Utilization Review Manager - Home Care jobs in the United States

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2022 Salary.com)

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Health Home Care Manager - 240218
  • University of Rochester
  • Rochester, NY
  • Health Home Care Manager Job ID 240218 Location Strong Memorial Hospital Full/Part Time Full-Time ... Assists with record reviews and quality initiatives. + Monitors utilization of services and ...
  • 2 days ago

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Utilization Management Clinician
  • PacificSource
  • Salem, OR
  • ... home health, and hospice services while considering member co-morbid conditions ... Review referral and preauthorization requests for appropriateness of care within established ...
  • 2 days ago

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Utilization Review Assistant - Hale Makua Kahului
  • Ohana Pacific Management Company
  • Kahului, HI
  • ... Utilization Review Manager to review. Requirements: * High school diploma or equivalent. * Experience with Microsoft Office. * One (1) year of administrative experience in health care or related ...
  • 2 days ago

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Manager Registered Nurse (RN) - Home Health Case Management - $36-39 per hour
  • AccentCare
  • Elizabethtown, PA
  • As a Patient Care Manager, you will have the ability to work at the top of your licensure while ... perform utilization management review, workflow, edit/lock TIF/Discharge OASIS, escalation ...
  • 3 days ago

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Travel Nurse RN - Utilization Review - $3,894 per week
  • Focus Staff
  • Salinas, CA
  • Travel Utilization Review RN Registered Nurse About Focus Staff Focus Staff is a travel healthcare professional staffing agency. We place awesome people in awesome places across every state in the U
  • 3 days ago

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Registered Nurse, Nurse Manager, Home Based Primary Care - San Antonio, Texas - Case Management H...
  • Audie L. Murphy Memorial VA Hospital
  • San Antonio, TX
  • ... Performance Improvement, utilization review and risk management programs. * Evaluating the ... Delivering nursing care in the home * Keeping physicians/interdisciplinary members aware of changes ...
  • 3 days ago

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UTILIZATION REVIEW RN - **$10,000 SIGN ON BONUS!**
  • Elliot Hospital
  • Manchester, NH
  • They will ensure that clinical reviews are given to the payer care manager in a timely manner and ... Referring to the Utilization Review Physician Advisor cases that do not meet established guidelines ...
  • 3 days ago

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Field RN, Care Manager, Home Health, Part Time
  • Adventist Health NW
  • Willits, CA
  • Discusses with physicians, the appropriateness of resource utilization, consultations, treatment ... Manages frequent emergency department visitors by conducting a focus study review of the previous ...
  • 4 days ago

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Utilization Review Coordinator (Remote)
  • Utilization Review Services, LLC
  • Remote in Franklin, TN FULL_TIME
  • Community Health Systems, Inc. is one of the nation’s leading operators of general acute care hospitals. The organizatio...
  • 1 Month Ago

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Utilization Review Manager (RN - Hybrid)
  • Keystone Peer Review Organization, Inc.
  • Boise, ID FULL_TIME
  • Utilization Review Manager (Hybrid - Must live in Idaho) Are you an experienced Utilization Review Manager looking for a...
  • 1 Month Ago

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Utilization Review Coordinator (Remote)
  • Utilization Review Services, LLC
  • Remote in Franklin, TN FULL_TIME
  • Community Health Systems, Inc. is one of the nation’s leading operators of general acute care hospitals. The organizatio...
  • 1 Month Ago

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Utilization Review Manager (RN - Hybrid)
  • Keystone Peer Review Organization, Inc.
  • Boise, ID FULL_TIME
  • Utilization Review Manager (Hybrid - Must live in Idaho) Are you an experienced Utilization Review Manager looking for a...
  • 1 Month Ago

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Care Manager (Utilization Review)
  • UHS of Delaware, Inc.
  • SAN ANTONIO, TX FULL_TIME
  • Responsibilities UTLIZATION REVIEW/CARE MANAGEMENT - (FT) KEY RESPONSIBILITIES: Admission and continued stay reviews to ...
  • 6 Days Ago

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Care Manager Utilization Review
  • 101 Riverside Hospital, Inc.
  • Susan, VA FULL_TIME
  • Hampton, Virginia For over 100 years, we have made it our mission to care for others as we would care for those we love....
  • 7 Days Ago

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Care Manager Utilization Review
  • 101 Riverside Hospital, Inc.
  • Jamestown, VA FULL_TIME
  • Hampton, Virginia For over 100 years, we have made it our mission to care for others as we would care for those we love....
  • 7 Days Ago

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Care Manager Utilization Review
  • 101 Riverside Hospital, Inc.
  • Bena, VA FULL_TIME
  • Hampton, Virginia For over 100 years, we have made it our mission to care for others as we would care for those we love....
  • 7 Days Ago

Income Estimation for Utilization Review Manager - Home Care jobs
$72,846 to $92,869