TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization, inpatient and continued stay reviews, and presenting complex cases for Medical Director review, while staying compliant with InterQual and TriWest policies.
#J-18808-Ljbffr...Registered Nurse (RN) Orthopedic Medical Surgical Inpatient Days Where You Will Work: Cudahy, WI, United States Experience... ...Completion of an accredited or approved program in nursing New grads welcomed! Registered Nurse license issued by the state in which...
...Education Consultant Sylvan Learning Center Are you passionate about helping families find the perfect educational support for their children? Do you thrive in a warm, trusting environment where your listening skills and empathy make a real difference? If so, this...
...Nephrologist to practice at IU Health Bloomington Academic Health Center Position Details: Full-time employment opportunity Adult nephrology and hemodialysis support Monday-Friday schedule; 8am-5pm Patient volume: 76/week in office; 210/week inpatient General...
...Fenton**Worker Type:**PRN3**Job Summary:**Manages women's services activities, workflow and nursing resources.**Job Responsibilities... ..., gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic...
...to name a few. We have an excellent reputation with the clients. Currently, We are looking for entry-level software programmers, IT enthusiasts, Python/Java developers, Data analysts/ Data Scientists. We welcome candidates with all visas and citizens to apply....