education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization... Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. Analyzes situations...
, and review current topics within the industry. Having the opportunity grow, learn, and advance in your career through our Charge... experience. At UHS, you have a voice. Benefit Highlights Unlimited Employee Referral Bonus Program Competitive Compensation...
network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics.... Benefit Highlights Unlimited Employee Referral Bonus Program Competitive Compensation & Generous Paid Time Off Excellent...
network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics.... Benefit Highlights Unlimited Employee Referral Bonus Program Competitive Compensation & Generous Paid Time Off Excellent...
to the responsible party. Partners with other department coordinators to identify, review, and discuss potential change... and competitive salary, Discovery offers a comprehensive benefit package. Eligible team members are offered a comprehensive benefit...
Determinations Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial... non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources...
are responsible for Women's Health/ Gender Dysphoria/ Genetics clinical reviews and require a current, unrestricted RN nursing license... in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women...
are responsible for Women's Health/ Gender Dysphoria/ Genetics clinical reviews and require a current, unrestricted RN nursing license... in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
Determinations Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial... non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... hours is required. Key Responsibilities: 1. Concurrent Review & Case Assessment Conduct timely reviews of inpatient...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... leadership for complex cases, denials, and escalated reviews. Key Responsibilities: 1. Concurrent Review & Case Assessment...
Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES...: * Immediately respond to all Bluestone Intak email, faxes and phone calls. Review all referrals for clinical appropriateness...
Job Title: Medical Review Nurse (RN) Address: Jacksonville, FL Job Description Perform medical reviews to assess..., LTAC, and rehab settings for benefit determination and medical necessity. Participate in weekly case review meetings...
you to apply – even if your experience doesn’t match every requirement. About the role The Pre-Certification Review Nurse – Pharmacy is responsible... in utilization management reviews. The Pre-Certification Review Nurse – Pharmacy will work and collaborate with a multi-disciplinary...
you to apply - even if your experience doesn't match every requirement. About the role The Pre-Certification Review Nurse - Pharmacy is responsible... in utilization management reviews. The Pre-Certification Review Nurse - Pharmacy will work and collaborate with a multi-disciplinary...
Our Client, a Mutual Insurance Holding company, is looking for a Medical Review Nurse (RN) for their Remote location... to determine benefit coverage and medical necessity Review cases and potential denials with the Medical Directors Research...
Job Title: Medical Review Nurse (RN) Address: Jacksonville, FL Job Description Review and authorize referral... staff to determine benefit coverage and medical necessity Collaborate with Medical Directors on potential denials and case...