and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
States of America) Job Summary: Wellstar North Fulton Hospital has an opportunity for a RN Acute Care- Medical Telemetry...- Full-Time Day Shift The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed...
SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare... and safety. Review and revises goals and approaches to participants’ care in coordination with participant, family, caregiver...
as needed. Actively participates in utilization review meetings and quality improvement projects / meetings. Evaluates the competence... SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare...
for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the... to review your application. Thank you for your interest! About Universal Health Services: One of the nation’s largest...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
Our Client, a Healthcare company, is looking for a RN - Case Manager - Utilization Review for their Remote location... to the next level of care. Comprehensive and accurate Epic documentation We are a system utilization management team. The...
Job Description: Overview Responsible for coordinating utilization review (UR), case management and NCQA/quality... in Rock, Walworth and McHenry Counties an ADN only is required. Certification and Licensure Licensed as an RN in state...
Overview: Responsible for coordinating utilization review (UR), case management and NCQA/quality initiative... in Rock, Walworth and McHenry Counties an ADN only is required. Certification and Licensure Licensed as an RN in state...
health patient care experience with at least 1 year utilization review in an acute hospital or commercial/managed care payer... to facilitate effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization...
, please review this . The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity... and identify the need for authorization. The Utilization Case Manager RN coordinates with the healthcare team for optimal...
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...
school of nursing and a current state Registered Nurse license. Minimum 3 years RN Utilization Manager working for a Health... Plan. At least 3 years of experience in utilization review, referrals, authorizations, denials and appeals. Current BCLS...
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...
About this Job: *** Must have acute care Utilization Review experience to be considered for the position... of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies dynamics of neglect...
. Minimum 3 years RN Utilization Manager working for a Health Plan. At least 3 years of experience in utilization review... and insure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review...
-92584 #Indeed Talroo - Nursing Utilization Review Nurse, RN, BSN, InterQual, Milliman, NCQA, Remote, Virginia, Case...Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent...