Utilization Review Jobs in Nevada
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Search Results - Utilization Review Jobs in Nevada
Reno Behavioral Healthcare Hospital-Reno
The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate...
resume-library.com -
LivantaLLC-Las Vegas
beneficiaries’ lives all over the United States.
Primary Duties:
Performs desktop medical review. Interprets and applies coverage and payment policies, standards of care, and/or utilization review criteria, as applicable to specific position. Communicates...
mindmatch.ai -
The Valley Health System-Las Vegas
Management or Social Service/Discharge Planning.
License/Certification:
Bachelors degree in Social worker or additional certifications in Utilization Review, Utilization Management or Case Management if graduate of a Practical Nurse Program.
Other:
Must...
The Valley Health System-Las Vegas
in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social...
mindmatch.ai -
The Valley Health System-Las Vegas
experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge...
The Valley Health System-Las Vegas
clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources...
mindmatch.ai -
The Valley Health System-Las Vegas
years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post...
The Valley Health System-Las Vegas
in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community...
mindmatch.ai -
The Valley Health System-Las Vegas
years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post...
The Valley Health System-Las Vegas
in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social...
mindmatch.ai -
Sparks
and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the appropriate level of care with the right care, at the right time, in the right place, with the right provider, at the right cost...
icims.com -
2 similar jobs: Las Vegas, Reno
The Valley Health System-Las Vegas
years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge...
SlateRx-Las Vegas
Communicate with PA technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when appropriate.
• Utilize multiple systems and other clinical resources to make proper decisions in utilization reviews.
• Act...
trinethire.com -
Sparks
principles, ethics and standards of practice of professional nursing; the Case Management Society of America (CMSA); American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services Inspection...
icims.com -
2 similar jobs: Reno, Las Vegas
CDC Foundation-Carson City
quality assurance/improvement, and/or utilization review activities for a human services program or agency is preferred.
• A state drivers license is required, with appropriate insurance coverage and reliable vehicle, to perform the essential duties of the position...
mindmatch.ai -
1 similar job: Columbia
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