: 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...
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...
department. Responsibilities Clinical review of 100% acute bedded patients admitted to Inpatient or Observation status at The... are indicated by clinical review. Identify cases needed for second level of review- refers cases to the Physician Advisor...
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...
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...
. 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...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations...: Performs daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care...
level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review... quality assurance performance standards. Demonstrates assertiveness in completion of precertification and concurrent review...
documentation by performing concurrent review of the medical record to ensure medical necessity and appropriateness of hospital..., Certification: One of the following: Current Alabama RN license Current Multi State RN License in accordance with Nurse...
level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review... quality assurance performance standards. Demonstrates assertiveness in completion of precertification and concurrent review...
perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health... state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review...