technician · Overview: · • In this position, you will work under supervision in a dynamic environment where collaboration across departments is essential. · ...

Nursing Career Opportunity - Utilization Review Specialist · A career opportunity exists for a travel RN Case Manager with experience in utilization review, to work in the state of Washington. · ...

Travel Nurse Case Manager Position · We are seeking a travel nurse RN Case Manager for utilization review in Washington. · ...

About the Role · Utilization Review Nurse Job Description · As a Utilization Review Nurse with our organization, you will be responsible for reviewing medical records and making informed decisions regarding authorization for treatment. · You will work closely with clients, patien ...

We are seeking a highly skilled Senior Utilization Review Nurse to join our team. In this role, you will be responsible for ensuring an efficient and cost-effective care management process by determining the patient's medical necessity and financial liability through the coordina ...

Job Title: · Healthcare Professional - Utilization Review Specialist · About the Job · This is an exciting opportunity for a skilled and dedicated healthcare professional to join our team as a Utilization Review Specialist. As part of our hospital's utilization review process, yo ...