Job Summary Assesses, plans, implements and evaluates the...
HOW WE CARE FOR YOU At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for...
We are currently looking to fill a Supervisor Quality Assurance (Batch Record Review) position. This position performs activities supporting dispositioning product and/or raw materials while ensuring compliance with Quality Assurance policies and...
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data,...
OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations...
Great opportunity for any RN, nursing background - recent nursing grads and experienced nurses are all welcome to apply! This role is Hybrid, you will chose your work week schedule- One day remote and 4 days in the field work week. Two days...
JOB TITLE (#25188): Registered Nurse / Clinical Reviewer / Remote - New York State Minimum 1-3...
FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and...
**_For this position we are seeking REGISTERED NURSE (RN) or Licensed Clinical Social Worker (LCSW) previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG...
Job Description: Summary:This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set...