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...
review experience is highly preferred. Position Purpose: Performs concurrent reviews, including determining member... as needed to discuss member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans...
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...
as needed to discuss member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans... services and concurrent review findings Typical Day in the Role: Will have task queue to work from. Will work closely...
, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health... medical determinations or provide recommendations based on requested services and concurrent review findings Typical Day...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... compliance with health plan policies and clinical guidelines. The UR Nurse collaborates with the Medical Director and clinical...
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...
Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analys for their Remote location.... Responsibilities: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary...
/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...
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...
Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not meet...Facility: Dayton Children's - Main Campus Department: Utilization Review Team Schedule: Full time Hours: 40...
: Registered Nurse-Review Analys Work Location: Detroit, MI,48226 Duration: 2+ Months Job Type: Temporary Assignment Work... Type: Remote Dept: Medicare Pharmacy Quality Engagement Description Perform prospective, concurrent and retrospective review...
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...
: Registered Nurse-Review Analys Work Location: Detroit, MI,48226 Duration: 2+ Months Job Type: Temporary Assignment Work... Type: Remote Dept: Medicare Pharmacy Quality Engagement Description Perform prospective, concurrent and retrospective review...
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...
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...
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...
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...