Certification Summary Licensure as a Registered Nurse in the single State of Georgia or multi-state through the Enhanced Nurse...’s. Job Description Provides leadership and oversight of the Utilization Review department, ensuring appropriate utilization of healthcare...
REQUIRED: Registered Nurse required. Minimum 3-5 years of clinical experience required. Bachelor of Science Nursing required OR four (4...) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...
Healthcare Magazine named us in its “Top 100 Places to Work.” Overview: The Utilization Management Case Manager works as part... needed. Utilization Management: When assigned UM tasks, the UM/CM must: Perform pre-authorization, concurrent, and discharge review...
Nursing licensure as a professional registered nurse. Minimum of three years of full time wage earning experience... UTMB Utilization Management Program utilizing clinical knowledge, expertise, and criteria guidelines. MAJOR DUTIES...
Review experience Credentials: Essential: Basic Life Support Registered Nurse Visit us online at www.BrowardHealth... utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical...
that encourages professional development. *UHS is a registered trademark of UHS of Delaware, Inc., the management company...Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed...
that encourages professional development. *UHS is a registered trademark of UHS of Delaware, Inc., the management company...Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed...
Practical Nurse (LPN) license with State Nursing Board and/or possess multistate licensure privileges or a Registered Health...Position Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization...
information, medical necessity standards, and/or and InterQual guidelines. The Utilization Review Nurse utilizes clinical.... Qualifications: Anyone hired after July, 2011 must meet the following: Minimum of Registered Nurse with current Alabama license...
: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... and responds appropriately to patient safety and risk factors. Represents Utilization Management at various committees...
. This is a Salaried position. Overview POSITION SUMMARY: The Utilization Management and Review Specialist (UMR Specialist) evaluates...: Current state license as Registered Nurse (IL) Other skills/knowledge: Working knowledge of clinical EMR system PREFERRED...
Health experience helpful). Utilization review/management/quality experience preferred. Interpersonal skills to obtain... with people who care about making a difference – come join us! We have an exciting opportunity for a full-time Utilization...
Required: Registered Nurse in the State of Illinois Bachelor's degree in Nursing 2 years of experience in Quality Utilization Specialist... inaccuracies for improvement. Assists Quality Utilization Nurse Auditor to develop standards, participate in ongoing ED audit...
Required qualifications: * Minimum 7 years Post Graduate of an accredited school of nursing and a current state Registered Nurse license...Responsibilities Responsible for the quality and resource management of all authorizations and referrals with the...
patient care experience Current unrestricted registered nurse license in the State of Nevada Organizational skills...Job Description: Description US:NV:Carson City Case Management Part Time Day Shift About Carson Tahoe Health...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...: Masters’ degree in a recognized mental health field or Registered Nurse. Experience: Minimum of two years psychiatric...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...: Masters’ degree in a recognized mental health field or Registered Nurse. Experience: Minimum of two years psychiatric...
of blood transfusion processes on the nursing floor. Provides utilization reports and feedback to upper management. Utilizes... processes on the nursing floor. Provides utilization reports and feedback to upper management. Utilizes feedback on observations...
Reports to the Manager/Utilization Review and Case Management. Is responsible for assessing, planning, coordinating... activities. Project Management Leads or participates in strategic initiatives in the revenue cycle where utilization review...
review functions. Oversees daily operations, which include supervising staff performing utilization management activities.... The goal is to achieve clinical, financial, and utilization goals through effective management, communication, and role...