Inpatient Utilization Management RN - Eden Prairie, MN

We remove friction and drive alignment between care providers and payers, ultimately consumers. Ready to help us deliver results that improve lives?The Utilization Management Nurse RN is responsible for reviewing clinical information from patient electronic medical records reques ...

The Inpatient Utilization Management RN is responsible for providing clinically efficient and effective inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and se ...

We are not a staffing firm or agency but we partner with DirectEmployers to promote this job for UnitedHealth Group. · The Utilization Management Nurse RN will review clinical information from patient electronic medical records requested by our clients, · coordinate key clinical ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Optum Insight is improving the flow of health data and information to create a more connected system. · The Utilization Management Nurse RN will accurately and efficient ...

Optum Insight is improving the flow of health data and information to create a more connected system. · The First Level Review Nurse will accurately and efficiently review case details from patient records focusing on key elements according to process and follow the agreed upon s ...

+ Job summary: As a Behavioral Health Advocate you will have a direct impact on the lives of our members as you recommend and manage appropriate levels of care throughout entire treatment plans.+ Qualifications:Independently licensed clinician with Master's degree in Psychology S ...

We are seeking a Behavioral Health Advocate to support our outpatient services for adults. The successful candidate will work with providers and members to perform utilization management and authorization for behavioral health care services. · ...

We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM processes focused on authorizations and referrals. · We are looking for someone who excels at translating payer and network operational needs into scalable E ...

The Utilization Management Nurse is responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Evaluate member case history in compliance with policies and procedures. · ...

The Behavioral Health Advocate will work with providers and members to perform utilization management and authorization for outpatient services. · Work with providers, facilities, and members to perform utilization management and authorization for outpatient services. · Ensure th ...

Lensas career site helps job seekers find great jobs in the US. · The Behavioral Health Advocate will be responsible for utilization review of behavioral health and substance abuse cases.You'll have a direct impact on the lives of our members as you recommend and manage the appro ...

The Behavioral Health Advocate will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. · ...

The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best. · ...

Lensa does not hire directly for these jobs but promotes jobs on LinkedIn behalf of its direct clients recruitment ad agencies and marketing partners. Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · Work wit ...

This role requires utilization management experience with a payor/third-party managed care organization. · ...

As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Manage and evaluate member case history in line ...

+Job summary · Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partner ...

This role requires reviewing and documenting prior authorization and concurrent stay requests, as well as member case histories in compliance with policies, procedures clinical criteria MCG. · ...

As a Behavioral Health Advocate, you will be responsible for utilization review of behavioral health and substance abuse cases. · ...

Job Summary: · The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; · and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. ...