As a Valleywise Health Utilization Review RN Coordinator, you are part of a multidisciplinary team providing...-based practice, regulatory compliance, reimbursement sources, and the health care delivery system. The RN Utilization Review...
PRN Utilization Review RN - M-F Days Must be available to work daytime hours (between 8am-6:30pm) Monday - Friday... Experience 5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization...
Job Category: Nursing Job Description: RN Case Management / Utilization Review Location: Washington Court House... , Ohio Status: Full-Time Shift: Day shift- Monday through Friday Position Summary The RN Case Management/Utilization...
review of pre-admission, perioperative, and post operative surgical cases. Performs other utilization management tasks... AND/OR CERTIFICATIONS State of Work Location: Illinois Registered Professional Nurse (RN) - Illinois Department of Financial...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization...
and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent and retrospective... statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to federally mandated...
in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To utilize evidence based tools to evaluate the..., nursing staff and claims examiners regarding pharmacy issues. Performs drug utilization reviews through the pharmacy benefit...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting...
The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients... achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting...
The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients... achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources...
be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... of utilization review activities across the health system, including the academic medical center and affiliated community hospitals...
be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... of utilization review activities across the health system, including the academic medical center and affiliated community hospitals...
of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... optimal management of clinical resources by conducting timely admission and concurrent utilization review for all patients...
RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse... and resource utilization in a premier academic medical center. Lead utilization review, discharge planning, and interdisciplinary...
experience required. Previous utilization review experience strongly preferred. Other Knowledge/Skills/Abilities...Min USD $32.95/Hr. Max USD $52.73/Hr. Overview Shift: 12pm - 12am Performs clinical review of patient...
on a candidate's years of relevant experience, level of education and internal equity. EvergreenHealth is seeking an experienced RN... for new and innovative ways to improve. Job Summary: The RN in our Care Management department specializes in assessing...
utilization of health services, and appropriate level of care for patients during hospitalization and on a continuum after... experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing...