years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience...PRN Utilization Review RN - Monday - Friday Days WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas...
authorization or concurrent review within an insurance company and/or managed care organization. Experience leading a remote team... for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members...
and admission status Enter clinical review information into system for transmission to insurance companies for authorization...Responsible for utilization review work for behavioral health admissions and continued stay reviews. Responsibilities...
perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health...
perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health...
resources. Effectively manages all utilization review functions, including clinical reviews, concurrent authorization...βs. Job Description Provides leadership and oversight of the Utilization Review department, ensuring appropriate utilization of healthcare...
a mechanism for the review of quality of care issues arising during concurrent review, identifies area of potential medical... Nursing licensure as a professional registered nurse. Minimum of three years of full time wage earning experience...
and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact... Review experience Credentials: Essential: Basic Life Support Registered Nurse Visit us online at www.BrowardHealth...
to functions related to medical necessity determinations, concurrent and other clinical and medical management programs... Utilization Management staff. Oversee staff performance with regard to medical necessity determinations, concurrent review...
: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical information...
JOB DESCRIPTION SUMMARY Reports to the Nurse Supervisor and assists in the process of health management and utilization review (UR). The... AND RESPONSIBILITIES Administrative Support Β Review all utilization requests and forward, research, and analyze to determine if clinical...
of Christian Health. Competencies: Directs and coordinates the activities of the UR Nurse and UR Coordinator. Directs clinical... Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations...
of professional leadership experience (i.e., charge nurse, team leader, preceptor, committee chair, etc.) Five (5) years clinical...SUMMARY: We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full...
for concurrent denials, including nurse or provider peer to peer. Performs patient care, where competent and assists in coordination... clinical and financial outcomes. Job Duties and Responsibilities Continually assesses the appropriateness and timeliness...
REQUIRED: Registered Nurse required. Minimum 3-5 years of clinical experience required. Bachelor of Science Nursing required OR four (4... of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill...
Nursing (Adult, Pediatric & Neonatal). ABMCM Certified Managed Care Nurse. AAMCN Utilization Review Professionals. MCG.... Strong critical thinking skills & the ability to perform clinical chart review abstract information efficiently. Strong analytical...
DRG/CDI Nurse (Clinical Documentation Improvement) π Location: Fully Remote | π Full-Time | π₯ Healthcare... About the Role Weβre seeking a highly skilled DRG/CDI Nurse to join our team and play a critical role in improving clinical...
Overview: CVP is seeking a PRN Registered Nurse Clinical Documentation Integrity Specialist to provide back up... code sets Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify...
Overview CVP is seeking a PRN Registered Nurse Clinical Documentation Integrity Specialist to provide back up... code sets Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify...
This role will facilitate the modifications of clinical documentation through extensive initial and concurrent... interaction with physicians and other members of the healthcare team, to support appropriate documentation of the clinical...