• Licensed Utilization Review

    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… more
    Elevance Health (11/09/24)
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  • Manager II Behavioral Health Services…

    Elevance Health (FL)
    **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization ... cost of care initiatives. + May attend meetings to review UM and discusses facility issues. + Hires, trains,...performance of direct reports. + Manages a team of licensed clinicians and non-clinical support staff responsible to ensure… more
    Elevance Health (11/02/24)
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  • Utilization Review Denials…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: This Utilization Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director ... of Utilization Review with daily staff mentoring, leadership and resource provision....have supervisory oversight of the DRU level I & II nurses and provides feedback/mentorship to UR CR I… more
    SUNY Upstate Medical University (11/04/24)
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  • Utilization Review Social Worker

    HCA Healthcare (Ogden, UT)
    …Apply Today! **Job Summary and Qualifications** The Mental Health Professional/ Utilization Review role primarily involves reviewing medical records ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...Social Worker (BCSW), or Clinical Mental Health Counselor, or Licensed Clinical Social Worker (LCSW), or Licensed more
    HCA Healthcare (10/31/24)
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  • Utilization Review Clinical…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review Clinical Review (CR) 3 Team Lead will assist the Director of UR and Associate Director of UR with daily staff mentoring, ... provision. This position will have supervisory oversight of the CR level II nurses. This position utilizes first-level screening criteria daily and accurately… more
    SUNY Upstate Medical University (11/04/24)
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  • Manager II Behavioral Health

    Elevance Health (Atlanta, GA)
    …Point location **Shift:** Monday - Friday; 8:00am - 5:00pm ET The **Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization ... cost of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues....for BH UM may include:** Manages a team of licensed clinicians and non-clinical support staff responsible to ensure… more
    Elevance Health (11/08/24)
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  • Managed Long Term Services and Supports Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …patient care, such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu of direct ... and/or disabilities in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning,… more
    LA Care Health Plan (10/25/24)
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  • Clinician I/ II , Intensive Case Manager…

    UT Health (Houston, TX)
    …will include intensive case management, contributing to treatment planning, participating in utilization review for IOP level of care, and conducting a ... Clinician I/ II , Intensive Case Manager - UTHealth Houston Behavioral...**UTHealth PHP/IOP Stepped Care Programs** are seeking a full-time, licensed mental health professional (LPC, LCSW, LMSW) to provide… more
    UT Health (11/09/24)
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  • RN Care Mgr II

    Covenant Health Inc. (Oak Ridge, TN)
    …damaged knee, hip and shoulder joints, sudden heart failure, and non-healing wounds. + 283 licensed beds + 25 ICU beds + 12 intermediate care beds + 38 emergency ... courtesy physicians + Over 800 employees Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient… more
    Covenant Health Inc. (11/09/24)
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  • Highway Construction Inspector II

    VRX, Inc. (El Paso, TX)
    …inspection. General Description The General Description for a Construction Inspector II to CI IV include: Inspects construction methods and workmanship to ... inspection activities for ongoing airport improvement projects. Responsible to a licensed professional engineer who has full authority for approval of all… more
    VRX, Inc. (10/25/24)
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