- Elevance Health (Indianapolis, IN)
- **Title** : Licensed Utilization Review II **Location** : Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location. ... **Build the Possibilities. Make an Extraordinary Impact.** The ** Licensed Utilization Review II** is responsible for working primarily with healthcare… more
- Elevance Health (Louisville, KY)
- The ** Licensed Utilization Review I** is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan ... diploma or equivalent and a minimum of 2 years of clinical or utilization review experience; or any combination of education and experience, which would provide… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete assigned duties in providing care to… more
- Molina Healthcare (Richmond, KY)
- …are seeking a Registered Nurse or Licensed Social Worker with PSYCH / BH Utilization Review / Utilization Management and knowledge of Interqual / MCG ... or ER unit. **Preferred License, Certification, Association** Active and unrestricted Licensed Clinical Social Worker To all current Molina employees: If you… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest ... or retrospective utilization data. + Monitors current utilization review criteria and length of stay...duties as required. Qualifications Minimum Education: RN License or Licensed Therapist from an accredited program Minimum Experience: At… more
- Magellan Health Services (Boise, ID)
- …to candidates that live in Idaho. Also interested in candidates with SUD utilization review experience. Under general supervision, and in collaboration with ... of care. General Job Information Title Care Manager (SUD utilization review preferred) - REMOTE USA Grade...Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT -… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Centene Corporation (Lincoln, NE)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more