Utilization Reviewer Jobs Page 2 of 56

Animas Surgical Hospital, LLC - Durango, CO

The Nurse Case Manager/Utilization Reviewer is responsible for hospital case management/utilization review, while ensuring compliance with...

Case Manager - Registered Nurse (Nursing)

Apidel Technologies - Cambridge, MA

Job Description Shift: 40 hours per week Usually M-F 8-4:30 Occasional weekend may be required Epic experience preferred COVID Vaccines + Booster...

Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

Dane Street, LLC - New York City, NY

Job Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers...

Internal Medicine Nurse Practitioner

Provider Resources, LLC - New York City, NY Posted 2 weeks ago

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare...

Geriatrics Nurse Practitioner

Provider Resources, LLC - New York City, NY Posted 2 weeks ago

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare...

Physiatry/Physical Medicine & Rehabilitation Nurse Practitioner

Provider Resources, LLC - New York City, NY Posted 2 weeks ago

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare...

Pain Management Nurse Practitioner

Provider Resources, LLC - New York City, NY Posted 2 weeks ago

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare...

Obstetrics Nurse Practitioner

Provider Resources, LLC - New York City, NY Posted 2 weeks ago

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare...

Psychologist Reviewer

Centene - Newark, NJ Posted 11 hours ago

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team...

Psychologist Reviewer

Centene - Bird in Hand, PA Posted 11 hours ago

Centene is Hiring – Remote Psychologist Reviewers (ABA) Centene is seeking a Remote Psychologist Reviewers (Applied Behavior Analysis). Candidates...

LPN Case Manager Clinical Authorization - Relocation Offered!

MEDSTAR HEALTH - Washington, DC Posted 11 hours ago

General Summary of Position Provides support for the Care Management Department by coordinating and promoting comprehensive quality cost-effective...

Psychologist Reviewer

Centene - Bird in Hand, PA Posted 11 hours ago

Centene is Hiring – Remote Psychologist Reviewers (ABA) Centene is seeking a Remote Psychologist Reviewers (Applied Behavior Analysis). Candidates...

Psychologist Reviewer

Centene - Newark, NJ Posted 11 hours ago

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team...

Special Programs CCS Manager, Nurse Reviewer

Maren Medical Group - Fresno, CA Posted 20 hours ago

Job Description La Salle Medical Associates IPA (Maren) is searching for a highly qualified, engaging, team oriented and passionate professional...

Behavioral Health Physician UM Reviewer

Toney Healthcare - New York City, NY Posted 1 week ago

Job Description The Behavioral Health Physician UM Reviewer is responsible for conducting clinical reviews of behavioral health services to...

Licensed Practitioner of the Healing Arts (LPHA) Reviewer

Carle Health - Peoria, IL Posted 2 days ago

human.resources@carle.com. Compensation and Benefits The compensation range for this position is $26.34per hour - $43.99per hour. This represents...

CRNA Case Reviewer

Yale New Haven Health - Branford Center, CT Posted 11 hours ago

The CRNA Case Reviewer provides patient-centered anesthesia care in collaboration with medical teams, ensuring safety and quality during surgical...

CRNA Case Reviewer

Yale New Haven Health - North Branford, CT Posted 11 hours ago

The CRNA Case Reviewer provides patient-centered anesthesia care in collaboration with medical teams, ensuring safety and quality during surgical...

CRNA Case Reviewer

Yale New Haven Health - Guilford Center, CT Posted 11 hours ago

The CRNA Case Reviewer provides patient-centered anesthesia care in collaboration with medical teams, ensuring safety and quality during surgical...

CRNA Case Reviewer

Yale New Haven Health - Georgetown, CT Posted 11 hours ago

A Certified Registered Nurse Anesthetist (CRNA) Case Reviewer provides expert anesthesia care in collaboration with medical teams, ensuring...

CRNA Case Reviewer

Yale New Haven Health - Milford, CT Posted 11 hours ago

The CRNA Case Reviewer provides patient-centered anesthesia care in collaboration with medical teams, ensuring safety and quality during surgical...

CRNA Case Reviewer

Yale New Haven Health - East Norwalk, CT Posted 11 hours ago

A Certified Registered Nurse Anesthetist (CRNA) Case Reviewer provides expert anesthesia care in collaboration with medical teams, ensuring...

CRNA Case Reviewer

Yale New Haven Health - Wallingford, CT Posted 11 hours ago

The CRNA Case Reviewer provides patient-centered anesthesia care in collaboration with medical teams, ensuring safety and quality during surgical...

Complaint Intake and Triage Nurse Reviewer (RN req'd)

ISLAND PEER REVIEW CORP - Albany, NY

Job Description Based in Albany, NY, working at the direction of the New York State Department of Health (NYSDOH) Nursing Home Centralized Complaint...

Physician Reviewer - Psychiatry (Utilization Review)

Dane Street, LLC - New York City, NY

Job Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers...

1,109 Utilization Reviewer Jobs Nationwide