Job Summary: As a Utilization Management Nurse, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both commercial and government. 100% Remote - However, Only candidates on EST Time Zone are considered. Key Responsibilities: Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting. Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams. Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment. Foster positive collaboration with the Care team to facilitate timely patient progression during their stay. Job Requirements: Current PN Nurse license Associate's degree preferred. 2 years of Utilization Management experience in large health organization. Hospital case management experience is advantageous. Proficiency in federal and state regulations (DOH, Medicaid/Medicare) and familiarity with third-party payers and managed care principles. Salary Range: $75,000+ Benefits: Yes- Full benefit package available with employer contribution. Join our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care. Date of Original Job Posting: 1/25/25 Morgan Stephens
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Job Description Starting hiring pay at: $$14 As a Cook at Raising Canes, you will set the pace of the Restaurant by ensuring all of the food we serve meets our high standards. Working in the Kitchen at Raising Canes is a fun and fast paced environment. Crank up...
Overview: Join our team as a full-time, Practice Manager in Topeka, KS. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assistance , and resources that...
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...claims processes, onboarding and exit interviews, transitional return to work, leave administration, OSHA reporting, etc.). Support hiring managers and Talent Acquisition to support recruitment and staffing plans. Aid Human Resource Business Partner (HRBP) to drive...