The RN Case Manager is responsible for comprehensive coordination of care and service of individual patients..., coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... as an acute hospital case manager. Preferred Qualifications: Bachelor's Degree or Master's Degree in Nursing. Experience...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... as an acute hospital case manager. Preferred Qualifications: Bachelor's Degree Nursing. Master's Degree Nursing. Experience...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively...
. Experience:Five years of clinical nursing and three years quality management, utilization review or discharge planning experience..., utilization review or discharge planning experience. CPHQ, CCM, ACM or CPUR preferred. Special Training:Basic computer skills...
of clinical nursing and three years quality management, utilization review or discharge planning experience. Other Credentials...:Registered Nurse - NJ Knowledge and Skills:Five years of clinical nursing or three years quality management, utilization review...
of clinical nursing and three years quality management, utilization review or discharge planning experience. Other Credentials...:Registered Nurse - NJ Knowledge and Skills:Five years of clinical nursing or three years quality management, utilization review...
Integrated Care Manager RN -Days As an integrated care manager, specializing in Utilization review, the registered... keywords: LinkedIn, Nursing Acute Care, Full Time, Case Management, RN, Registered Nurse, BSN, ASN, utilization review, patient...
attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center staff and PFS department... to ensure appropriate utilization of resources and benefits on a case by case basis. Applies case management and utilization...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... timely admission and concurrent utilization review for all patients of designated medical services; certifies medical...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM...
of benefits · May oversee work delegated to Central Utilization Review LVN/LPN Case Manager and/or Central Utilization... Preferred Requirements Education: BSN Certifications: Accredited Case Manager (ACM) preferred. #LI-CB4...
Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical...
Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the...
: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle... levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies...
utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology..., experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries...
utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology..., experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... Department: Utilization Review/Clinical Appeal Management Schedule: 40 Hours (Days) ESSENTIAL RESPONSIBILITIES / DUTIES: 1...
for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible... LOS, cost per case, avoidable days, Resource Utilization, readmission rates, concurrent denials, and appeals Uses data to drive...