10 utilization management nurse 2 jobs found

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Job: CLINI004191 Posting Details Posted : August 7, 2026 Full-Time On-site Locations Showing 1 location Riverview Main Campus 395 Westfield Rd Noblesville, IN 46060, USA Riverview Main Campus 395 Westfield Rd Noblesville, IN 46060,...

Madera, California, 93636 About Us: The Quality and Performance Improvement department plays an important role in maintaining high standards of care, creating a culture of continuous improvement leading to optimal patient outcomes. As a dedicated support department, we actively collaborate with both clinical and non-clinical staff to ensure relevant, appropriate data collection, and analysis with the primary goal of improving patient outcomes.  Our responsibilities include the organization and coordination of Performance Improvement projects across the organization, providing education on Quality Improvement methodologies, streamline processes, increasing efficiency, and reducing waste. Focusing on data-driven decision-making, our department is committed to ensuring data integrity that involves exploring innovative ways of data utilization , identifying trends in processes, and...

Madera, California, 93636 About Us: The Quality and Performance Improvement department plays an important role in maintaining high standards of care, creating a culture of continuous improvement leading to optimal patient outcomes. As a dedicated support department, we actively collaborate with both clinical and non-clinical staff to ensure relevant, appropriate data collection, and analysis with the primary goal of improving patient outcomes.  Our responsibilities include the organization and coordination of Performance Improvement projects across the organization, providing education on Quality Improvement methodologies, streamline processes, increasing efficiency, and reducing waste. Focusing on data-driven decision-making, our department is committed to ensuring data integrity that involves exploring innovative ways of data utilization , identifying trends in processes, and...

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions...

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Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Behavioral Health Referral Coordinator is responsible for managing and facilitating behavioral health referrals within the hospital’s inpatient setting. This role involves the review, coordination, and tracking of behavioral health referrals, ensures adherence to safety protocols, age-appropriate clinical criteria, and hospital regulatory policies. The coordinator works closely with clinical teams, external agencies, and families to ensure timely and appropriate placement and/or consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review, case management, and finance teams, the Intake Coordinator helps optimize access to behavioral health services...

168129 Radiology Senior Manager / Emory Hillandale Hospital & Long Term Acute Care Hospital Division Hillandale Hosp Emory Campus Location Lithonia, GA, 30058 Campus Location US-GA-Lithonia Department HILL-Radiology Support Service Job Type Regular Full-Time Job Number 168129 Job Category Imaging & Radiology Schedule 7:30a-4p Standard Hours 40 Hours Hourly Minimum USD $64.04/Hr. Hourly Midpoint USD $76.12/Hr. Description The Senior Manager, Radiology is a critical leadership role responsible for overseeing radiology operations, quality, and safety. This role provides strategic leadership across multiple modalities and initiatives to ensure consistent workflow, compliance, safety, and performance outcomes. The Senior Manager works collaboratively with technologists, nurses, supervisors, physicians, and administrative stakeholders to foster a culture of high reliability, continuous improvement, and service excellence. This position supports a broad range of functions,...