and/or National Certification in Utilization Review or Case Management Minimum Experience: 1 - 3 years of directly related RN... experience Preferred Experience: 3 - 5 years acute care nursing experience Completion of Utilization Review/Case Management...
Role Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers who process...) Responsibilities Team supervision: Provide daily oversight, support, and direction to a remote team of Utilization Management...
and/or Utilization Review experience required. Certifications/Licenses: Current license as a RN in the State of California...: The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Central Utilization Review Nurse who...
and/or Utilization Review experience required. Certifications/Licenses: Current license as a RN in the State of California...: The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Central Utilization Review Nurse who...
and may require up to Every Other Weekend coverage. SPECIFIC RESPONSIBILITIES: The Utilization Review (UR) Registered...: Promotes quality through evidence-based utilization review processes and actively contributes to performance improvement...
and social services on a 24-hour basis, under physician-directed care and RN supervision. We service a multitude of patients... development of clinical guidelines and protocols for utilization management. Maintain up-to-date knowledge of medical terminology...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the... and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Review Nurse..., RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient...
but saving them. Together. The Senior Manager, Inpatient Utilization Management (California LVN / RN Required) under the... utilization management team that operates Monday–Friday, 8:00 AM–5:00 PM Pacific Time. Occasional flexibility outside of these...
with the CM RN and/or CMA to identify and complete the process for CMS required patient notices. 8. Completes and documents... utilization reviews, physician advisor referrals and other communications related to assigned cases in accordance with department...
required with preferred experience in critical care areas: Required Two years' utilization review experience using the Optum/Inter...Job Category: RN Job Description: Located in the metropolitan area of Sacramento, the Adventist Health corporate...
About this Job: General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages... as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities Supervises daily activities...
Management RN to join our team. In this pivotal role, the Utilization Management Nurse will play an integral part in determining... reimbursement. You will be responsible to conduct key components of the St Cloud Hospital Care Management and Utilization Review (UR...
RN Executive Director of Utilization Management and CDI Gainesville, GA As the Executive Director of Utilization... with and educate physicians and other key stake holders regarding Utilization Review policies, practices, and procedures to ensure safe...
Sentara Health Plans is hiring for a Behavioral Health Utilization Management Care Coordinator- Whole Person Care... as needed) and 3 days working from home. Standard Working Hours: 8 AM to 5 PM EST, M-F Overview Behavioral Health Utilization...
. Position Summary: The RN Utilization Management I will perform utilization management functions to include medical necessity... and payors as applicable. Completes daily work lists for utilization review meeting the time frames set forth by Covenant Health...