Registered Nurse (RN), Clinical Case Manager PRN/Days Schedule: Monday-Friday 7:30a-4:00p/8:00a-4:30p... & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines...
to you, we encourage you to apply for our Sr Clinical Quality Specialist opening. Our team will promptly review your application. Highly... Regional Hospital we support our colleagues in their positions. Join our Team as a Sr. Clinical Quality Specialist and access...
to you, we encourage you to apply for our Patient Safety Coordinator Registered Nurse opening. Our team will promptly review... Regional Hospital we support our colleagues in their positions. Join our Team as a Patient Safety Coordinator Registered Nurse...
as needed to discuss member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans... services and concurrent review findings Assists with providing education to providers on utilization processes to ensure high...
Position Title: Clinical Review Nurse - Concurrent Review Location: Remote Duration: 12 Months Schedule: Monday... through Friday, 9:30 AM to 6:00 PM CST Position Summary Performs concurrent reviews, including determining member...
for both the patient and the organization. Provides concurrent medical necessity reviews for all patients hospitalized within the... a thorough medical record review and knowledge of federal and evidence-based guidelines, including CMS Conditions...
position to all audiences Performs other duties as assigned Position: UM Outpatient Clinical Review Nurse /Utilization... level of care, using applicable coverage documents and clinical guidelines Collects, documents, and maintains review...
status Enter clinical review information into system for transmission to insurance companies for authorization Review...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review...
status Enter clinical review information into system for transmission to insurance companies for authorization Review...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review...
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial.... Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently. Strong analytical...
Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... in clinical and utilization review processes. Current unrestricted Florida RN or LPN License. Minimum one year of utilization...
Description : The Professional Review Nurse provides analysis of medical services to determine appropriateness... & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
/Certifications: Active license as a Registered Nurse in the state of Ohio Minimum of 5 years of experience in clinical leadership...-certification, concurrent review, and/or appeals) Experience utilizing standardized algorithms, policies and bulletins to guide...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
for Health and Dependent Care JOB SUMMARY: The Utilization Review (UR) Registered Nurse independently facilitates clinical...Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES...
to support the level of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan...: Required Licensure as a Registered Nurse (RN), Massachusetts Three years of recent clinical or utilization management experience...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization... Clinical review with payors. Document in the electronic system daily in real time. Admission audit. Ensures that CON’s/RON...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization... Clinical review with payors. Document in the electronic system daily in real time. Admission audit. Ensures that CON’s/RON...
. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior.... In addition, the UR nurse is responsible for completing inpatient level of care reviews, post-acute care initial and concurrent...