Position: Registered Nurse, Mercy Southeast Department: Interventional Radiology Shift: Full-Time (40hrs. Week.... - Maintains effective communication through appropriate utilization of the chain of command - Communicates subjective...
Description We're seeking a Utilization Review (UR) Specialist who is a Registered Nurse responsible for conducting... review experience. Must have a valid, active unencumbered Registered Nurse license approved by the Georgia Licensing Board...
a Utilization Review (UR) Specialist who is a Registered Nurse responsible for conducting thorough medical necessity reviews... in nursing. Minimum of 5 years of recent acute hospital experience or a minimum of two years of previous utilization review...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity..., with at least 1 year in utilization review, case management, or a related field. Experience in a managed care setting with medical...
Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains...) required. Two (2) years of clinical experience as an RN in a varied clinical setting required. Previous utilization review...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... years of clinical nursing experience, with at least 1 year in utilization review, case management, or a related field...
Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse... Group. The ICM Medicare Advantage Utilization Review Nurse ensures that home health and durable medical equipment services...
Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review... criteria Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare...
Details Department: Utilization Review Schedule: Part time, 3 days per week; 8 hours per day. 8 am- 4:30 pm... health care services regarding admissions, case management, discharge planning and utilization review. Review admissions...
Review Nurse is responsible for determining the appropriateness of hospital admission; utilization of resources and medical..., performance improvement and reimbursement issues, preferred - Utilization review, Case Management, appeals, denials, managed...
Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES... for Health and Dependent Care JOB SUMMARY: The Utilization Review (UR) Registered Nurse independently facilitates clinical...
Job Category: Clinical_Support Job Description: Job Description The Utilization Review Nurse performs Utilization... Review on all patients to ensure appropriate resource utilization, authorization of hospitalization and tracking of avoidable...
Coordination and Utilization Review Education Required: Associate degree in Nursing Preferred: Bachelor of Science... and hospital staff. Utilize Utilization Management tools Interqual and MCG to assist with placement of the patient in the correct...
an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting medical necessity reviews by utilizing..., and discussions with the attending physician and/or physician advisor. This individual will: Perform utilization review by completing...
Description We're seeking an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting... will: Perform utilization review by completing a timely and comprehensive review of all new observation and inpatient admissions...
Facility: Dayton Children's - Main Campus Department: Utilization Review Team Schedule: Part time Hours: 8... Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review...
VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start...
as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible..., and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review...
VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start...
, discharge planning and utilization review. Responsibilities: Review admissions and service requests within assigned unit... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate...