. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior... required. Minimum two (2) years of acute care experience is required as a Registered Nurse. Minimum of two (2) years Utilization...
Nurse remote or in an office location. PRIMARY PURPOSE: The Clinical Review nurse has the responsibility of reviewing the...’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities: Perform Utilization Review...
Nurse remote or in an office location. PRIMARY PURPOSE: The Clinical Review nurse has the responsibility of reviewing the... of Utilization Review activities in the case management and pharmacy benefit management systems. Responsible for completing timely...
. The BH Utilization Specialist is responsible for coordination of care for CDPHP members across the continuum, beginning... is to follow our member in the community after being discharged from an acute or subacute level of care. The BH Utilization...
clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the...Anticipated End Date: 2025-10-17 Position Title: Utilization Management Representative...
Anticipated End Date: 2025-10-21 Position Title: Telephonic Nurse Case Manager II Job Description: Telephonic... Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception...
Employment Type: Full time Shift: Day Shift Description: Nurse Manager - New Ortho Office – Latham, NY... If you are looking for a Clinical Nurse Manager position in Orthopedic medicine, this could be your opportunity. Here at St. Peter's Health Partner...
’s compensation injury claims and utilization management review programs. The Manager will lead the nurse case management team... needed Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines Knowledge of pharmaceuticals...
’s compensation injury claims and utilization management review programs. The Manager will lead the nurse case management team... needed Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines Knowledge of pharmaceuticals...
: Requires H.S. diploma or equivalent. Requires a minimum of 2 years of clinical experience and/or utilization review...: Job Family: MED Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies...