Utilization Review Jobs in Springfield (MA)
Search jobs in
1 - 10 of 10
Search Results - Utilization Review Jobs in Springfield (MA)
Optum-Springfield (MA)-
Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company.
The Medical Director also provides/assists in the direction...
Read more
GQR Healthcare-Pittsfield (MA), 41 mi from Springfield (MA)-
hours per week
• Shift: 8 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Pittsfield, Massachusetts
Start Date: October 19, 2026
Profession: Registered Nurse (RN)
Facility...
Read more
360X Staffing-Springfield (MA)-
oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care...
Read more
Lifepoint Health®-Holyoke (MA), 7 mi from Springfield (MA)-
statements and reports
• Ensure legal compliance on all financial functions
• Manage relationships with banks
• Supervise and oversee the activities of the business office staff (billing, collections, financial counseling, utilization review and data...
Read more
Odyssey Behavioral Healthcare-Hartford, 22 mi from Springfield (MA)-
and collaboration.
Relationships and Contacts
Within the organization: Reporting to the Division VP of Financial Operations, maintains close and frequent contact with division leadership, admissions leadership, revenue cycle team members, and utilization review...
Read more
CoveCare Center - Counseling & Wellness Management-Putnam (CT), 40 mi from Springfield (MA)-
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...
Read more
UHC Solutions-Torrington (CT), 34 mi from Springfield (MA)-
and utilization review activities
/n
• Support Accountable Care Organization activities as required
/n
• Participate in policy, procedure, and workflow improvement
/n
• Work as part of a multidisciplinary clinical team
/n
• Participate in on-call rotation...
Read more
American Traveler-Worcester, 40 mi from Springfield (MA)-
regarding patient care
• Prepare comprehensive discharge summaries per regulatory and clinical standards
• Document all treatment information in the electronic documentation system accurately and timely
• Participate in patient care conferences, utilization...
Read more
TALENT Software Services-Hartford, 22 mi from Springfield (MA)-
of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...
Read more
The Good Life MedStaff-Worcester, 40 mi from Springfield (MA)-
and clinical requirements.Participation in required meetings including but not limited to: patient care conferences, utilization review meetings, rehabilitation meetings, etc.Participate in facility and company required trainings, in-services...
Read more
Companies now hiring in Springfield (MA):
Utilization Review jobs in Springfield (MA) – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Springfield (MA)
It's free, and you can cancel email updates at any time