Employment Type: Part time Shift: 12 Hour Day Shift Description: RN Utilization Management -Per diem... If you are looking for an RN position in Case Management, this could be your opportunity. Here at St. Peter's Health Partner's, we care...
Employment Type: Part time Shift: Day Shift Description: RN for Utilization Management - Per Diem St. Peter...'s Hospital in Albany, NY is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN...
for new and innovative ways to improve. Job Summary: The RN in our Care Management department specializes in assessing... a degree in Nursing Three (3) years of experience as an RN with a combination of acute care and/or case management experience...
Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination.... Monitors utilization of all services for fraud and abuse. Performs pre-authorization and pharmacy reviews and documents...
and performance management of UR RN teams. Drives performance aligned with regulatory and payor expectations, ensuring the delivery... in Utilization Management with 3-5 years' experience in Utilization Management Leadership Required *3-5 years' experience in acute...
Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...
Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests and higher level...) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests...
Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...
) Previous health plan utilization management experience Unencumbered RN licensure required (WV, compact - or willing to obtain... conditions. Reporting to the Health Plan Director of Medical Management, the Utilization Review Manager, will be an integral...
with leadership, patients, families, internal care givers, and external Utilization Management Nurses. Coordinate internal... with MDS and assessment preferred Hospital Case Management /Hospital Utilization Management. Obtaining authorizations...
Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme Days If you are looking for an RN... all schedules What you will do: Perform utilization management, both concurrent and retroactive for inpatient and outpatient...
(RN) for the Utilization Management Department. If you're passionate about working in the behavioral health setting... problems. The Utilization Management Coordinator (RN) is responsible for the managing, reviewing, and monitoring the...
(RN) for the Utilization Management Department. If you're passionate about working in the behavioral health setting... problems. The Utilization Management Coordinator (RN) is responsible for the managing, reviewing, and monitoring the...
The purpose of the Utilization Management Nurse is to ensure quality of patient care, effective utilization... management, engagement team, and disease management). Attend all mandatory meetings and training. Maintains and keeps in total...
: No Department Details Summary Provides expertise and leadership to ensure effective resource management for patient..., improved care outcomes, efficient utilization of health services, and appropriate level of care for patients...
nursing practice with specialized focus on care coordination, compliance, transition management, education, and utilization...Job Description: The role of the inpatient case manager is one of patient advocate of appropriate utilization...
Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination.... Monitors utilization of all services for fraud and abuse. Performs pre-authorization and pharmacy reviews and documents...
and performance management of UR RN teams. Drives performance aligned with regulatory and payor expectations, ensuring the delivery... in Utilization Management with 3-5 years' experience in Utilization Management Leadership Required *3-5 years' experience in acute...
Utilization Management RN, documents all chart and phone reviews, identifies and communicates potentially avoidable days... include weekends to provide coverage for the department as needed. The Utilization Management RN will follow the Hometown...
Overview: ERP International is seeking a Registered Nurse (RN) for a Full-Time position in Utilization Management... technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP...