Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient... in either Case Management or Utilization Management. Responsibilities Review patient files and treatment information...
Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization...) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests...
case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team.../Certifications: Registered Nurse (RN) licensure in the state of practice: Required Case management certification: Preferred...
specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific... and providing timely and accurate information to payors. The role integrates and coordinates the functions of utilization management...