Utilization Review Jobs in Providence
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Search Results - Utilization Review Jobs in Providence
UnitedHealth Group-Providence-
or Marriage and Family Counseling or Licensed Ph.D. level Psychologist (independently licensed)
• Board certification as a Behavior Analyst (BCBA) and state licensure as required
• 3+ years of Managed Care and/or Utilization Review experience
• 3+ years...
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Providence-carenewengland.org-
with treatment team, performs utilization review functions and serves as the primary liaison with ERO's.
• Demonstrates commitment to professional career growth and maintains core age specific and specialty competency for all patient populations.
• Observes...
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Cummins-Providence-
generation applications
• Lead project planning sessions with internal stakeholders to define scope, objectives, milestones, and performance goals
• Develop cross-functional schedules and resource plans to meet timelines and optimize utilization
• Review...
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Synergy Medical Staffing-Middletown (RI), 22 mi from Providence-
Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Manager, Utilization Review for a travel nursing job in Middletown, Rhode Island.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN...
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UnitedHealth Group-Providence-
requirements
• 5+ years of people leadership in a healthcare setting
• 3+ years in training program development, QA operations, or organizational education
• 3+ years in utilization management operations or utilization review
• 3+ years working knowledge...
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CoveCare Center - Counseling & Wellness Management-Putnam (CT), 24 mi from Providence-
Utilization Management/Utilization Review (UM/UR) requirements
• Support staff in meeting documentation and collaborative documentation expectations
• Provide leadership during clinical crises
• Provide crisis coverage in a rotating schedule during business...
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Boston Medical Center-Boston, 41 mi from Providence-
with the Massachusetts Board of Pharmacy or have a Massachusetts Pharmacy Intern License.Technicians must have current active National Certification verified by PTCB or ExCPT.As part of the employment screening process, to be compliant withURAC (Utilization Review...
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Trusted Talent-Falmouth (MA), 44 mi from Providence-
days
• Employment Type: Travel
Purpose of Position:
The manager of the Clinical Resource Department is responsible for the daily operations and clinical management of Case Management, Utilization Review, and Social Work, with a secondary focus...
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Boston Medical Center-Boston, 41 mi from Providence-
with the Massachusetts Board of Pharmacy or have a Massachusetts Pharmacy Intern License.Technicians must have current active National Certification verified by PTCB or ExCPT.As part of the employment screening process, to be compliant withURAC (Utilization Review...
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Providence-carenewengland.org-
patient outcomes and ensure care is provided in the most appropriate setting.
Duties & Responsibilities:
1. Transition of Care Planning
2. Utilization Review
3. Point of Entry and Emergency Department Duties, when applicable per assignment
4. Utilization...
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